Botox for TMJ Made Jaw Worse

I have had a 20 year + TMJ issue. I got 20 ccs of botox on each side about 6 weeks ago. It helped, but I still had a dull pain, so the doctor had added 12 or 8 cc's on each side. One week after I started having shooting pains and feel like my jaw is glued shut, making it painful to talk, chew, smile or laugh. I have never had this sensation before and don't know why I would feel worse than I did before I got the initial botox. The doctor's office suggested to add MORE. Help?

Doctor Answers 2

Botulinum Toxin (Dysport or Botox) for TMJ disorder

I would obtain a second opinion as this is a highly specialized and off-label use of Botox. There are several muscles of mastication and they work in a highly coordinated fashion. Weakening of one set of muscles could cause and imbalance resulting in pain.

Chicago Plastic Surgeon
4.9 out of 5 stars 81 reviews

Botox for TMJ

You should see your doctor for an evaluation. You unfortunately have a longstandimng priblem and may need a second opinion with a tNJ expert who does Botox.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

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