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Speaker 1: Brought to you by the reinvented two thousand twelve Camray.

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Speaker 1: It's ready. Are you welcome to stump Mom Never told you?

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Speaker 1: From house top works dot com. Hello, and welcome to

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Speaker 1: the podcast. This is Molly and I'm Kristen. Kristen. I

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Speaker 1: wanted to do a podcast on t MRE a k

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Speaker 1: A temporal mandibular joint and muscle disorders because I feel

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Speaker 1: like every woman in my life has this except for you,

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Speaker 1: and I hope to give it to you by the

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Speaker 1: time we're done. I don't think that t m J

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Speaker 1: is contagious, but go ahead. I think I'm causing enough

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Speaker 1: stress in your life that I could trigger it. Well,

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Speaker 1: let's keep that off the podcast. But t m J,

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Speaker 1: as as we found out when we were researching this,

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Speaker 1: it does affect women much more than men asterisk unless

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Speaker 1: women are just the ones seeking help for it more often.

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Speaker 1: But you know, we've talked about on the Pain podcast

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Speaker 1: about how women are more sensitive of to pain, so

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Speaker 1: maybe they do go the doctor for it, or maybe

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Speaker 1: there's a reason why our jaws cause us so much grief,

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Speaker 1: And that's what we're going to dive into right now.

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Speaker 1: So in case you aren't familiar with t m J.

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Speaker 1: The National Institute of Dental and Craniofacial Research defines t

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Speaker 1: MJ as a group of conditions that cause pain and

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Speaker 1: dysfunction in the jaw, joint and the muscles that control

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Speaker 1: jaw movement. Pretty general definition, and it affects over ten

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Speaker 1: million Americans, but possibly as many as thirty million Americans.

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Speaker 1: Because the symptoms of t m J are so wide

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Speaker 1: ranging and are associated with other illnesses that a lot

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Speaker 1: of times it goes undiagnosed, So you might have t

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Speaker 1: MJ and not even know it. And then there are

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Speaker 1: those people who would say, but it's overdiagnosed. So you know,

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Speaker 1: if you have it, you really don't have it, right.

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Speaker 1: Because tm J first came into the limelight in the eighties,

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Speaker 1: it was sort of the the hot new, the hot

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Speaker 1: new disorder that everybody had, especially Burt Reynolds. So I

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Speaker 1: think was the Hollywood face of t MJ. Yeah, I

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Speaker 1: think it was fun fact, fun fact we found out. Uh.

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Speaker 1: And so there was concerned, especially in the late eighties

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Speaker 1: that a lot of people were just you know, they

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Speaker 1: would come to the doctors so they had a headache

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Speaker 1: and loan behold, they had t m J and then

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Speaker 1: they were undergoing all of this invasive jaw surgery, which

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Speaker 1: today is very much frowned on because when it comes

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Speaker 1: to t m J, actually the best remedy might be

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Speaker 1: no remedy at all. But I'm getting ahead of myself.

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Speaker 1: But I also think that one of the reasons why

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Speaker 1: people think that it's you know, overdiagnosed or maybe not

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Speaker 1: even real acquiring to some researchers, it's because women are

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Speaker 1: the majority of the people complaining of it, and because

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Speaker 1: stress is one of the factors. Uh. You know, there

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Speaker 1: was one essay by a woman in the New York

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Speaker 1: Times who was like, you know, doctors just tell you

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Speaker 1: not to stress out, and that just stresses you out

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Speaker 1: more because your jaw is not opening. And so I

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Speaker 1: think that also the hoop law around t m J

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Speaker 1: kind of is interesting in terms of how we treat

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Speaker 1: diseases that do affect women more than men. But first

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Speaker 1: I think we need to talk about the joint in question,

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Speaker 1: the jaw joint, the tempero mandibular joint, which I don't

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Speaker 1: want to go out on a limb, but could it

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Speaker 1: be my favorite name for a bone in the body,

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Speaker 1: maybe tempo temporal mandibular. I think it just rolls off

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Speaker 1: the tongue. Maybe I'm saying it wrong. I don't know

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Speaker 1: temporal mandibular. It's not rolling off my tongue. But that's okay. Well,

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Speaker 1: if it's a lot of work to say, it's because

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Speaker 1: that joint does a lot of work. It does so

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Speaker 1: many things. May I provide a delightful description of what

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Speaker 1: this jaw, this this jaw bone does. I would love

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Speaker 1: it if you did. Okay. This is from Susan Ferraro

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Speaker 1: from the New York Times. This is not my own

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Speaker 1: verbal brilliance, unfortunately. So this is what she says, the

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Speaker 1: temporal mandibular joint wise, but me the lower jaw or

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Speaker 1: the mandible and the skull. It's wildly mobile, a hula

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Speaker 1: dancing hinge that goes side to side, backward, forward, up

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Speaker 1: and down. It can exert six hundred and fifty two

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Speaker 1: a thousand pounds of force per square inch. It is

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Speaker 1: so strong that, yes, folks, you can buy it off

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Speaker 1: your own finger. Don't try that at home, though. So, yes,

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Speaker 1: that is a really amazing description by Ferraro of this

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Speaker 1: of this crazy little little joint that does so much

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Speaker 1: in our mouths. I mean think about all I mean,

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Speaker 1: like all the movement that your jaw can do, chewing,

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Speaker 1: yawning exactly. I mean it's moving around right now as

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Speaker 1: I talk to you, Molly, I know our dairy movement,

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Speaker 1: our jaws are are going today. Um and when we

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Speaker 1: open our mouths, the low the rounded end of the

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Speaker 1: lower jaw, that's called a con dial and it glides

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Speaker 1: along the joint of that temporal bone. And basically this

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Speaker 1: is why, uh, this joint is different than like a

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Speaker 1: knee joint or a hip joint is because not only

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Speaker 1: is there the uh you know, the sort of the

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Speaker 1: opening and closing of it, there's also sliding and that

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Speaker 1: there's this disc that lies between um, the condyle and

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Speaker 1: the bone like a pillow, right, a pillow, and just

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Speaker 1: like a pillow, you know, absorbs your head as you

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Speaker 1: go to sleep every night, this little disk absorbs all

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Speaker 1: the shock that you're that that joint is enduring from talking,

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Speaker 1: from yawning, from a really bad habit that I have,

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Speaker 1: which is sitting at my desk with my chin on

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Speaker 1: my hand. I learned while researching this podcast that this

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Speaker 1: is this is really bad. You can lead to T MJ.

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Speaker 1: Don't don't put your chin on your fist or your hand.

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Speaker 1: But that's how I ponder. How else will I sit

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Speaker 1: and ponder? Mom? I know that's how I ponder too.

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Speaker 1: And we are putting ourselves at risk of t MJ.

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Speaker 1: And and we've got to be really careful of this,

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Speaker 1: of this delicate hula hoop jah. And since that hula

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Speaker 1: hoop is going around back and forth, up, down and sideways,

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Speaker 1: since it is doing so much and is so strong,

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Speaker 1: that's one reason why it can have such a diverse

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Speaker 1: range of side effects if something goes wrong in that

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Speaker 1: hula hoop dance, that's right. There are a few different

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Speaker 1: ways that t MJ can manifest itself. The most common

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Speaker 1: way is just sort of pain in that area or

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Speaker 1: immobility in that area, like your jaw won't open. Uh,

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Speaker 1: the clicking and popping that some people here. While that

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Speaker 1: isn't enough to say that you have t MJ, that

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Speaker 1: can be a part of that that face pain you

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Speaker 1: get in that area. People can also have internal derangement

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Speaker 1: of the joint. That's when the disc gets displaced, your

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Speaker 1: jog gets dislocated um and then you can also have

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Speaker 1: arthritis in that area. When that area becomes inflamed. Interesting

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Speaker 1: fact though, that I learned Molly. A lot of times

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Speaker 1: people will associate grinding your teeth with TMJ, especially people

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Speaker 1: who grind their teeth while they sleep. It might they

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Speaker 1: might be worried that that they're on the road to

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Speaker 1: t m J. Actually not as strong an association as

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Speaker 1: we think it is. A lot of times people who

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Speaker 1: grind their teeth do not have team J, and people

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Speaker 1: with t m J don't grind their teeth because it

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Speaker 1: would be far too painful. Yeah, it would hurt too

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Speaker 1: much to have your job clenched like that. Now, tooth grinding,

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Speaker 1: of course is not is not good for your teeth,

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Speaker 1: but and also caused by stress, and stress can be

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Speaker 1: a big factor in t MJ coming on. If you

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Speaker 1: suffer a trauma to the head and you know your

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Speaker 1: job gets knocked the wrong way, obviously that can do something.

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Speaker 1: They used to think along with grinding, that a bad

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Speaker 1: bite or um braces would lead to t MJ. Now

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Speaker 1: that's really not a factor, just like the grinding thing

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Speaker 1: um and now they kind of don't know what causes

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Speaker 1: it because you know, let's say someone had a bad bite.

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Speaker 1: They would do these like Kristen said, the beginning these

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Speaker 1: invasive surgeries and nothing would get better. And so that's

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Speaker 1: why the recommendation, as we'll see, is to do nothing.

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Speaker 1: A lot of times experts today will say that a

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Speaker 1: little bit of self care and time will take care

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Speaker 1: of the symptoms. So certain self care practices doctors might

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Speaker 1: recommend for Team j would include eating soft foods, bagels,

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Speaker 1: no beagles, more beagles they're they're chewing, applying ice packs

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Speaker 1: to the did a jaw, avoiding extreme jaw movements, so

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Speaker 1: probably no, no shouting at sporting events, no gum I

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Speaker 1: do love? Do you love some gum? And then reducing

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Speaker 1: your stress level, learning how to relax your body, perhaps

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Speaker 1: doing some yoga, some meditation, some breathing exercises. But you know, Kristen,

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Speaker 1: having a lot of women in my life who I've

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Speaker 1: seen have this, it can be really frustrating to be told, hey,

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Speaker 1: just relax and don't you gum and this will be

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Speaker 1: fine when your jaw walp And I mean, how are

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Speaker 1: you supposed to reduce your stress when you can't rush

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Speaker 1: your teeth or you can't eat. So a lot of

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Speaker 1: people then do start to investigate these more what the

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Speaker 1: what the researchers you're calling invasive methods, something like botox,

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Speaker 1: which has not been proven to improved t MJ. But

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Speaker 1: some people think that if you just you know, stabilizing stuff,

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Speaker 1: stabilize that area, it'll work. A lot of people. Uh,

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Speaker 1: get a splint, which is actually proven to be somewhat

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Speaker 1: helpful and oral, you know, appliance that will bike guard

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Speaker 1: that will just fit over your teeth and kind of

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Speaker 1: hold your your biden place, but don't get anything permanently rearranged.

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Speaker 1: The doctors are saying, so in terms of treating t MJ,

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Speaker 1: we know that it's incredibly hard to diagnose, but it's

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Speaker 1: happening in a ton of people. We know that we

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Speaker 1: shouldn't get these invasive surgeries and it might go away

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Speaker 1: on its own, but it might not, and you should avoid,

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Speaker 1: you know, eat soft foods and things like that. But

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Speaker 1: the biggest question, Molly, is how can you prevent it

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Speaker 1: in the first place. Because a lot of the studies

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Speaker 1: that we've been looking over about t MJ, and especially

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Speaker 1: t m J um as it affects women, are incredibly

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Speaker 1: inconclusive because they are searching for some kind of hormonal

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Speaker 1: link with t MJ trying to figure that out, and

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Speaker 1: they're still coming up with nothing. Right, let's talk about

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Speaker 1: a little bit of that research that they're doing on

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Speaker 1: hormones and t MJ. One interesting thing that uh, some

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Speaker 1: researchers found out is that in female baboons, they're estrogen

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Speaker 1: receptors at the tempero mandibular joint complex. So they think, hey,

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Speaker 1: there's something about this this area of the face. There's

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Speaker 1: estrogen there. Estrogen might be doing something kind of funky,

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Speaker 1: might be raising the chance women will be affected by

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Speaker 1: pain in that area. But all of the studies they

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Speaker 1: do are really inconclusive. They'll do somewhere they'll have women

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Speaker 1: who are undergoing hormone replacement therapy and those women do

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Speaker 1: have a higher chance of having t MJ, but they

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Speaker 1: can't trace it to whether it's the hormones or not.

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Speaker 1: So it's pretty frustrating because they just can't get a

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Speaker 1: conclusion on what estrogen might be doing to the body.

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Speaker 1: They've looked at cortisol, which is affected in pain, and

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Speaker 1: they do notice that women who have t MJ have

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Speaker 1: slightly elevated cortisol levels at different types of the day

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Speaker 1: than people who don't have t MJ that could have

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Speaker 1: something to do with it. And then another hormonal factor

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Speaker 1: might be relaxing, which is a female hormone that causes

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Speaker 1: muscle relaxation during childbirth. And they're saying that maybe people

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Speaker 1: who have TMJ have have weirder levels of that relax

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Speaker 1: in h than women who were just uh not not

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Speaker 1: having pain in the job. But again it's a big

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Speaker 1: maybe they still haven't figured it out entirely, but but

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Speaker 1: they have figured out one predictor of t m J.

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Speaker 1: Chris and I think this is the weirdest thing we've

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Speaker 1: learned about and our entire time doing this podcast. Here

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Speaker 1: you go, folks, get ready for this. Clamidia. Clamidia has

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Speaker 1: been linked with t m J. Yeah, there was a

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Speaker 1: study this is from, so it is a little a

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Speaker 1: little dated. The doctors tested a tissue of thirty one

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Speaker 1: team J patients, not a huge sample study sample, but

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Speaker 1: still thirty one tm J patients and of the study,

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Speaker 1: patients who had t MJ came up. The tissue came

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Speaker 1: up positive for traces of chlamydia. Yes, the bacteria that

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Speaker 1: causes chlamydia is significantly more prevalent in patients with t MJ.

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Speaker 1: Dysfunction then in the general population was the finding of

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Speaker 1: these doctors. And so what they're saying is that the

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Speaker 1: same bacteria that causes chlamydia can cause arthritis, perhaps particularly

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Speaker 1: at this point. And uh, it's just another I think

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Speaker 1: cautionary reason to get your annual perhaps mere get tested,

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Speaker 1: because if your chlamydia goes untreated right ten years later,

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Speaker 1: they're they're hypothesizing you could have t MJ. Right because

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Speaker 1: there was another Johns Hopkins study that this article references,

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Speaker 1: where they were tracking sexually active teenage girls and found

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Speaker 1: that around of them tested positive for chlamydia, but a

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Speaker 1: lot of them had no idea. They were carrying it

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Speaker 1: around for years and they had no idea that it

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Speaker 1: was that it was in their bodies. And I would like,

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Speaker 1: in this potential chlamydia t MJ a connection, you know,

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Speaker 1: this idea of chlamydia hang out in your body, untreated

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Speaker 1: and then lo and behold, you get t MJ ten

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Speaker 1: years later. It's like shingles, Molly, Like you get the

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Speaker 1: chicken pox, you know, and you think it goes away,

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Speaker 1: but no, it's just gonna come back in the form

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Speaker 1: of shingles, which is awful. And um, yeah, I mean,

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Speaker 1: chicken pox a little a little easier to get rid

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Speaker 1: of than chlamydia. But again yet another reason to play

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Speaker 1: at safe people and get tested. And just because you

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Speaker 1: have chlamydia doesn't mean you're gonna get t MJ. Just

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Speaker 1: because you have t MJ yes, does not mean that

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Speaker 1: you have chlamydia. We're not saying that the ten million

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Speaker 1: Americans out there walking around with t m J are

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Speaker 1: also chlamydia carriers, and that would be a dangerous stigma.

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Speaker 1: It really caught on because you know, like you said,

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Speaker 1: t m J already had this sort of you know,

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Speaker 1: hip disease fallback position. Magic diagnosis got a lot sexier.

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Speaker 1: But you don't want people scared to go see their

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Speaker 1: doctor because people are gonna be like, oh gosh, she

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Speaker 1: had chlamydia. Right, So it's a dangerous. It's it's it's

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Speaker 1: just something neat, I guess, but it is dangerous to

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Speaker 1: be like t m J clivide or the exact same thing.

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Speaker 1: And because that's not going to help your stress level

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Speaker 1: if you're trying to reduce stress and to sum up

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Speaker 1: and yet not some up t MJ. How about this

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Speaker 1: recent New England Journal of Medicine tidbit okay on from

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Speaker 1: these Boston physicians who were writing on TMJ. They say

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Speaker 1: that the cause is now considered multi factorial, with biologic, behavioral, environmental, social, emotional,

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Speaker 1: and cognitive factors alone or in combination contributing to the

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Speaker 1: development of signs and symptoms of temporal mandibular disorders. Adders

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Speaker 1: are like, Hey, anything anything goes with your hula hoop joint? Yeah,

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Speaker 1: it's just a hula hoop uh luo in your mouth.

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Speaker 1: Who knows. So that's where we got to end it.

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Speaker 1: That's what's known about TMJ. Another disease that we've covered

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Speaker 1: that affects women that no one needs to know about.

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Speaker 1: What's known and more importantly not known. Uh. And we

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Speaker 1: would to hear from you guys if you have lived

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Speaker 1: with this way as you've found to manage it. Uh,

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Speaker 1: we'd love to know. And our email address is mom

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Speaker 1: stuff at how self works dot com. And let's read

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Speaker 1: a few list our mails before we close this one out,

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Speaker 1: because great, I have one here from Sarah and this

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Speaker 1: is a listener mail about listener mail. Sarah writes, I

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Speaker 1: was interested to hear the letters endorsing acutane to treat ACNE.

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Speaker 1: I myself took accutane on and off from the time

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Speaker 1: I was thirteen to seventeen. While it did rid me

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Speaker 1: of pesky acne, I was diagnosed this past year with

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Speaker 1: atable bowel syndrome. Given that you've provided the scoop on Ladypoop,

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Speaker 1: I won't hesitate to discuss this with you, But my

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Speaker 1: general practitioner diagnosed me. The first thing he asked was

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Speaker 1: whether I had taken accutane more than four years ago,

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Speaker 1: and told me there had recently been studies linking accutane

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Speaker 1: with IBS, and she attached one of the studies for us.

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Speaker 1: It was in nature and it's a pretty much rule disorder.

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Speaker 1: As we discussed, there's no cure, but it can be

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Speaker 1: control with diet. I want to inform your listeners before

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Speaker 1: they think accutane's a miracle cure, that it does have

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Speaker 1: permanent side effects, and to consider whether it's worth putting

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Speaker 1: up with a few years of acne and not potentially

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Speaker 1: risking a lifetime of discomfort. I've got an email here

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Speaker 1: from Nicole and this is in response to our podcast

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Speaker 1: on Home mec and she writes, I have always been

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Speaker 1: a feminist. I'm college educated and always imagine myself as

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Speaker 1: a career woman until I decided to become a stay

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Speaker 1: at home mom. I guess I suffer from a sort

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Speaker 1: of feminist guilt because of this decision, and because I

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Speaker 1: can say unequivocally that I enjoy being at home far

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Speaker 1: more than I enjoyed being in the workforce. I derive

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Speaker 1: a lot of pleasure from caring for my family by

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Speaker 1: making meals, taking care of our house during the grocery shopping, etcetera.

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Speaker 1: I've struggled with this because it sometimes feels so counter

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Speaker 1: to the image of female empowerment. While I'm all for

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Speaker 1: women pursuing careers and continuing to break the glass ceiling,

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Speaker 1: I would also like to witness the disappearance of what

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Speaker 1: I think is a stigma against women who decided to

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Speaker 1: stay at home. Since I've been home, I spent a

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Speaker 1: lot more time reading about nutrition, learning about the effects

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Speaker 1: of chemicals on a person's et cetera. I'm constantly applying

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Speaker 1: this knowledge to what meals I cook, which cleaning products

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Speaker 1: I use. I think these are aspects of taking care

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Speaker 1: of a home that are often overlooked, and I think

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Speaker 1: your podcast really highlighted the fact that we can have

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Speaker 1: the study of home economics to thank for our modern

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Speaker 1: understanding in areas like nutrition and child development. An excellent point, Nicole,

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Speaker 1: So if you have any thoughts to share again, our

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Speaker 1: email is mom Stuff at how stuff works dot com.

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Speaker 1: You can find us on Facebook as well. We'd love

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Speaker 1: for you to head on over and like us if

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Speaker 1: you like us, and you can follow us on Twitter

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Speaker 1: at mom Stuff Podcasts. And then finally, we have our

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Speaker 1: blog that we update almost every single day, and it's

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Speaker 1: stuff Mo've never told you at how stuff works dot com.

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Speaker 1: For more on this and thousands of other topics, is

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Speaker 1: it how stuff works dot com. So learn more about

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Speaker 1: the podcast cook on the podcast icon in the upper

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Speaker 1: right corner of our homepage. But the How Stuff Works

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Speaker 1: iPhone up has arrived. Download it today on iTunes. Yeah,

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Speaker 1: brought to you by the reinvented two thousand twelve camera.

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