Why Are So Many People Misdiagnosed With TMJ Disorders? With Professor Renton (Ep 173)

Dec 4, 2025

Professor Tara Renton, a leading expert in oral and maxillofacial surgery with over 250 publications, joins to delve into the complexities of TMJ disorders and orofacial pain. They explore how traditional imaging often misses nerve irritations that MR neurography can catch. Tara highlights the connection between migraines and jaw pain, addresses the shortcomings of pain rating scales, and offers insights on holistic management strategies. She also discusses challenges with dental anesthesia in hypermobile patients and emphasizes the importance of patient-centered care.

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ADVICE

Follow A Reversible First-Line Plan

Begin with reversible, conservative care: reassurance, diet modification, activity changes, and jaw-rest strategies.
Escalate to splints, physiotherapy, or referral only if needed and reassess at 6–8 weeks.

INSIGHT

Mood And Pain Share Neural Circuits

Chronic pain shares neural pathways with anxiety and depression, reinforcing each other.
Address mood, sleep, and catastrophizing to improve pain outcomes.

ADVICE

Use Physio And Acupuncture Carefully

Try acupuncture or physiotherapy as second-line options but monitor response; some patients worsen with mobilization.
Use self-referral for anxiety/depression concurrently when indicated.

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