2 Comments

1. 

   Dennis Balog on December 5, 2016 at 12:09 pm

   What can be prescribed for Tmj headache pain. I used to be a patient of Dr. Robbins. Then I retired to Henderson, Nevada. I sure miss Dr. Robbins. Presently I go to a pain clinic in Las Vegas and I really have not much relief with them. Presently I am taking diazepam and hydrocodone/Tylenol .
   Three 5 mg tabs of diazepam and three hydrocodone Tylenol 5-325 per day.
   That just does not cut it! They have tried some things but don’t think it is enough. I got. Some temp from a dentist using tensing. Tensing helped but never lasted. Ice packs and moist heat help but that to does not last. Just looking for any ideas. I watched a video of Dr. Robbins and he mention ed
   TMJ. I have an appointment tomorrow and thought I would contact you for any ideas that I could suggest to the Pain Clinic.
   Th anks, anything would be greatly appreciated.

   Reply
   • 

     Dr Robbins on December 5, 2016 at 9:43 pm

     Hi….Sometimes Botox, which is off-label for TMJ, can be of help……when the pain preventives don’t help, we are left with “as needed” meds, such as the pain meds and muscle relaxants…..SPG blocks could be of help(basically, the SPG block is a simple squirt of a novocaine type substance..Lidocaine or Marcaine…in the nose…..sometimes we are left with the long-acting opioids as the only ones that do provide any relief, but they are a last resort type of med…….

     Reply

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