Effective Tmj Pain Treatment Arthrocentesis Procedure Explained For Relief A Detailed Overview Management Watch In Action

1. Discover the power of arthrocentesis as a highly effective treatment for TMJ pain. Join Dr. Tom Bolten as he demonstrates the procedure and witnesses significant improvement in a patient's condition.

2. Arthrocentesis is a game-changer for TMJ disorder treatment. Learn from Dr. Tom Bolten as he guides you through the process and shows how it can transform the lives of TMJ patients.

3. If you're suffering from TMJ pain, this video is a must-watch. Dr. Tom Bolten showcases arthrocentesis as an effective treatment, and the results are impressive.

• Arthrocentesis is an effective treatment for TMJ disorders.
• Dr. Tom Bolten demonstrates an arthrocentesis procedure to alleviate TMJ pain.
• A patient with limited mouth opening due to TMJ pain experiences significant improvement after the procedure.

In this informative video from the "Open Reduction" channel, Dr. Tom Bolten takes us through an effective treatment for TMJ (temporomandibular joint) pain, known as arthrocentesis. The video begins with Dr. Bolten introducing the topic, emphasizing the significance of TMJ pain and the potential relief that this procedure can offer. Let's delve into the details

• Introduction Dr. Tom Bolten, an expert in Oral and Maxillofacial Surgery, opens the video by highlighting the debilitating nature of TMJ pain. He introduces arthrocentesis as an effective treatment method for various TMJ disorders, particularly for washing out the joint. This promising procedure holds the potential to alleviate TMJ pain significantly.

• Patient Profile The video features an 85-year-old female patient who has been suffering from limited mouth opening due to pain in her left TMJ. The patient's condition is further confirmed through a cone beam CT, which reveals degenerative changes within the joint.

• Preparation for Arthrocentesis Dr. Bolten demonstrates the initial steps involved in preparing for the arthrocentesis procedure. This includes site preparation and ensuring that the patient's hair is out of the way. Local anesthesia is injected both superficially and into the joint space to ensure a pain-free procedure.

• Identifying Access Points Dr. Bolten uses precise anatomical landmarks to identify access points for arthrocentesis. He marks a line between the midpoint of the tragus and the lateral canthus and determines the first access point to be 10mm anterior to the tragus and 2mm inferior to the marked line.

• Procedure Steps Dr. Bolten employs an 18-gauge needle to enter the TMJ, guided by palpating the zygomatic arch and the joint space. He then gently advances the needle into the superior joint space. To confirm the correct placement, he injects sterile normal saline, which causes visible chin movement. A second 18-gauge needle is inserted 10mm anterior and 10mm inferior to the initial needle, targeting the first needle. The back-and-forth movement between the two needles helps break up adhesions in the joint.

• Flushing the Joint Following the placement of the needles, Dr. Bolten flushes the joint with a significant amount of normal saline to further clean and alleviate joint issues.

• Medication Injection The final step involves injecting medications, including Decadron and Marcaine, into the joint space. These medications help manage inflammation and provide pain relief. Dr. Bolten then manipulates the joint to ensure proper distribution of these medications.

• Remarkable Improvement The video concludes with the patient experiencing a substantial increase in her ability to open her mouth. This positive outcome highlights the effectiveness of arthrocentesis as a treatment for TMJ disorders.

• Closing Remarks Dr. Tom Bolten encourages viewers to like, subscribe, and explore more content on Oral and Maxillofacial Surgery on the Open Reduction channel.

In summary, this video provides a detailed look into arthrocentesis, a highly effective treatment for TMJ pain. Dr. Bolten's demonstration, along with the remarkable improvement in the patient's condition, emphasizes the importance of this procedure for individuals suffering from TMJ disorders. If you're seeking relief from TMJ pain, this video is a valuable resource, offering insight into a potentially life-changing treatment option.

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