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Can I Have Hot Fermentation And Apply Volini For TMJ Disorder?

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Posted on Sat, 14 Feb 2015
Question: Hi, I am facing tmj dys function on my left jaw .my doc advised me to apply volini and do hot fomentation. however i am confused whether i should apply volini first and then do hot fomentation or vice versa?

pls advise

thx XXXXXXX
doctor
Answered by Dr. Paparaja S (16 minutes later)
Brief Answer:
Hot fomentation could be done after applying.

Detailed Answer:
Hi,
Welcome to healthcare magic.
I had gone through your question.
Hot fomentation could be done after applying volini.
I also recommend you the following.
1) Avoid chewing hard foods.
2) Physiotherapy: Jaw strengthening exercises.

Hope I have answered your question. If you have any further questions. I am happy to help.

Wish you a speedy recovery and good health.

Regards,

Dr Paparaja S MBBS MS
Consultant ENT surgeon.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Paparaja S (22 hours later)
Dear sir, Many thanks for your reply. Can you pls advice Jaw Strengthening exercises for me?. I was trying one which was mentioned on this link http://www.colgateprofessional.com/patient-education/articles/treatment-of-tmj .

Also the way my TMJ was diagnosed was when I visited an ENT specialist as I recently was facing ear pain in my left jaw. He mentioned I am having TMJ dysfunction which is why I am facing this issue. There is no issue with my left ear. As of now he has advised me Emzoflam ( twice a day) and if needed Flexon MR can be taken. Currently I am having semi solid food and do not widened my mouth too much. I would really like to know some exercises which would help me in bringing flexibility in my jaw.
doctor
Answered by Dr. Paparaja S (24 minutes later)
Brief Answer:
Yes, there are many exercises.

Detailed Answer:
Hi,
Thanks for your follow up.
Kindly follow the instructions below.
A) Try putting your tongue on the roof of your mouth, opening your mouth wide with your tongue in place, and breathing in slowly for two counts, and out slowly for two counts. Release and repeat 10 times.
B) Next, make a fist and place it directly under your chin. Balance the weight of your fist and press as you gently try to open your jaw. The isometric energy should relax the jaw bone (mandible). Try not to allow your jaw to click while performing this exercise. Hold for ten seconds. Release and repeat ten times.
C )Take your fist and press against the left side of your jaw, below the hinge. Press your jaw against your fist and maintain a steady pressure. The isometric energy should relax the muscles in your jaw. Hold for 10 seconds Release 10 times and repeat on the opposite side of your jaw.
D) Press against your jaw with one finger on each side. Apply pressure evenly to both sides. Open the jaw very slowly and do not allow the jaw to click. If your jaw clicks, release and start again, opening more slowly. The pressure on each side should allow your jaw to open and close in correct alignment.
E) Once your jaw is relaxed and aligned, with a loose jaw and mouth, hold your chin between your thumb and pointer finger. Very carefully and loosely, shake your chin back and forth, allowing your jaw to relax and release. Do not attempt if this exercise if it causes you pain. Continue until your jaw feels loose, aligned and relaxed. Repeat these exercises once a day or more often if necessary to align your jaw. With jaw alignment and practice, your jaw will eventually memorize the relaxed positions and do them automatically.

Wish you a speedy recovery.

If you are happy with my answer, kindly close the discussion and rate my answer.

Take care.

Regards,
Dr. Paparaja S MBBS, MS
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Paparaja S (35 minutes later)
Thanks for the reply. For the point (d) can you pls confirm where should I put my finger on each side of Jaw?
doctor
Answered by Dr. Paparaja S (21 minutes later)
Brief Answer:
On the lateral aspect of the jaw.

Detailed Answer:
Hi,
Thanks for your follow up.
The fingers should be placed on the sides (OUTER ASPECT/ LATERAL ASPECT) of the jaw and do the exercise as instructed earlier.

If you are happy with my answer, kindly close the discussion and rate my answer.

Wish you a good health.

Regards,

Dr.Paparaja S MBBS, MS
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
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Dr. Paparaja S

ENT Specialist

Practicing since :2010

Answered : 615 Questions

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Can I Have Hot Fermentation And Apply Volini For TMJ Disorder?

Brief Answer: Hot fomentation could be done after applying. Detailed Answer: Hi, Welcome to healthcare magic. I had gone through your question. Hot fomentation could be done after applying volini. I also recommend you the following. 1) Avoid chewing hard foods. 2) Physiotherapy: Jaw strengthening exercises. Hope I have answered your question. If you have any further questions. I am happy to help. Wish you a speedy recovery and good health. Regards, Dr Paparaja S MBBS MS Consultant ENT surgeon.