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Re: PCOS, TMJ & Sleep ApneaFrom: Dona (anonymous@obgyn.net)Wed, 24 Jan 2001 14:49:31 -0600 (CST)
Hi Lori, I have been a registered dental assistant in California for 12 years I have worked with many patients with TMD (temporal mandibular disorder the J=joint in TMJ) I too think it is somewhat related to hormones in woman but more oftenly is caused from STRESS and clenching and grinding of teeth. Braces can help with the alignment of your jaws hence help with the joint..but be careful orthodontics can also make it worse. I had braces to correct my TMD and has been 5 years and so far no reoccurance of pain in my jaws. But I do notice when I am really stressed out I tend to clench and grind which can cause damage to the joint. So I wear an Occlusal night gaurd to keep my mouth open or in the Relaxed position which is less tension on the joints and also helps protect my teeth from the wear of grinding.Also take note that being over wieght is a Major cause of sleep apnea in woman they make occlusal night guards that can also help with apnea. I would try one of these night gaurds if you already haven't or discuss this with you orthodontist before being banded.May save you alot of time and money in the long run.Also I have referred patients in the past for biofeedback therapy to teach people how to realax there muscles. The Masseter muscle being the facial muscle that tenses up and causes alot of TMJ problems. Bye the way I had braces because my miniscus disk (the cartliage) had slipped out of position and was causing arthritic type pain. braces was an alternative to surgery for me and it worked. I hope I was helpful feel free to e mail if you have any questions. Sorry about my spelling...it's really bad..lol. Take care,Dona > >Hi Lori, > >I do not have TMJ, but I have Ehlers Danlos type 3, a herditary disorder >of collagen structure. This causes many difficulties which are not >helped by PCOS - I scar easily so acne, (useless) electrolysis, and >constant ingrown hairs from PCOS probs. have caused much skin damage >etc. However, most painful from the influence of PCOS are the >fluctuating hormone levels which increase my joint laxity (due to the >collagen malformation) leading to increased pain and more joints moving >out of place...resulting in further joint destruction . . . blah, >blah. Some people with Ehlers Danlos type 3 have problems with the TMJ, >and when I have pointed out the hormonal influence on my joints no >physiotherapist nor rheumatoloist has been surprised! > >-- >Annie > >At Mon, 22 Jan 2001, Lori wrote: >> >>About 6 months ago, I posted a message pondering whether TMJ could be >>hormonal and tied to PCOS. My thought was that during puberty, women >>with PCOS have abnormal hormone levels, thus causing their jaw joints to >>not form correctly (men and women have different jaw lines). Many >>people here disagreed...and that's okay. :) >> >>A few weeks ago, I went to the orthodonist for a consultation to have >>braces put on my teeth. I had listed TMJ on my forms and he immediately >>pointed out that TMJ is mainly a womens 'disease' and is caused by >>hormonal changes. >> >>Also, I was diagnosed with sleep apnea in November. The orthodonist >>said that the same problem that causes TMJ could be causing my sleep >>apnea....my jaws are set too far back. >> >>Anyway, this is how I think it may all fit together based on bits and >>pieces of info gathered in the past year: >> >>Hormonal changes (such as excess testosterone) = Jaws form abnormally TMJ & Sleep Apnea >> >>TMJ = jaw pain, headaches, and ear pain (ouch!) >> >>Sleep Apnea = high blood pressure, insulin resistance, morning >>headaches, fatigue >> >>Fatigue = tired all of the time; too tired to exercise, which means >>possible weight gain >> >>Weight gain = blood pressure gets worse, insulin resistance gets worse >> >>Insulin Resistance = we all know this one... >> >>I know this seems like a ramble, but it just amazes me how much all of >>this stuff fits together. >> >>Any thoughts? >> >>Lori H. >
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