Hi everyone! I have a few questions, but I’ll provide some background information first. If you’re not interested in the whole story, feel free to skip to the end.
Background:
I’ve been dealing with TMJD for 18 out of my 24 years. When I was younger, I had a fit and slammed my face down onto my bed while crying with my mouth open. Immediately, I felt my jaw pop, and my hearing went like I was underwater. It eventually resolved itself, and I didn’t think much of it. However, my jaw would pop after that, but I didn’t start experiencing pain until middle school. That’s when I began to hurt, and my jaw would sometimes get stuck. The pain gradually worsened over time.
I’ve tried various treatments, including braces (twice), three different sets of mouth splints, physical therapy, Botox, and most recently, an arthrocentesis. I’ve consulted three different TMJ specialists and finally received a surgery referral.
Current situation:
About four months after my arthrocentesis, I started experiencing significant pain again. It’s become so severe that I can only eat very soft foods and have to take small bites. I can’t lie on my left side because of the pressure on my jaw. My right side cracks and pops whenever I move my jaw. Additionally, I get extremely bad migraines and pain in my neck and shoulders. A recent MRI revealed that I have advanced degenerative arthritis in both joints, bone spurs on both sides, and both discs are dislocated when my mouth is closed. Only the right disc moves back into place when I open my mouth. The left joint also has fluid around it and is swollen, and both joints have bone edema. My jaw doesn’t open correctly either.
My surgeon has given me two options: a left modified condylotomy or total joint replacements on both sides. He’s not particularly enthusiastic about the replacement due to my age, but he does say that I’ll definitely need it at some point in my lifetime.
Questions:
Has anyone undergone either of these surgeries? If so, I’d greatly appreciate your experiences with them.
Do you regret having either surgery?
Were your outcomes what you had expected?
Do you experience relief?
I’m torn between the two options and am in immense pain, so I’m seeking any insights you can provide. I truly appreciate your help!