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Michelle came to Dr Raman for a TMD evaluation and consultation. Dr Raman felt very confident that he could help her with her symptoms and get to the root of the cause. She then moved forward with a series of diagnostic testing.
Even an ‘educated guess by an expert’ is still just a guess. Treatment based on such guesses can and do lead to lack of result at best and worsening of the condition at worst. So the first step is the precise diagnosis of the alignment of the jaw when all the muscles of the jaw, face and neck are electronically relaxed and actually measured to be calm.
Once the correct jaw/neck alignment was determined, she was fitted with a fixed physiologic neuromuscular orthotic for 90 days. This is a reversible step. If the patient reports no symptom improvement, it can be removed. Even with a success rate of well over 90%, we still want to be certain that the symptoms resolve before doing any long term treatment.
Michelle came in for her 1 week follow up after delivering the fixed orthotic and reported a 60% overall total improvement. She was grateful for the relief of pain. When reviewing her top symptoms, she reported a 90% improvement in her neck pain which was her top symptom. She said that she has been able to meet her deadlines at work and keep her obligations. She also noted that her balance and vertigo was much improved.
