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Thursday
Feb202014

Relationship Between TMJ & Trigeminal Neuralgia, Fibromyalgia, Migraines and Tinnitus, With Dr. Larry Pribyl, Independence, MO

The more common health issues Dr. Pribyl sees, at the Center for TMJ & Sleep Apnea in Independence, Missouri, are trigeminal neuralgia, fibromyalgia, migraines and tinnitus.

With trigeminal neuralgia, a patient realizes certain triggers elicit sharp stabbing or burning pains in their face, and patients diagnosed with TMJ problems can also have symptoms very similar to those with trigeminal neuralgia.

Fibromyalgia is characterized by widespread pain, neck pain and joint stiffness, as well as some difficult swallowing and sleeping.  TMJ symptoms can be associated with neck pain and joint stiffness as well, so there's an overlap of symptoms making it more difficult to make the correct diagnosis, Dr. Pribyl says.

Migraines usually manifest themselves unilaterally, last from a couple of hours or days but associated symptoms may include sensitivity to light, sound or smell.  Headaches are the most common symptom of TMJ patients, notes Dr. Pribyl.

Tinnitus, or ringing in the ears, can come from several sources, including ear infections, extreme noise, emotional stress, medications and a diagnosed TMJ problem.  In the scope of his practice, he sees a very strong relationship between the tinnitus and certain kinds of TMJ problems.

Dr. Pribyl says all of these are related by way of trigeminal nerve involvement or input, which can have an impact on all of these things.  These are inflammatory conditions coupled with pain, so they exhibit referral patterns within these, where one issue can make it seem like it's something else.  Dr. Pribyl explains that it can be challenging to get the right diagnosis with the way the symptoms are overlapping.  "Therein lies the challenge to come up with a correct diagnosis so we can provide correct treatment for patients, he says.

Dr. Pribyl works with various other practitioners in helping his patients, to include neurologists, rheumatologists,  ENT specialists, endocrinologists, pulmonologists, physical therapists and chiropractors.  "It takes a team effort and collaboration in working together many times to solve the pain puzzle for the patient," Dr. Pribyl says.

Dr. Larry Pribyl is a leading sleep expert with Sleep Better TV, providing online, on-demand, sleep breathing disorder videos, and is a dentist in Independence, Missouri with the Center for TMJ & Sleep Apnea.

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