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How to treat jaw arthritis

14 Sep 18

Treatment of temporomandibular joint arthritis

Arthritis of the temporomandibular joint is a fairly common disease, which is characterized by an inflammatory process of connective cartilaginous tissues followed by their atrophy. This disease can develop at any age, but most often it affects older people who have previously been diagnosed with rheumatoid arthritis.

Causes of temporomandibular joint arthritis

This disease usually develops as a result of injuries, especially if, due to damage to soft tissues and blood vessels, blood enters the joint cavity. In addition, the disease can be infectious in nature when it is caused by colds or viral diseases. Flu, sore throat, chronic tonsillitis and even ordinary hypothermia can lead to an infectious form of arthritis of the temporomandibular joint. In addition, some dental diseases, as well as the presence of foci of purulent infection in the body, contribute to its development. Aggravating factors are chronic blood-borne diseases that weaken the immune system.

How to recognize the disease?

There are two forms of temporomandibular joint arthritis—acute and chronic. The first option is much more common, and the symptoms of such a disease can be determined even without the help of a doctor. Like any inflammatory process of cartilage tissue, arthritis of the temporomandibular joint at the initial stage is practically asymptomatic. However, if you feel slight numbness in the lower jaw in the morning, then you should visit a rheumatologist as soon as possible. If this is not done, then soon secondary symptoms will be added to the primary symptom of the disease, including acute or aching pain in the jaw area, characteristic clicking and joint crunching during yawning or chewing food.

You should also consider what type of arthritis you are talking about. The disease as a result of the injury manifests itself almost immediately with characteristic acute pain in the jaw area and a shifting of the chin to the side. In addition, pain occurs when you try to open your mouth. A characteristic sign of traumatic arthritis is the occurrence of swelling in the joint area within 20–30 minutes after mechanical damage. When the disease is infectious, acute pain in the jaw area occurs while eating or yawning. Moreover, the pain gradually spreads to the neck, ears, back of the head and tongue. From the moment the first symptoms appear until the jaw becomes completely immobilized, as a rule, no more than 5–6 hours pass. Chronic arthritis is rare and is the result of untimely or incomplete medical care. This disease makes itself felt by regular aching pain in the jaw area, minimal mobility of the damaged joint and a strong crunching sound when trying to open the mouth.

However, even if you are sure that you are a victim of temporomandibular joint arthritis, you should still undergo a comprehensive medical examination. In addition to a visual examination, you will certainly be asked to take a blood test, which can be used to determine whether there is a focus of inflammation in the body.

In any form of this disease, the main task is to ensure immobility of the jaw joint. This is achieved by applying a sling-shaped bandage, which fixes the lower jaw. For infectious arthritis, you need to wear it for 2-3 days. When it comes to injury, the bandage is applied for 7–10 days. To avoid complications, patients are allowed to eat only liquid foods. In all cases, people suffering from a similar illness are prescribed anabolic steroids. For traumatic arthritis accompanied by swelling, drugs that stimulate blood circulation in damaged tissues are also prescribed. When it comes to an infectious disease, antibiotics and drugs that help strengthen the immune system can be used.

In each specific case, the course of treatment is prescribed individually. However, if you follow all the doctor’s recommendations, improvements are observed already 2–3 days after the start of treatment. When the acute symptoms of arthritis of the temporomandibular joint are relieved, additional physiotherapeutic procedures are prescribed, which include electrophoresis, magnetotherapy, laser therapy, special exercises designed to restore the functions of the facial muscles, as well as mud therapy, massage and hot paraffin applications.

At home, for successful treatment, you can use ointments with bee venom (if you are not allergic to any bee products), make hot compresses with decoctions of chamomile, thyme, coltsfoot, and oak bark. In addition, at night it is recommended to draw an iodine mesh in the lower jaw area, which has absorbable, warming and anti-inflammatory properties.

If chronic arthritis of the temporomandibular joint is associated with the presence of a dental disease, then after relief of the acute symptoms of the disease, sanitation of the oral cavity is performed. If this is not done, then even the most successful treatment will be useless, since after a few months the arthritis will make itself felt again. In case of the rheumatoid type of the disease, in addition to anabolic steroids and anti-inflammatory drugs, patients are prescribed a course of physiotherapy and are recommended to take restoratives - vitamins and dietary supplements.

In medical practice, purulent arthritis of the temporomandibular joint is encountered - a disease in which case the only way to get rid of the disease is surgically by opening the joint cavity and installing drainage. Such a diagnosis requires inpatient treatment, which can last 2–3 weeks and includes various types of therapy.

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Maxillofacial arthritis: symptoms, treatment and prevention

What is maxillofacial arthritis? It is known as TMJ for short and is an inflammatory condition that attacks the temporomandibular joint. This articulation serves as a connecting link between the lower jaw and the bone of the temporal cranium. It ensures mobility and proper functionality of the jaw. Due to the action of specific factors, this joint can undergo significant changes in its functioning, which will affect the functioning of the lower jaw. Often the causes of the development of the disease are infections or various injuries.

The nature of the course of arthritis determines the identification of several of its forms - chronic and acute. The acute traumatic form is caused by mechanical trauma: from a sharp tearing off of the mouth to a strong blow. The acute infectious form manifests itself against the background of viral illnesses or hypothermia. Infectious arthritis can develop due to the penetration of infections into the joint cavity during otitis, mumps, osteomyelitis and others. The chronic form develops over time if you do not respond to the first manifestations of the disease and allow it to go into a neglected state.

Maxillofacial arthritis - symptoms of the disease

Maxillofacial arthritis has the following features:

  • Stiffness and significant disruption of the typical set of movements of the jaw, up to severe limitation of mobility. A similar condition can be noticed after a long period of rest. For example, in the morning after waking up.
  • Pain syndrome of varying intensity and magnitude in the joint area, and sometimes felt in the area of ​​the ear or temples.
  • Severe discomfort during palpation of the joint area.
  • Manifestations of characteristic joint noise - crunching or clicking.
  • Some impairment of chewing and speech functions.
  • Slight displacement of the chin towards the damaged joint.
  • Redness of the facial skin and swelling.
  • In the infectious form of the disease, the formation of compactions.
  • Partial or complete hearing impairment.
  • General symptoms.

    Healthy and arthritic joint

    Methods of treating the disease

    Treatment for maxillofacial arthritis depends on the form and severity of the disease. Regardless of the nature of the disease, in the initial phase of treatment it is important to provide the diseased joint with maximum rest. For this purpose, special or homemade cloak-like dressings are used, complete with an interdental plate, which isolates the taste for several days. At this time, the patient receives a special diet, which consists of liquid foods.

    Subsequent appointments are based solely on the form of the disease. If it arose due to injury, then the main task will be to relieve pain, eliminate swelling and restore the normal functioning of the jaw. The patient receives a course of analgesic drugs, local hypothermia, UHF sessions, and possibly electrophoresis. Additionally, mud therapy sessions may be prescribed, as well as the use of compresses and lotions. If all of the above therapy has no effect, then the patient is prescribed diadynamic Bernard current procedures.

    Treatment of HFNS and chronic forms of arthritis is carried out using ultrasound, paraffin therapy, massage sessions of the masticatory muscles, as well as electrophoresis with medical bile or bee venom. With this illness, myo-gymnastics can be very useful. That is, opening the oral cavity without using the functions of the lower jaw. In turn, she is immobilized with a fist by pressing it on the chin area. This exercise should be performed only for a couple of minutes throughout the day.

    Rheumatoid forms are treated with conservative methods, combined with treatment of other joints, according to the recommendations of a rheumatologist. The process takes place with the use of anti-inflammatory drugs. At the same time, the oral cavity is sanitized, and sometimes there is even a need for dental prosthetics in order to establish a normal bite.

    Purulent arthritis of the CPNS is eliminated mainly surgically in a hospital. In this case, the surgeon opens the site of inflammation and drains it. After this manipulation, physiotherapy is prescribed. First of all, UHF, warming with dry heat, various compresses, etc. It is important to remember that this type of facial arthritis, if not treated in a timely manner, can develop into a chronic form and also cause a serious complication - ankylosis.

    Nutrition during illness

    Patients with various forms of arthritis are usually recommended to adhere to a special diet. It necessarily contains fresh root vegetables, vegetables and fruits, as well as dishes made from them, cooked in boiled form. Eggplant fruits and beet juice, as well as asparagus and berries are endowed with remarkable properties. The patient's condition improves with regular consumption of May honey (approximately 50g per day). A simple cherry will serve sore joints well. The substances in its composition help improve blood flow and strengthen blood vessels, thus reducing the risk of repeated hemorrhages. For any type of arthritis, grapefruit and apple juices are useful. In general, drinking regimen is very important for patients. You need to drink about a couple of liters of liquids a day.

    Traditional medicine for facial arthritis

    Such recipes should be used carefully, after consulting with specialists. In general, folk recipes exist that are very effective. They are used in the form of compresses, rubbing, decoctions and other things.

    Arthritis of the facial joint significantly weakens its symptoms with a decoction of cinquefoil, elecampane, and galangal. To do this you will need crushed plant roots. Take a large spoon of cinquefoil, and a small spoon of the rest of the rhizomes. All this is mixed and poured with half a liter of boiling water, and then boiled for about half an hour over low heat. The product is infused for a short time and filtered. It should be drunk 100 ml. immediately after eating. You can add honey or jam to the broth. It is not difficult to prepare another infusion with the same ingredients. The same amount of herb roots is taken and the thermos is placed. Next, the components are poured with half a liter of boiling water. The infusion is infused for several hours and filtered. You should drink it before meals, a large spoonful. It is important to remember that the above products should be prepared taking into account consumption for about several days, because with longer storage their properties are lost.

    The use of folk remedies for arthritis

    But a decoction is made based on buckthorn bark. Take about two spoons. They are mixed with crushed fennel and dandelion roots and mint leaves. Take two small spoons of these crushed components. Everything is mixed and filled with half a liter of water. The resulting composition is boiled for about 15 minutes, and then taken two spoons before breakfast.

    How to treat maxillofacial arthritis with traditional recipes? You can use the following rubbing: one chicken egg yolk, a spoonful of turpentine, a spoonful of apple cider vinegar. Everything is mixed and rubbed into the affected joint.

    Fir oil is endowed with good properties. You should rub the sore spot with it, and then make a compress of heated sea salt.

    How to correctly recognize arthritis of the maxillofacial joint and treatment methods

    In maxillofacial arthritis, the inflammatory process affects the temporomandibular joint, which connects the lower jaw to the temporal bone of the skull. This connection ensures mobility and normal functioning of the jaw.

    Maxillofacial arthritis most often occurs in children and the elderly, regardless of gender.

    Treatment for the disease will depend on the reasons why it developed. TMJ arthritis can be caused by the following reasons:

  • Mechanical injuries;
  • Penetration of infection;
  • Systemic inflammatory processes in the body.
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    Mechanical damage can lead to the following consequences:

  • Rupture of the joint capsule;
  • Rupture of periarticular ligaments;
  • Fracture of the articular surfaces of bones or their cracks;
  • Hemorrhage into the joint cavity.
  • During an inflammatory reaction, special components are released at the site of inflammation, which cause vasodilation and the release of the liquid part of the blood plasma, which leads to the formation of edema. When fluid accumulates in the joint cavity, tissue compression occurs and joint mobility decreases.

    The penetration of infectious agents is another common cause of inflammation. The infection can spread from nearby organs (for example, with purulent mumps or osteomyelitis). Also, TMJ arthritis can develop with diseases such as scarlet fever, tonsillitis, syphilis, measles, and tuberculosis.

    Arthritis of the TMJ can be a consequence of a general inflammatory process in the body with reduced immunity. A prerequisite for its development may be rheumatoid arthritis, systemic lupus erythematosus, reactive arthritis, gout.

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    Signs of the disease

    The signs of TMJ arthritis of various etiologies are similar, however, it is necessary to carry out differential diagnosis, since with systemic inflammation and the infectious nature of the disease, treatment will have its own characteristics.

    The acute form of inflammation occurs against the background of severe swelling. Severe pain is caused by increased sensitivity of nerve endings.

    Symptoms of arthritis of the jaw joint may vary depending on the nature of the disease. It is customary to distinguish several options for the development of inflammation:

    1. Acute form - treatment of arthritis of the mandibular joint is usually required after receiving a mechanical injury. The cause of the acute form can be a sharp opening of the mouth during a yawn or a strong blow. Acute arthritis of the jaw joint of an infectious nature appears due to otitis media, mumps, etc.
    2. Chronic form - if treatment of arthritis of the maxillary joint with medications is not prescribed in a timely manner, then the disease enters an advanced stage. Curing chronic arthritis is quite problematic and often takes a lot of time.
    3. Stiffness - depending on the form of the disease and its progression, can be expressed by characteristic slight restrictions or a complete inability to perform even simple movements. Drug treatment helps relieve swelling and gradually restore the functionality of the joint.
    4. Pain syndrome - although deforming arthritis of the jaw develops in the later stages of the disease, small changes in the structure are observed at the very beginning. This causes severe muscle spasm. Pain occurs due to degenerative processes. Pain is one of the main reasons for visiting a rheumatologist. If a patient has severe jaw pain, and the discomfort usually appears in the morning, this is a clear symptom characterizing inflammation of the temporomandibular joint or adjacent tissues due to arthritis.
    5. Sensations during palpation. The maxillofacial joint affected by arthritis can be easily identified during an external examination of the patient. During palpation of the damaged area, unpleasant sensations arise, sometimes manifested in shooting pains.
    6. Swelling of the buccal mucosa can also indicate related diseases and suppuration that appear due to ordinary flux.
    7. Redness of the skin - the inflammatory process is always characterized by a change in the color of the skin. When making a differential diagnosis, shade may be important. Thus, gouty arthritis is characterized by a change in color to a dark plum shade; the infection necessarily manifests itself in the formation of ulcers.
    8. Jaw deformation - X-ray signs help identify the disease even at an early stage. The photographs show changes in the interarticular space and slight deformation of the cartilage tissue. X-ray diagnostics in later stages is carried out to determine the extent of the lesion. Upon visual examination, there is a noticeable displacement of the jaw towards the affected joint.
    9. Formation of compactions - occurs due to infectious arthritis. X-rays can show a strong accumulation of synovial fluid, and also make it possible to determine the etiology of the disease by characteristic changes.
    10. Treating chronic arthritis of the temporomandibular joint is quite problematic. At the development stage, all prescribed drugs are aimed exclusively at combating the symptoms of the disease.

      • Pain. Inflammation of the joint is always accompanied by severe stabbing and cutting pain. The pain increases during movement, limiting the person's ability to speak and eat. Therefore, TMJ arthritis significantly reduces a person’s quality of life. With inflammation of the maxillofacial nerve, pain can radiate to nearby tissues, since many of them are innervated by one nerve - the trigeminal. In this regard, the patient often cannot accurately indicate the location of pain.
      • Edema. Swelling and hyperemia are most often observed during purulent inflammatory processes. At the site of inflammation, inflammatory mediators are produced that dilate blood vessels, so blood flow to this place increases. Due to the increased permeability of the vascular walls, blood plasma leaves the vascular bed, which leads to an increase in edema.
      • Local increase in temperature.
      • A feeling of fullness in the joint, which is also associated with swelling and accumulation of exudate.
      • Hearing impairment. The inflammatory process spreads to the outer ear, resulting in a narrowing of the ear canal. If the inflammation is caused by an infection, then you should be aware that it can spread to the middle and inner ear. The consequences of such disorders are even more serious and can lead to deafness.
      • Increased body temperature.
      • The acute form can progress to a purulent stage, which is characterized by the following symptoms:

      • Accumulation of exudate in the joint;
      • Hyperemia of the skin;
      • Narrowing of the external auditory canal and hearing impairment;
      • Heat;
      • Increased erythrocyte sedimentation rate;
      • Headaches and dizziness;
      • Positive reaction to C-reactive protein.
      • Symptoms of the chronic form of the disease

        The extinction of the acute form of inflammation is accompanied by a decrease in swelling, however, active cell division may be observed. Neoplasms lead to compression of periarticular tissues.

        Signs of a chronic form of TMJ include: pain, limited movement, crunching in the joint, increased body temperature to subfebrile temperatures.

        At the initial stage, the disease practically does not manifest itself and can be detected during a routine dental examination. Pronounced changes are characteristic of the later stages of inflammation.

      • Ankylosis. If the inflammatory process is prolonged, then the growth of bone, connective and fibrous tissue begins. Bone ankylosis can only be eliminated surgically.
      • Joint destruction.
      • Meningitis. It can occur when the infection spreads through the blood (hematogenous route) or by contact.
      • Sepsis.
      • Destructive processes can lead to immobilization of the jaw, and constant pain affects the patient’s mental state. Inflammation is also dangerous due to the risk of further spread of the process and damage to other organs and tissues.

        WHAT DOES ARTHRITIS THREATEN IN THE MAXILLOFACIAL JOINT?

        Like all other inflammatory processes, without proper treatment, arthritis can have an adverse effect on the functioning of internal organs. Self-treatment at home can cause a sharp deterioration in the patient’s well-being.

        Depending on the etiology of the disease, the following consequences occur:

      • Rheumatoid arthritis - the lesion progresses, becomes chronic, and spreads to adjacent joints and tissues. Over time, ankylosis is observed - complete immobility of the jaw.
      • Infectious arthritis - sepsis is observed. Since the jaw is located next to the brain, untreated disease is fatal.
      • Effective folk methods for the treatment of arthritis of the temporomandibular joints are successfully used as preventive and auxiliary means that provide stable remission, but are not used as primary therapy.

        X-rays and tomography can be used to confirm the diagnosis. An X-ray of maxillofacial arthritis reveals an expansion of the joint space in the acute form of the disease, and a narrowing of the joint space in the chronic form.

        Diagnosis of the disease is carried out by various specialists, taking into account the suspected cause of the problem. This could be a traumatologist, surgeon, therapist, rheumatologist, dentist and others.

      • The main method of diagnosis is x-ray or CT scan of the temporomandibular joint.
      • Signs of acute inflammation are expansion of the joint space; in chronic forms, the degree of narrowing in mm is assessed.
      • When diagnosing rheumatoid arthritis, blood test data (increased ESR, rheumatoid factor) and a combination of other signs (multiple lesions of small joints, the appearance of rheumatoid nodules, enlarged lymph nodes, etc.) are considered.
      • Diagnosis of specific arthritis is based on PCR (polymerase chain reaction) and enzyme immunoassays.
      • Neglect of the development of the pathological process can lead to purulent inflammations such as sepsis, meningitis or phlegmon. Then the pus ruptures the joint capsule and spreads far beyond the boundaries of the articular tissues. At first, purulent accumulations are localized only in soft tissues, but with complications, through the vascular system it spreads to other areas, right up to the brain. This picture is most typical for HIV-infected people, as well as patients with other immunodeficiency conditions.

        Important! The lack of timely treatment for acute arthritic forms leads to the occurrence of adhesions in the cavity of the affected joint. Such complications provoke fibrous and then bone ankylosis, which is characterized by complete joint immobility.

        Based on the picture of the disease and the collected diagnostic data, the specialist prescribes adequate therapy, usually based on drugs from the group of non-hormonal anti-inflammatory drugs, painkillers and even hormonal drugs. The duration of the therapeutic process is determined in accordance with the condition of the joint and the degree of development of the arthritic process. Often, specialists resort to additional prescriptions such as massage sessions, exercise therapy or physiotherapy. In severe pathological forms, surgical treatment is indicated.

        Chronic form of the disease

        If the disease is not cured during the acute stage, it gradually becomes chronic. The patient suffers from moderate pain in the joint and in the ear area. They may get worse in the morning. When chewing and yawning, the joint clicks, crunches or creaks. It is not possible to open the mouth completely. Movements of the joint become limited, they are carried out with effort. It is especially difficult to move the jaw in the morning, after a long rest.

      • When the jaw drops, it moves slightly towards the problematic joint. If such symptoms appear, arthritis of the maxillofacial joint has become chronic.
      • When the disease passes from an acute to a chronic form, damage to the auditory canals may disappear on its own. But more often, individual hearing problems persist.
      • Chronic jaw arthritis often causes muscle pain in the back of the head and neck. Painful lumps appear in the muscles. Unpleasant sensations occur in the joint area and on the side surfaces of the face. The patient has difficulty speaking or chewing for a long time. He suffers from headaches.
      • Over time, asymmetry develops on the patient's face. It becomes skewed towards the affected joint.
      • Sometimes arthritis of the maxillary joint develops gradually, without an acute stage. In this case, it is difficult to detect it in time. Changes occur slowly and unnoticed by the patient. Patients often ignore a slight crunch in the joint and aching pain.
      • When more serious complications develop, the disease is much more difficult to cure. In the later stages of arthritis, irreversible changes appear. Therefore, it becomes impossible to completely restore the motor function of the joint.

        Immobilization of the joint

        If arthritis is diagnosed, symptoms and treatment depend on the severity. Therapy begins with the appointment of complete immobilization of the problematic joint. If inflammation occurs due to injury, a fracture may occur. While motor function is maintained, bone fragments can damage nearby tissue. Immobilization will help alleviate the patient's condition until the causes of inflammation are fully clarified.

        To fix the jaw, a special sling-like bandage is used. It is a strip of fabric, cut on both sides in the longitudinal direction. The lower ends of the bandage are placed in front of the ears and tied at the crown of the head. The upper ends are tied at the back at the base of the head. A sling bandage holds the jaw in a closed position. An interdental plate is placed on the side of the affected joint, separating the jaws. During the acute period (2-3 days), the patient can only eat liquid food. He is not allowed to speak.

        Drug therapy

        If arthritis of the jaw joint is confirmed, treatment should be prescribed by a doctor. Non-steroidal anti-inflammatory drugs quickly relieve pain in TMJ arthritis. The patient is prescribed:

        Diclofenac is administered intramuscularly, then switched to tablets for oral administration. If the pain is not very severe, Paracetamol is prescribed.

        When arthritis is provoked by rheumatic processes, the attending physician prescribes steroidal anti-inflammatory drugs:

      • Prednisolone;
      • cytostatics (Methotrexate, Leflunomide);
      • monoclonal antibodies (Adalimumab, Etanercept).
      • Surgical intervention

        If arthritis in the temporomandibular joint is caused by pyogenic pathogens, the surgeon decides on the advisability of opening the purulent capsule and draining it. Immediately after surgery, broad-spectrum antibiotics (Ceftriaxone) are prescribed intramuscularly. Narcotic painkillers (Morphine) are administered intramuscularly. Then they switch to non-steroidal anti-inflammatory drugs (Ketorolac, Indomethacin).

        Your doctor will determine how to treat jaw arthritis after injury. Surgery may be necessary if a fracture of the articular surfaces, rupture of the joint capsule or ligaments is detected.

        Physiotherapy and therapeutic exercises

        After the inflammatory process has subsided, the patient is prescribed physiotherapy:

        With the rheumatic nature of the disease, there is a high risk of fusion of the articular ends (ankylosis). This complication leads to complete immobility of the joint. To prevent its development, the patient must perform a therapeutic set of exercises.

      • By slightly pressing on the chin, the jaw is slowly lowered, then raised.
      • During the next exercise, grasp the protruding part of the chin with your fingers. The jaw is gently lowered and raised, pushing it down and back.
      • The third exercise is performed by pushing the jaw with your fingers, first to the right, then to the left.
      • During the last exercise, press your fingers on the chin, pushing the lower jaw forward.
      • Each exercise must be repeated 2-3 times. If pain occurs, take a break for several days.

    Treatment of acute forms of the disease

    First of all, regardless of the reasons that provoked the inflammation, it is necessary to provide rest to the joint. For this purpose, a sling-shaped bandage is applied along with a plate for several days. Food during this period should be liquid.

    In the acute phase, the primary goal is to eliminate pain. Treatment involves a combination of drug therapy and physiotherapy. This may include:

    Caution must be exercised when injecting medications. The volume of the drug intended for single administration should not exceed 1 ml.

    The purulent form of arthritis requires immediate surgical intervention. After the operation, treatment continues with conservative methods.

    Drug treatment includes the following groups of drugs:

  • Steroidal anti-inflammatory drugs (prednisolone). Their action is aimed at reducing the activity of leukocytes, which leads to a weakening of the inflammatory process;
  • Non-steroidal anti-inflammatory drugs;
  • Cytostatics. Stops the production of leukocytes. These include Methotrexate, Leflunomide, Azathioprine.
  • With the rheumatic nature of the inflammatory process, the risk of joint ankylosis increases due to tissue proliferation in the joint cavity. To prevent this complication, experts recommend doing a set of exercises designed to develop the joint 3-4 times a day.

    In case of inflammation of an infectious nature, antibacterial therapy is prescribed, as well as drugs intended directly to combat the pathogen (for example, antituberculosis or antifungal).

    In cases where treatment of the acute form was not carried out in a timely manner, the inflammatory process can progress to the chronic stage.

    Treatment of the chronic form is prescribed by a rheumatologist and includes:

    You can start treatment for a simple bruise at home. In this case, improvements should occur in 2-3 days. If after this period there is no positive dynamics, you need to contact a traumatologist to find out the true cause of the inflammation.

  • Immobilize the joint.
  • Apply ice. Ice relieves swelling, reduces inflammation, and reduces the risk of complications.
  • Taking painkillers.
  • Traditional medicine advice can only help eliminate the symptoms of the disease or reduce their severity, while the true cause of the disease will not be eliminated. Therefore, the use of traditional recipes is possible as additional measures, while the main treatment is carried out using medications.

    For arthritis of the jaw, herbal infusions are widely used. This is, first of all, a collection that includes calendula, St. John's wort, lingonberry and nettle leaves (the herbs are infused and taken 4 times a day). Chicken yolk rubs are used. It is mixed with turpentine and apple cider vinegar, 1 teaspoon each, and rubbed with massaging movements into the temporomandibular joint.

    To avoid unpleasant consequences and the development of ankylosis, it is necessary to adhere to some preventive measures:

  • sanitation of the oral cavity;
  • correction of malocclusion;
  • prevention of caries and tooth decay;
  • seek immediate medical attention for injuries;
  • timely treatment of infectious diseases.
  • Anti-inflammatory herbal collection. 20 grams of black elderberry flowers are mixed with 80 grams of birch leaves and 100 grams of willow bark. All ingredients must be pre-chopped. 4-5 tablespoons of the resulting herbal mixture are poured into 1 liter of boiling water and infused for 3 hours. The product is taken before meals, half a glass.

  • Infusion of crushed burdock root. 1 tablespoon is poured with 400 grams of boiling water and left for several hours.
  • After straining, the product is ready for use.
  • You should take it 1-2 tablespoons 3-4 times a day. The infusion helps reduce inflammation and pain.
  • Propolis tincture. 100 grams of propolis are poured into 0.5 liters of vodka. The product is infused at room temperature in a dark place for 2-3 weeks. Take 10-20 drops 2 times a day.
  • For inflammatory processes in the body, experts recommend replacing sugar with honey.
  • You can also prepare your own ointment. For this you will need to thoroughly mix mustard powder and paraffin (100 g each). The mixture is left for 8 hours in a warm place. Before going to bed, rub the ointment into the temporo-facial area until completely absorbed, and wash it off in the morning. This remedy allows you to remove swelling and pain within a few days.

    To alleviate the condition of TMJ, herbs are used - cinquefoil, elecampane and galangal.

  • The first component should be taken in the amount of one tablespoon, and the remaining two – a teaspoon per 0.5 liters of boiling water.
  • After this, the mixture is cooked over low heat for half an hour.
  • Drink for mandibular inflammation after cooling and straining half a glass.
  • You can add a little honey for taste.
  • Store in a cool place for no more than three days.
  • A collection consisting of buckthorn, fennel, dandelion and mint (4:2:2:2) will help relieve the symptoms of maxillofacial inflammation. Boil the mixture in half a liter of water for a quarter of an hour, then take two teaspoons in the morning on an empty stomach.

    In order for the treatment of such a pathology as arthritis of the lower jaw to be effective, you can prepare the following rubbing. For it you will need one egg yolk, a small spoon of turpentine and the same amount of apple cider vinegar. All ingredients should be thoroughly mixed and rubbed several times a day. Repeat until TMJ symptoms disappear.

    A rub based on radish juice helps with damage to the mandibular joint. A medium-sized root vegetable should be grated, squeezed out the juice, add half a glass of honey and the same amount of vodka, and add a tablespoon of salt. Rub until warm, then apply a woolen scarf.

    Important! Such treatment is not recommended in the presence of an infectious or purulent lesion of the temporomandibular joint.

    Treatment of the mandibular joint for a disease such as arthritis includes the use of ointment.

  • For 200 grams of salt you should take 100 grams of paraffin and the same amount of mustard powder.
  • Mix all ingredients and leave in a warm place for 8 hours.
  • Apply before bed in the temporo-facial area until completely absorbed.
  • In the morning, the ointment must be washed off.
  • This will eliminate the symptoms of pain and swelling already on the second or third day..
  • TMJ goes away quickly, and treatment will be more effective if you take juices from fruits and vegetables:

  • Every day, drink a glass of a drink made from two teaspoons of lingonberries brewed in a glass of hot water.
  • You can drink a glass of turnip juice with honey.
  • Treatment of a disease such as facial arthritis is also carried out with the help of pomegranate and apple juice. They can be drunk mixed or separately.

    Carrot juice can be mixed with spinach. The best proportion is 5:3.

  • A mixture that contains three parts each of beetroot and cucumber juice, with the addition of ten parts carrot juice, has a very pronounced effect. In this case, the symptoms of inflammation quickly disappear.
  • For inflammation of the temporofacial area, honey is a very good remedy. It is recommended to add it every day to teas or drinks.
  • Preventive actions

    Prevention advice is based on the causes that cause maxillofacial arthritis.

  • Traumatic injuries must not be neglected. After an injury, you must immediately apply cold to the joint area. It is also recommended to take an anti-inflammatory drug. If pain persists for 1-2 days, you should consult a traumatologist.
  • Timely treatment of infectious diseases. The infection can enter the bloodstream and spread throughout the body. Therefore, regardless of the location of the inflammation, it is necessary to start taking antibacterial drugs as early as possible.
  • Timely and correct treatment of rheumatic diseases. Such treatment should be prescribed by a rheumatologist, since self-medication is dangerous and can not only be ineffective, but also lead to the development of complications.
  • To prevent arthritis of the jaw joint and ankylosis, the following is carried out:

  • sanitation of the oral cavity;
  • prevention of tooth decay and caries;
  • timely treatment of infectious diseases and pathologies after injuries.
  • WHAT IS ARTHRITIS OF THE JAW JOINT

    Any arthritis is characterized by an inflammatory process. The reasons that can trigger the development of the disease are:

  • Infection - the catalyst is past illnesses. Gonorrhea, flu, acute respiratory viral infections and even colds can lead to inflammation.
  • Injuries - fractures, bruises, and even sudden opening of the mouth can cause inflammation over time.
  • Rheumatic processes. Changes and disturbances in metabolism can cause mandibular or maxillary arthritis to develop. The most common diseases are gout, rheumatoid arthritis and systemic lupus erythematosus.
  • Treatment drugs are aimed at combating the cause of inflammation. Therefore, before prescribing a course of therapy, the doctor must conduct a general examination of the body in order to identify the etiology of the disease.

    Effective conservative treatment of temporomandibular joint arthritis is aimed at combating the symptoms and cause of the disease.

    Various types of disease

    Arthritis traumatic

    There is a sharp pain syndrome in the jaw joint, the chin is always shifted to the side, and the tissues around the jaw become swollen. To relieve pain, analgesic therapy is prescribed. In order for motor ability to be restored, measures are taken to absorb blood in the joint area.

  • Treatment is carried out: electrophoresis with novocaine,
  • UHF, applications of heated paraffin,
  • mud therapy.
  • To prevent painful symptoms from occurring, a supporting bandage is placed on the jaw to provide rest to the joint, or a plate is placed between the teeth.

    During the progression of infections: otitis media, tonsillitis, mumps and others, the infection reaches the jaw joint through the bloodstream. Symptoms of pain increase during jaw movement, the amplitude of which is about 1 cm. The mucous membrane and skin around the joint become inflamed.

    Treatment is with broad-spectrum antibiotics (penicillins) and salicylates (medicines with vitamin C) to eliminate the main source of infection. At the same time, mercury-quartz irradiation is used for treatment. For pregnant women or children, the prescription of narrowly targeted drugs is treated with caution so as not to cause harm from the side effects of antibiotic drugs.

    As soon as an infiltrate forms in the jaw joint, the sensitivity of the skin is impaired. The passage in the ear narrows, which reduces hearing acuity. When diagnosed with fingers, pain symptoms increase and the temperature rises sharply. This indicates the beginning of general intoxication in the body.

    Treatment of purulent arthritis is carried out by surgery:

  • The jaw joint is opened and drainage is placed.
  • After the operation, the pathogenic flora is examined, then antibiotics, anti-inflammatory and hormonal drugs are prescribed.
  • UHF therapy, electrophoresis, and compresses are applied.
  • To remove pus, medicine is injected into the joint.
  • If there are no traces of pus on the x-ray, antibiotics and semi-synthetic penicillins are prescribed to stop the inflammatory process.
  • To prevent intoxication of the body, the patient is given vitamins and blood transfusions with its components.

    If the effect of primary surgical treatment of the wound is weak, a repeat operation is performed - arthrotomy with excision of dead tissue areas, rinsing with an antiseptic, and introducing drainage. It allows purulent masses to be drained and medicine to be administered. In particularly difficult cases, we are talking about removing the affected joint and replacing it with an implant.

    The mandibular joint becomes inflamed due to rheumatism after nearby tissues are affected.

    Treatment eliminates the main signs of rheumatism and includes: Aspirin, Ibuprofen, Diclofenac and antibacterial medications. A rheumatologist performs sanitation in the oral cavity.

    With constant pain, the patient can only open the oral cavity with a crunch and at a distance of 2-2.5 cm. The chin is always displaced towards the pathological joint. There are no changes observed on the skin, the overall condition of the body is satisfactory. Pain syndromes increase in the morning after a night's rest.

    Treatment is carried out on the skin:

  • apply warm compresses and rub in warming agents: Finalgel or Heparin ointment;
  • make wraps and lotions from mud;
  • rub bee venom ointment to improve blood flow;
  • electrophoresis on iodine preparations is prescribed to renew cartilage tissue;
  • Myogymnastics and massage strengthen the facial muscles.
  • All types of arthritis of the jaw are treated with fixation of the joint and adjacent sections to ensure minimal load on it. For persistent acute pain, drug blockade with anti-inflammatory drugs or novocaine is used. For inflammation and persistent pain attacks, corticosteroids are prescribed for 2-3 days.

    To restore mobility, they perform gymnastics: they block the mobility of the lower jaw with a fist, they try to lift the upper jaw in order to open the mouth. Spend 2 minutes on the exercise and repeat 2-3 times a day. To prevent pain, gymnastics is combined with rubbing in pain-relieving ointments or camphor oil.

    To regenerate joint cartilage, relieve inflammation and pain, it is recommended to use dietary supplements (ultra collagen). Medicinal herbs: calendula, St. John's wort, nettle and lingonberry are used in the form of teas.

    Rubbing the skin (projection of the joint), consisting of a mixture of turpentine, apple cider vinegar (1 tsp each) with chicken yolk, is effective. You can apply a lotion to the jaw for 1.5-2 hours, soaking the gauze with fresh wormwood juice, or apply steamed young birch leaves.

    Ointments for rubbing and compresses:

  • mix vegetable oil or nutryak with gum turpentine (3:1), leave the compresses for up to 15 minutes;
  • Mix Vietnamese balm “Golden Star” (3 jars) with melted nutryak (100 g), leave the applications for up to 20 minutes.
  • How does temporomandibular joint arthritis manifest?

    As noted above, arthritis of the maxillofacial joint has many causes, but very often people over 40 years old suffer from this disease, so at this age you need to be especially careful and attentive to your well-being and any changes that relate to your general condition. Therefore, if a person begins to notice that it is becoming increasingly difficult for him to move his jaw, and this is also accompanied by the sound of crunching occurring in the joints, a painful syndrome, then he should immediately consult a doctor, because such signs are a good reason for examination. In addition, this disease has recently become common among the younger generation. For this reason, it is necessary for everyone, regardless of age, to see a dentist regularly.

    • In addition, TMJ has some other causes, which lie in mechanical damage to the jaw (here we are talking about dislocation, bruise, blow), hormonal dysfunction or hypothermia.
    • Arthritis of the jaw has many symptoms, but most often this disease leads to swelling of the soft tissues and severe pain in the affected area.
    • By the way, even a simple yawn can lead to these unpleasant sensations, so you need to be extremely careful.
    • If arthritis of the temporomandibular joint occurs due to an infectious disease, then this may lead to the following symptoms.
    • The patient will feel severe pain, it will be difficult for him to open his mouth, which will lead to serious discomfort.
    • If you press on the damaged area, the pain will intensify significantly and create a feeling of otitis media.
    • This illness, as a rule, makes itself felt after a person suffers a serious illness that is of an infectious nature. In addition, there is the possibility of specific infectious arthritis. However, this type can occur extremely rarely and only if the patient has also suffered a venereal disease that entered the joint, for example, through the blood (this can also happen through the lymph), which in any situation has a detrimental effect on the joint itself.

      When arthritis of the jaw is purulent, the symptoms will be somewhat different. So, a person will feel a lump in the area of ​​the mandibular joint. This can be easily noticed visually, since in this area the skin will begin to redden and tighten.

      Some features

      The patient will also experience such symptoms as frequent dizziness and pain. In addition, you should be wary of the fact that purulent arthritis of the temporomandibular joint can cause an increase in body temperature. This disease most often makes itself felt when a person has an advanced acute form of this disease.

    • If a patient suffers from a symptom such as a sharp and sharp pain directly in the jaw, then this means that he has rheumatoid arthritis.
    • In addition, this form is also characterized by pain in the limbs.
    • If a patient has developed a chronic degree of TMJ, then he will be overcome by constant pain.
    • In the morning, there is stiffness in the jaw joint, and during the day any movement of the jaw will be accompanied by a crunching sound.
    • In addition, pain may occur during movement, which will be sharp and symptomatic.
    • It is very difficult to open your mouth more than 2 cm.
    • Thus, the symptoms of this disease are very serious, which brings discomfort, and sometimes it becomes impossible to tolerate any manifestations. For this reason, you should not hesitate to seek help from a qualified specialist.

      Treatment with traditional medicine

      Facial arthritis is eliminated on an individual basis, that is, the doctor prescribes drug treatment to each patient, depending on the course of the disease, as well as the characteristics of the patient, for example, his age, which, even in the same cases, will not be identical or standard.

    • For this reason, in order to thoroughly study the patient’s condition, the specialist first conducts a thorough examination.
    • Then, if the diagnosis is confirmed, the doctor, as a rule, prescribes drugs that have an anti-inflammatory effect, as well as suitable painkillers.
    • Hormone-containing medications are also often prescribed.
    • Sometimes the doctor also recommends useful procedures that take the form of special therapeutic exercises or all kinds of massages.
    • It all depends on the stage and form of the disease.
    • To treat acute arthritis, it is important to try to deprive the mandibular joint of movement. Therefore, the specialist must apply an appropriate bandage. So, the doctor will place a special plate between the teeth. It cannot be taken out for several days.

      If damage to the maxillary joint occurs due to trauma, then the patient is first prescribed medications that can eliminate pain. A person will have to use them until the swelling is eliminated and the pain goes away. It is necessary to wait for the jaw to fully function, that is, such treatment must be carried out for a fairly long period. After this, when the patient begins to recover, he will be offered to undergo a course of electrophoresis.

      During chronic jaw arthrosis-arthritis, it is necessary to undergo long periods of ultrasound sessions and therapy, which involves the use of bee venom and electrophoresis. It is important to understand that such procedures should be carried out strictly under the supervision of the attending physician in a physiotherapy room, and not at home. Otherwise, there is a possibility of harming your own health.

      As for rheumatoid arthritis, it can be treated with both steroidal and non-steroidal drugs and antibacterial agents.

      Quite often, with this disease, a purulent-inflammatory process can develop, and surgical intervention cannot be avoided. When the patient is at the rehabilitation stage after the operation, he will be prescribed antibiotics, compresses, analgesics and UHF.

      Eliminating pathology in other ways

      Many people wonder how to treat arthrosis-arthritis of the jaw joint using traditional medicine recipes, that is, at home, without seeking help from a doctor. It should be noted that, of course, there are folk methods that are effective in combating the disease under discussion, but they are not allowed to be used without prior consultation with a specialist.

    • Once everything has been discussed with the doctor, the following home remedies can be followed.
    • You can rely on treatment in the form of herbal infusions.
    • This should include a collection in the form of calendula, lingonberry leaves, St. John's wort, and nettle.
    • The decoction is prepared in the standard way, that is, it is poured with boiling water and infused for a certain time, after which it can be taken four times during the day.
    • The duration of the course should be checked with your doctor.
    • You can also use rubs that use chicken yolk.

      This component must be mixed with other ingredients. This is apple cider vinegar in the amount of one teaspoon and the same amount of turpentine. The resulting ointment should be rubbed directly into the damaged joint.

    • Another effective method is a mixture that includes black radish.
    • This ingredient should be mixed with honey in the amount of two tablespoons.
    • Then vodka (100 g) and salt (a tablespoon) are added here.
    • This paste should also be rubbed into the joint that was damaged, and then wrap the area with a warm cloth.
    • Before using one or another remedy indicated above, you can do special exercises, that is, do gymnastics for the jaw. Then you can smear the joint with fir oil, and then wrap a little sea salt in gauze and apply directly to the area where unpleasant symptoms are observed.

      How to avoid the serious consequences mentioned above? To do this, you should constantly adhere to certain preventive measures, which involve sanitation of the oral cavity and timely correction of malocclusion. It is important to prevent tooth decay and caries. If a person has been subjected to any facial injuries, they should immediately seek medical help. Infectious diseases should not be ignored. It is necessary to treat them on time.

      Additional points

      But still, if such a disease has disrupted the usual way of life and brought serious discomfort, then you cannot do without the help of a specialist. This illness is considered very serious, because in some cases it is difficult for a person to open his mouth, and eating becomes completely unbearable. And if you do not resort to appropriate therapy, the disease will soon have an adverse effect on the internal organs. If you try to eliminate the disease yourself, this may cause the patient’s well-being to deteriorate significantly. The consequences can be very different.

      It all depends on the etiology of the disease. With rheumatoid arthritis, the lesion will continue to progress and become chronic, spreading to the tissues, and possibly to adjacent joints. Over time, many patients experience a complete lack of movement in the jaw, that is, ankylosis.

      In the infectious form, sepsis develops, since the jaw is located close to the brain; if not eliminated, the disease will lead to death.

      Therefore, you should not indulge in self-medication, because this can only harm your health and lead to serious consequences. It is important to contact a qualified specialist who will conduct a thorough diagnosis and prescribe not only medications, but also other procedures, and advise the correct auxiliary and preventive methods of traditional medicine. They, in turn, will ensure sustainable remission.

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