Fibromyalgie en kaakpijn
Fibromyalgie veroorzaakt veel pijn in het hele lichaam, zoals we maar al te goed weten. Omvat dat ook de kaak? Of is kaakpijn veroorzaakt door een geheel andere aandoening?
Fibromyalgie komt meestal met een uitgebreide lijst van begeleidende ziekten. Een veel voorkomende aandoening die wordt gezien bij mensen met fibromyalgie is een temporomandibulaire gewrichtsaandoening (TMJD).
Naar schatting 90 procent van de fibromyalgiepatiënten ervaart pijn in het gezicht en de kaak en mogelijk leeft 75 procent van de fibromyalgiepatiënten met TMJD.
Wat is temporomandibulaire gewrichtsaandoening?
TMJD is een aandoening die het kaakbot beïnvloedt. Het tast de spieren en het kraakbeen aan in het gezicht, hoofd en nek. Dit kan veel verschillende problemen veroorzaken, waaronder:
- Pijn in het gezicht en de kaak
- hoofdpijn
- Moeite met openen en sluiten van de mond
- Pijn in de schouders, rug of nek
- Tinnitus (oorsuizen)
- Duizeligheid
- Wazig zicht of dubbel zicht
- Vertigo en misselijkheid
- Slijpen van de tanden
- Gehoorproblemen
- Pijn voor de oren
Wakker worden met intense pijn in je kaak, gezicht en een woedende hoofdpijn, bovenop de pijn en stijfheid in je rug, armen en benen van fibromyalgie is verre van aangenaam. Het is gemakkelijk te begrijpen waarom TMJD zo’n groot probleem is, vooral in combinatie met fibromyalgie.
Er zijn twee soorten TMJD: gewricht TMJD en gespierde TMJD. Het is de laatste die vooral mensen met fibromyalgie treft. Het kan ook de spieren beïnvloeden die we gebruiken om te kauwen en onze hoofdhuid, gezicht, nek en schouders te bewegen.
Enkele van de mogelijke oorzaken voor TMJD voor de spier kunnen zijn:
- Slaaptekort
- Trauma aan de spieren
- Spanning
- Traumatische gebeurtenissen
- Problemen met neurotransmitters in de hersenen
De meeste hiervan zijn ook mogelijke oorzaken van fibromyalgie of symptomen van fibromyalgie.
Deze twee aandoeningen zijn nauw met elkaar verbonden, en artsen beschouwen musculaire TMJD als een type fibromyalgie.
Net als fibromyalgie, heeft TMJD invloed op de manier waarop ons lichaam en onze hersenen pijnsignalen interpreteren – wat betekent dat ons lichaam pijn voelt wanneer er geen pijn zou zijn.
TMJD kan de toch al gevoelige triggerpoints nog gevoeliger maken, wat leidt tot meer pijn in ons hele lichaam. Het laatste wat we nodig hebben om meer pijn te doen!
Behandeling van temporomandibulaire gewrichtsaandoening
Helaas leven velen van ons met TMJD zonder te worden behandeld of zelfs te worden gediagnosticeerd. Waarom? Er is een onderbreking waarover de arts het behandelt.
Sommige artsen beschouwen het als een tandheelkundig probleem, terwijl tandartsen het als een medisch probleem beschouwen. Dit kan ook leiden tot problemen waarmee de verzekeringsmaatschappij betaalt voor de behandeling, vaak eindigt ze niet in een medische of tandheelkundige verzekering die de behandeling van TMJD dekt.
Wat kunnen we doen om de pijn en het ongemak veroorzaakt door TMJD te verlichten?
Er wordt aangenomen dat een van de belangrijkste oorzaken van TMJD stress is. Zoals ik zeker ben, weten we allemaal dat stress veel problemen veroorzaakt, vooral als je fibromyalgie hebt.
Het vinden van manieren om stress te verminderen kan helpen bij het verminderen van de symptomen die we ervaren als gevolg van TMJD, evenals fibromyalgie.
Als je denkt dat dat een stuk makkelijker gezegd is dan gedaan, geloof me, ik hoor je! Maar er zijn stappen die we kunnen nemen om stress te verminderen.
Hier zijn een paar suggesties die je kunnen helpen om stress in je leven te verminderen;
- Een voedingspatroon dat rijk is aan voedingsstoffen
- Kruiden, vitamines en supplementen
- Zachte oefening
- journaling
- Tijd doorbrengen in de natuur
- Tijd doorbrengen met de mensen van wie je houdt
- Cognitieve gedragstherapie
- Acupunctuur
Gecombineerd met stressverminderende veranderingen in levensstijl, kan medicatie helpen gezichtsspieren te ontspannen en pijn te verminderen. Massage is ook voor sommigen nuttig gevonden.
In sommige gevallen kan een tandarts een orthotische occlusale plaat plaatsen om de beet te helpen stabiliseren en de kaak-, hoofd- en nekspieren in evenwicht te houden.
Zoals met vele andere aspecten van het hebben van fibromyalgie, zijn er geen gemakkelijke antwoorden. Echter, met wat vastberadenheid, een aanhoudende houding, samen met hulp van artsen en therapeuten, is het mogelijk om verlichting te krijgen van kaakpijn.
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