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| INTRODUCTION |
| TMJ: ITS MANY FACES, 2nd ed. |
| NEW!An Excerpt from CHAPTER 13 |
| TO ORDER |
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| TMJ:ITS MANY FACES |
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Dr. Wesley Shankland has written a very comprehensive book for individuals who suffer with TMJ and related disorders. TMJ: ITS MANY FACES, 2nd Edition, published by Anadem Publishing, has drawn on Dr. Shankland's experience of over 20 years of treating patients from all over North America and around the world. These patients have seen, on average, six other health professionals prior to seeing Dr. Shankland. While many of these patients have been told that their TMJ problem is a result of stress, Dr. Shankland has found that nearly 100% of these patients do have physiological and/or anatomical reasons for their pain.
TMJ: ITS MANY FACES, 2nd Edition, discusses how the patient can become actively involved in his or her treatment. Included in the book are complete instructions and diagrams of exercises. Lifestyle changes are outlined and a chart of dietary modifications are contained within the book. An entire chapter is devoted to choosing and evaluating a TMJ doctor.
TMJ: ITS MANY FACES, also explains why the patient may need to consult with other health care professionals such a neurologist, chiropractor, physical therapist, massotherapist (medical massage therapist), an oral surgeon, an ENT doctor, or psychologist. Dr. Shankland's description of disorders that mimic TMJ emphasizes the i
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mportance of obtaining an accurate diagnosis from a knowledgeable and experienced practitioner. Chapter 9, "The Concept of Pain," presents an in depth discussion of emotional elements of chronic pain and helps remove the stigma of getting the psychological care that is often so necessary in restoring a chronic pain sufferer to health. |
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| Chapter 13 is new for the second edition and provides new information concerning nutritional help for TMJ problems. A recently completed scientific study by Dr. Shankland is briefly discussed--the results are quite amazing and revealing! |
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| All the original chapters of the first edition have been updated. |
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| TMJ: ITS MANY FACES, 2nd ed. |
| Table of Contents |
| PREFACE |
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| INTRODUCTION |
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| CHAPTER 1: WHAT IS TMJ? |
| CHAPTER 2: SYMPTOMS OF TMJ |
| CHAPTER 3: WHAT CAUSES TMJ? |
| CHAPTER 4: DIAGNOSIS OF TMJ |
| CHAPTER 5: TREATMENT OF TMJ |
| CHAPTER 6: DISORDERS THAT MIMIC TMJ |
| CHAPTER 7: MUSCLE PAIN |
| CHAPTER 8: HEADACHES |
| CHAPTER 9: THE CONCEPT OF PAIN |
| CHAPTER 10: SCLERODERMA |
| CHAPTER 11: SELF-HELP |
| CHAPTER 12: MEDICATIONS |
| CHAPTER 13: NUTRACUTICAL AND SUPPLEMENTAL SUPPORT FOR TMJ |
| CHAPTER 14: FINDING HELP |
| APPENDIX A: RESOURCES |
| APPENDIX B: BIBLIOGRAPHY |
| APPENDIX C: SOFT FOOD DIET |
| INDEX |
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| TMJ: ITS MANY FACES, 2nd ed. |
| Introduction |
| (an excerpt) |
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Billions of dollars are spent annually for many doctor, clinic, hospital, or therapist visits. Pain sufferers will do and pay anything for some hope of relief. Doctors either don't understand or believe them; family members (especially, spouses) think nothing must be wrong because the learned doctors can find no explanations for the pain. It must be stress; or, it must be all in their head.
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Have you heard these excuses before? If you are a typical TMJ sufferer, you probably have. Don't blame family members. They must rely on doctors' opinions. Doctors rely on what they have been taught. The poor soul suffering feels abandoned, left alone, misunderstood. He tries to cope, but sometimes the suffering seems unbearable, private, and many are brought to the brink of suicide. Some, sadly, step over the brink. |
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Head, facial, neck and even ear pain have many different causes. However, a dislocated temporomandibular joint (TMJ) or injury to many of the associated TMJ structures account for a very high percentage of pain in the head. If you have seen, as most of these unfortunate patients do, physicians, neurologists, otolaryngologists (ENT doctors), or even psychologists and no definite diagnosis has been made and most importantly, no effective treatment has been recommended, then chances are you may be suffering from a TMJ problem. |
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For over seventeen years I have practiced dentistry, with my primary efforts being directed toward the diagnosis and treatment of TMJ and related pain. Tremendous advances have been made in all areas of dentistry and medicine concerning pain management but, the most important problem of TMJ treatment has been ignored by many researchers. Why? Perhaps those in the research labs never suffered or have not been married to a TMJ sufferer. |
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In 1983, we conducted a survey of our TMJ patients. We were not surprised to discover that our office was the 6th, on average, visited by TMJ sufferers. One patient had seen 19 other doctors first! Since then, I've seen one poor woman who had been to 31 other offices before making ours number 32. The two common denominators with these patients were: |
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| 1. The doctors apparently did not listen to the patient about their symptoms; or, |
| 2. The doctors did not recognize a TMJ problem. |
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I will never say that our office correctly diagnoses and successfully treats every patient. That would be incorrect and unrealistic. I will say that in all my years of practice, I can only recall two or three patients who did not have a physiological problem producing their pain. |
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This book is not the final word on TMJ. Many other fine books have been written and some are listed in the reference section in the back. Further, the TMJ sufferer must realize that you have a big part to play in your proper diagnosis and subsequent relief. Often, exercises, dietary changes, or lifestyle changes may be all you need to do. Sometimes the proper health care professional must be consulted. Some practitioners are also listed in the reference section of this book. But remember, the sufferer must be actively involved in your treatment. Not only is it unrealistic, but also unfair, to rely only upon your doctor or therapist. They should be viewed as a partner or guide. You are responsible for your recovery, not the doctors. |
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| NEW! An Excerpt from CHAPTER 13 |
If you thought that the topic of TMJ/TMD was controversial, you haven't been exposed to nutrition. Like most doctors except chiropractics and naturopathic physicians, I was trained in traditional or allopathic nutrition. Although we had excellent training in biochemistry and physiology, our nutritional training was sadly lacking. It consisted of the four basic food groups and how we might counsel our patients in the prevention of tooth decay and periodontal disease. There was never any real attention paid to true body chemistry. In fact, the concept of nutrition was scoffed. Medical science was far too advanced to worry about such trivial items as cellular metabolism, proper supplementation, and so forth. Modern medicine had all the answers and besides, if we or our patients became ill, we'd just write a prescription and everything would be alright. |
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Usually. When I was in my first year of dental school at Ohio State, I met my paternal grandfather, the late Dr. Earl Shankland of Cleveland, Ohio. At that time, he was probably in his middle 70s, healthy as a man half his age, and practicing dentistry five days a week. The blessings of good health hadn't always been his. When he was in his early 60s, he had to retire from his beloved profession due to crippling arthritis of the hands and various other systemic diseases, all of which were considered normal for a 20th century American male. But my grandfather's life, and countless others which he'd influence later (including mine) was about to change when he read a little paperback book by one of those odd-ball nutritionists. The book, Let's Eat Right to Keep Fit, was written by Adele Davis. |
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The learned Dr. Shankland became the student of Ms. Davis, actually became a personal friend, and followed her recommendations religiously: no refined sugar; no bleached flour; wheat germ daily; and the use of antioxidant vitamins, especially vitamins C and E. Within a matter of weeks my grandfather was not longer disabled. He resumed his dental practice, but practiced holistic and not allopathic dentistry well after his 87th birthday, working five days a week and even walking to his office when the streets were closed due to those famous heavy snows that Lake Erie frequently provides to that part of Ohio. |
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I was amazed at this elderly man's knowledge of biochemistry and physiology. And more important than that, after spending some time in his office, I was mystified by patient after patient who told me stories about their failing health that only improved after my grandfather guided them into holistic medicine and good, science-based nutrition. In 1975 he told me that one of the main causes of diabetes was a chromium deficiency, a scientific fact which only in the last few months has been accepted by the established scientific community! He truly saved the lives of many patients who were domed to a life of disability and suffering. His influence on the people of Cleveland is still felt today, nearly 10 years after his death. |
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What was I to do? My excellent training was unashamedly in allopathic medicine and yet, I knew that there was more to nutrition than just the four basic food groups. After all, hadn't antibiotics saved countless lives? What about hypertensive medication? And what about the use of mercury in dental amalgams? |
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These and many other questions plagued me well after my training ended and I was loosed on the people of the Great State of Ohio. I began experimenting with various combinations of minerals and vitamins and coupled these with some aspects of allopathic medicine. I now realize that, in my opinion, there are good aspects to both approaches to healing and health. I attempt to incorporate both philosophies in my approach to TMJ problems, knowing that there is a tremendous biological variability between we human beings. |
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Below are a few concepts of nutrition which are not the all in all. There's so much more which I won't pretend to understand and I freely admit I can't present here. Study for yourself and think. Don't automatically assume that any health care professional knows anything about proper nutrition. Most do not and in fact, will almost brag about a lack of nutritional knowledge. Ask at health food stores which books they'd recommend studying and learn for yourself. After all, your health is your responsibility, not the doctor's. |
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An evolution, or better yet, a resurgence, is now occurring in health care as more natural medicines gain acceptance. It's interesting to see that this acceptance is largely a result of increased scientific investigation and the public's awareness of the reported results of research. It now appears that the medical researchers now have in their possession the technology and understanding necessary to really appreciate the value of "natural" therapies. For example, the prestigious magazine Nature just reported that vitamin E appears to not only help prevent cancer, but also enhances the effectiveness of chemotherapy drugs used to treat colorectal cancer. This is a specific case in which many natural therapies are being improved or refined through scientific investigation. Naturopathy, only now being discovered by science, is paving the way for medicine of the future — a medicine that recognizes the healing power of nature. |
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As with other joints, it seems highly likely that the various TMJ disorders could respond very well to natural modalities of treatment. This is especially true with nutracuticals which have been helpful in the treatment of conditions similar to TMJ like osteoarthritis. |
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TMJ: ITS MANY FACES, 2nd ed., is published by Anadem Publishing, Inc., and may be ordered by completing the application below. The book will be shipped within two (2) working days. For further information, contact Dr. Shankland by e-mail ( drwes@drshankland.com). |
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TO ORDER: TMJ: ITS MANY FACES, 2nd ed. $19.50; FACE THE PAIN $21.95. Both books for $35.00!! (plus $2.50 S&H for one book and $4.00 for both books) in U.S. dollars. Please complete the order blank below and fax to: (614) 794-2291 (24 hours per day, 7 days per week). Or, mail a completed order form to: |
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| Dr. Wesley Shankland |
| TMJ & Facial Pain Center |
| 6011 Cleveland Avenue |
| Columbus, Ohio 43231 |
| USA |
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DOCTORS: These are excellent books to either give to or sell to your patients for patient education and risk management purposes and staff training! A discount is offered for multiple orders. Ask for details. |
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NO CHECKS, PLEASE (some seem to be made of rubber!): ONLY VISA, MASTER CARD, MONEY ORDERS or CASHIER'S CHECKS |
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PLEASE DO NOT SEND CREDIT CARD INFORMATION VIA E-MAIL. THERE ARE TOO MANY SECURITY RISKS INVOLVED. |
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