What does Botox have to do with temporomandibular disorders (TMD)?
If you have predominantly myofascial pain and have not responded to simpler management techniques, Mr Elledge will often discuss the following treatment options:
a hard bite-raising appliance with complete occlusal coverage as a habit breaker;
the use of a low dose tricyclic antidepressant such as amitriptyline or nortriptyline;
a trial of botulinum toxin A injections into the muscles around the joint.
Botulinum toxin A is best known for its role in non-surgical cosmetic treatments, smoothing out wrinkles. It works by paralyzing muscles so can help immensely in relaxing the tension in the muscles around the jaw. Beyond this, it has analgesic (painkiller) properties independent of its neuromuscular action that are the subject of ongoing research. Mr Elledge’s preference tends to be to use Dysport® within his TMJ practice.
