Jaw Locked? What To Do: Quick Relief & When to Get Help

Temporomandibular joint (TMJ) disorders, impacting millions, often lead to a distressing condition: jaw locking. The National Institute of Dental and Craniofacial Research estimates that a significant percentage of adults experience TMJ-related issues, highlighting the prevalence of this problem. Immediate self-care techniques can often provide relief, but understanding when to seek professional help from a specialist like a maxillofacial surgeon is crucial. Confusion often arises for individuals uncertain about what to do if jaw locks, necessitating a clear guide to both immediate relief strategies and appropriate medical interventions.

Understanding Jaw Locking and TMJ Disorders: An Overview

Jaw locking, often intertwined with Temporomandibular Joint Disorders (TMJ/TMJD), represents a complex interplay of anatomical structures and physiological functions. Understanding these conditions is paramount to addressing the multifaceted nature of jaw health. This overview sets the stage for exploring the intricacies of these disorders and their impact on overall well-being.

Defining Temporomandibular Joint Disorders (TMJ/TMJD)

Temporomandibular Joint Disorders (TMJ/TMJD) are not a singular condition, but rather an umbrella term encompassing a range of issues affecting the temporomandibular joint (TMJ) and the surrounding muscles responsible for jaw movement.

The TMJ itself is a complex joint, acting as a hinge that connects the jawbone (mandible) to the skull.

TMJDs can arise from a variety of factors, including injury to the jaw, arthritis, teeth grinding, and even stress.

These disorders manifest through diverse symptoms, often making diagnosis challenging, but always highlighting the interconnectedness of the joint, muscles, and associated structures.

Trismus (Lockjaw): A Closer Look

Trismus, commonly known as lockjaw, is characterized by a significant restriction in mouth opening. It is technically defined as the inability to fully open the mouth. This condition is a symptom, not a disease in itself, and often indicative of an underlying problem.

A primary cause of trismus is muscle spasms within the jaw. These spasms can result from trauma, infection, or even prolonged dental procedures. When the muscles contract involuntarily, they restrict the range of motion, leading to the characteristic locked jaw.

Severe cases can impair speaking, eating, and even breathing. The condition demands prompt attention to address the underlying cause and alleviate the discomfort.

Related Conditions Impacting Jaw Health

Several conditions, seemingly independent, can significantly influence jaw health and contribute to TMJ disorders. Recognizing these connections is crucial for a holistic approach to diagnosis and treatment.

Bruxism (Teeth Grinding)

Bruxism, or teeth grinding, is a common condition often occurring during sleep. It involves clenching or grinding the teeth, placing excessive stress on the jaw muscles and TMJ.

Over time, bruxism can lead to muscle fatigue, jaw pain, headaches, and even damage to the teeth themselves. Addressing bruxism through mouthguards and stress management is essential in mitigating its long-term effects on jaw health.

Malocclusion (Misalignment of Teeth)

Malocclusion refers to the misalignment of teeth when the jaws are closed. This misalignment can create uneven pressure on the TMJ.

Consequently, the uneven bite distribution can lead to strain, pain, and eventually contribute to TMJ disorders. Orthodontic treatments, such as braces or clear aligners, are often employed to correct malocclusion and restore proper jaw alignment.

Arthritis (Osteoarthritis, Rheumatoid Arthritis)

Arthritis, particularly osteoarthritis and rheumatoid arthritis, can directly affect the TMJ. Osteoarthritis involves the breakdown of cartilage in the joint, leading to pain and stiffness.

Rheumatoid arthritis, an autoimmune disease, causes inflammation of the joint lining, also causing pain and stiffness.

Both forms of arthritis can significantly impair the function of the TMJ, resulting in chronic pain and limited range of motion. Management strategies often include pain relief, physical therapy, and, in severe cases, joint replacement.

Recognizing the Signs: Symptoms of Jaw Locking

Identifying jaw locking and related TMJ disorders hinges on recognizing telltale signs. These symptoms, often subtle initially, can escalate and significantly impact daily life. Early detection allows for timely intervention, mitigating potential long-term complications. Let’s explore the key indicators that warrant attention and the importance of seeking professional guidance.

Identifying Key Symptoms of Jaw Problems

A constellation of symptoms can indicate underlying jaw issues. Recognizing these signs is the first crucial step towards diagnosis and management. Being attuned to changes in jaw function and associated pain patterns is essential.

Limited Range of Motion

The ability to fully open and close the mouth without discomfort is a fundamental aspect of jaw function. A restricted range of motion, even if seemingly minor, should raise suspicion.

What constitutes a concerning limitation? Generally, the average person can open their mouth wide enough to fit three fingers stacked vertically between their front teeth. If you struggle to achieve this, or experience pain while attempting to do so, it signals a potential problem. Severity varies, ranging from mild stiffness to complete inability to open the mouth, known as trismus. Any noticeable decrease in your usual range of motion warrants further investigation.

Popping/Clicking Jaw

Audible sounds emanating from the jaw joint during movement are common, but not always benign. While occasional, painless clicking might be harmless, persistent or painful popping and clicking demands attention.

These sounds can indicate underlying issues like disc displacement within the TMJ. The significance of these sounds depends on the context. If accompanied by pain, locking, or difficulty chewing, they strongly suggest a TMJ disorder. Don’t dismiss these auditory cues, especially when coupled with other symptoms.

Muscle Spasms

Muscle spasms in the jaw, face, or neck can be debilitating. These involuntary contractions contribute to jaw immobility and pain. They can feel like a tight, knotted muscle that restricts movement and causes significant discomfort.

Spasms often occur in response to underlying TMJ issues, stress, or bruxism (teeth grinding). The intensity of spasms can range from mild twitches to severe, prolonged contractions. Identifying and addressing the root cause of muscle spasms is crucial for effective management.

Pain Referral

Pain associated with TMJ disorders isn’t always localized to the jaw itself. Pain can radiate to other areas, known as referred pain. Understanding these common pain patterns is key to accurately identifying TMJ-related issues.

Common pain referral patterns include: headaches (especially temporal headaches), earaches, neck pain, and even shoulder pain. Patients might mistakenly attribute these pains to other causes, delaying appropriate treatment. Be mindful of these patterns and consider the possibility of a TMJ disorder if experiencing unexplained pain in these areas.

When to See a Doctor: The Role of General Practitioners (GPs)

Navigating the complexities of jaw pain often begins with a visit to your General Practitioner (GP). They serve as a crucial first point of contact. They can conduct an initial assessment and guide you towards the appropriate specialist if needed.

Your GP plays a vital role in ruling out other potential causes of your symptoms. They can assess your overall health and medical history. They can also determine if further investigation by a dentist or specialist is necessary.

During an initial examination with a GP, expect questions about your symptoms, medical history, and lifestyle. The GP will likely examine your jaw, head, and neck, checking for tenderness, range of motion, and muscle spasms. Be prepared to describe your symptoms in detail, including the location, intensity, and duration of your pain. Your GP might recommend initial treatments like over-the-counter pain relievers or muscle relaxants, and provide guidance on self-care measures.

Lifestyle Factors Impacting Jaw Health

Beyond physical symptoms, lifestyle factors significantly influence jaw health. Stress and anxiety, in particular, can exacerbate TMJ disorders and contribute to jaw locking. Addressing these factors is an integral part of comprehensive management.

Stress

Stress manifests in various ways, often leading to increased muscle tension, including in the jaw. This tension can trigger jaw clenching, teeth grinding, and muscle spasms, all of which contribute to TMJ disorders.

Managing stress is paramount for protecting your jaw health. Consider incorporating stress-reduction techniques into your daily routine. These could include mindfulness meditation, deep breathing exercises, yoga, or regular physical activity. Identifying and addressing the sources of stress in your life is also essential for long-term management.

Anxiety

Anxiety and bruxism (teeth grinding) are closely intertwined. Anxiety can trigger or worsen bruxism, leading to excessive wear on teeth, jaw pain, and TMJ disorders. The constant pressure and grinding strain the jaw joint and surrounding muscles.

Addressing underlying anxiety is crucial for managing bruxism and protecting your jaw health. Therapy, medication, and relaxation techniques can help reduce anxiety levels and mitigate its impact on your jaw. If you suspect anxiety is contributing to your jaw problems, seek professional help to develop coping strategies and manage your anxiety effectively.

Diagnosis and Assessment: Seeking Professional Help

Recognizing the signs of jaw locking and related TMJ disorders hinges on recognizing telltale signs. These symptoms, often subtle initially, can escalate and significantly impact daily life. Early detection allows for timely intervention, mitigating potential long-term complications. Let’s explore the key indicators and the critical process of seeking professional help for an accurate diagnosis.

The path to effectively managing jaw locking and TMJ disorders begins with a thorough and accurate diagnosis. This often involves a multi-faceted approach, utilizing the expertise of various medical professionals. Understanding the assessment process and knowing when to seek specialized care is crucial for successful treatment outcomes.

Dental Assessments: The Role of Dentists

Dentists play a pivotal role in the initial identification and ongoing management of TMJ disorders. As primary healthcare providers for oral health, they are often the first to observe signs and symptoms related to TMJ dysfunction during routine check-ups. Their comprehensive understanding of oral anatomy and dental occlusion enables them to assess the potential impact of dental issues on the temporomandibular joint.

The dentist’s role extends beyond simply identifying the problem; they also provide valuable insights into potential contributing factors, such as teeth grinding (bruxism) or malocclusion. They can also rule out other potential causes of facial pain, such as dental infections or nerve disorders.

Common Diagnostic Procedures in a Dental Setting

Several diagnostic procedures are routinely performed in a dental setting to assess TMJ disorders. These procedures may include:

• Clinical Examination: This involves a visual inspection of the jaw joint and surrounding muscles, palpation to identify areas of tenderness or inflammation, and assessment of jaw movement and range of motion.

• Occlusal Analysis: This evaluation assesses the alignment of the teeth and bite to determine if malocclusion contributes to the TMJ disorder.

• Radiographic Imaging: X-rays, such as panoramic radiographs, can help visualize the jawbone and teeth. These images can reveal any structural abnormalities, such as arthritis or bone spurs.

• Cone-Beam Computed Tomography (CBCT): This advanced imaging technique provides a three-dimensional view of the jaw joint and surrounding structures. CBCT scans are valuable for assessing the severity of TMJ damage and planning potential treatment strategies.

  CBCT scans, while highly informative, should be used judiciously, considering the potential for radiation exposure.

• Joint Vibration Analysis (JVA): This technology uses sensors to record vibrations within the TMJ during jaw movement. JVA can help identify irregularities in the joint surfaces.

Referral to Specialists: When Is It Necessary?

While dentists are well-equipped to manage many cases of TMJ disorders, referral to a specialist is sometimes necessary. Persistent or severe symptoms, or cases that do not respond to initial treatment, often warrant consultation with an Oral and Maxillofacial Surgeon or a Pain Management Specialist.

Criteria for Referral to Oral and Maxillofacial Surgeons

Oral and Maxillofacial Surgeons are specialists who have completed extensive training in surgical procedures of the mouth, jaw, and face. Referral to an Oral and Maxillofacial Surgeon is generally recommended in the following circumstances:

• Structural Abnormalities: If imaging reveals significant structural damage to the TMJ, such as severe arthritis or bone degeneration.

• Failed Conservative Treatment: When non-invasive treatments, such as mouthguards, physical therapy, and medication, have failed to provide adequate relief.

• Surgical Intervention Required: If surgical procedures, such as TMJ arthroscopy or open-joint surgery, are considered necessary to correct the underlying problem.

• Persistent Jaw Locking: Recurring or persistent jaw locking that significantly impacts daily function may require surgical intervention.

  It is essential to consult with a qualified surgeon who has extensive experience in TMJ surgery to ensure the best possible outcome.

Consultation With a Pain Management Specialist

Pain Management Specialists are physicians who specialize in the diagnosis and treatment of chronic pain conditions. Referral to a Pain Management Specialist may be recommended in cases where pain is a primary symptom and is not adequately controlled by other treatments.

This is particularly relevant when:

• Chronic Pain: If the pain is persistent and significantly impacting the patient’s quality of life.
• Complex Pain Syndromes: In cases where the pain is accompanied by other symptoms, such as headaches, neck pain, or facial pain, suggesting a more complex pain syndrome.
• Medication Management: When medication management is necessary to control pain, but the patient requires specialized monitoring or has complex medical conditions.

Pain Management Specialists can employ a variety of techniques to manage pain, including medication, injections, nerve blocks, and other interventional procedures.

The diagnostic process for jaw locking and TMJ disorders requires a collaborative effort between dentists, specialists, and the patient. By seeking timely professional help and understanding the various assessment and treatment options available, individuals can take proactive steps toward achieving long-term jaw health and improved quality of life.

Treatment Options: From Conservative to Surgical Interventions

Diagnosis and assessment are pivotal first steps, but finding effective treatment is the ultimate goal when dealing with jaw locking and TMJ disorders. These conditions present a spectrum of challenges, and the therapeutic approach must be equally varied and tailored. From simple, at-home remedies to complex surgical interventions, a range of options exists, each designed to address specific aspects of jaw dysfunction and pain. Let’s explore the available treatments.

Non-Invasive Treatments for Jaw Locking

For many individuals, the journey to recovery begins with conservative, non-invasive treatments. These approaches aim to alleviate symptoms, improve jaw function, and prevent further damage without resorting to surgery.

Mouthguards and Nightguards

Mouthguards and nightguards are commonly prescribed, particularly for individuals who grind their teeth (bruxism) during sleep. These custom-fitted appliances create a protective barrier between the upper and lower teeth, preventing the damaging effects of grinding and clenching. By reducing the pressure on the TMJ, nightguards can alleviate pain, muscle tension, and headaches associated with TMJ disorders.

Splints

Splints, similar to mouthguards, are also designed to stabilize the jaw joint. However, splints are often more complex in design and may be worn during the day or night. They help to reposition the jaw, reduce muscle hyperactivity, and promote proper joint alignment.

Muscle Relaxants

Muscle relaxants, prescribed by a physician, can help alleviate muscle spasms and tension in the jaw and surrounding areas.

These medications work by reducing muscle activity, providing temporary relief from pain and stiffness.

Pain Relievers

Over-the-counter (OTC) pain relievers, such as acetaminophen and ibuprofen, are often the first line of defense for managing mild to moderate pain associated with jaw locking.

Prescription-strength pain relievers may be necessary for more severe pain. It’s crucial to use pain medication as directed by a healthcare professional to avoid potential side effects.

Anti-Inflammatory Drugs (NSAIDs)

Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen and naproxen reduce inflammation and alleviate pain in the TMJ. By targeting the inflammatory processes that contribute to joint pain, NSAIDs can improve comfort and function.

Hot and Cold Compresses

Simple yet effective, hot and cold compresses offer targeted pain relief. Applying a warm compress to the jaw can help relax tense muscles, while a cold compress can reduce inflammation and numb the area.

Alternating between hot and cold can provide comprehensive relief.

Jaw Exercises

Specific jaw exercises, prescribed by a physical therapist or dentist, are crucial for strengthening and stretching the jaw muscles. These exercises improve range of motion, reduce stiffness, and promote proper jaw function.

Massage Therapy

Massage therapy targets muscle tension in the jaw, neck, and shoulders. By releasing trigger points and improving circulation, massage therapy reduces pain, stiffness, and headaches associated with TMJ disorders.

Rehabilitation and Physical Therapies for Jaw Function

When conservative measures aren’t enough, rehabilitation and physical therapies play a crucial role in restoring optimal jaw function.

The Role of Physiotherapists and Physical Therapists

Physiotherapists and physical therapists specialize in evaluating and treating musculoskeletal disorders, including TMJ disorders. They use a variety of techniques to reduce pain, improve range of motion, and restore proper jaw function.

Manual Therapy and Exercises

Manual therapy involves hands-on techniques to mobilize the jaw joint and surrounding tissues. Specific exercises, tailored to individual needs, are prescribed to strengthen muscles, improve coordination, and restore normal movement patterns.

Surgical and Advanced Procedures: When Needed

While most TMJ disorders respond well to conservative treatments, some cases may require surgical intervention.

When Surgery Becomes Necessary

Surgery is typically considered when non-surgical treatments have failed to provide adequate relief and the condition significantly impacts quality of life.

Structural abnormalities, severe joint damage, or persistent pain despite conservative measures may warrant surgical evaluation.

TMJ Arthrocentesis

Arthrocentesis is a minimally invasive procedure that involves irrigating the TMJ to remove inflammatory debris and improve joint mobility.

TMJ Arthroscopy

Arthroscopy uses a small camera and instruments to visualize and treat the inside of the TMJ. This procedure can address joint adhesions, cartilage damage, and other structural issues.

Open-Joint Surgery

Open-joint surgery involves a larger incision to directly access and repair the TMJ. This approach may be necessary for severe joint damage, tumors, or other complex conditions. Surgical interventions are typically reserved for cases where conservative options have been exhausted and the need for structural correction is paramount.

Specialized Care and Alternative Therapies for TMJ

Diagnosis and assessment are pivotal first steps, but finding effective treatment is the ultimate goal when dealing with jaw locking and TMJ disorders. These conditions present a spectrum of challenges, and the therapeutic approach must be equally varied and tailored. From simple, at-home remedies to more complex interventions, understanding the landscape of specialized care and alternative therapies is crucial for patients seeking relief. This section highlights the roles of specialized surgical practices, pain management centers, and supplementary treatments like Botox injections, offering a comprehensive view of advanced treatment avenues.

Oral and Maxillofacial Surgery Offices: Specialized Surgical Practices

Oral and Maxillofacial Surgery (OMS) offices represent a critical resource for individuals facing severe TMJ disorders. These practices offer a level of expertise that extends beyond general dentistry, focusing on the surgical correction of complex jaw and facial conditions. The decision to seek care at an OMS office often arises when conservative treatments have proven insufficient, or when the structural integrity of the temporomandibular joint is significantly compromised.

OMS specialists are equipped to perform a range of procedures, from minimally invasive arthroscopic interventions to more extensive open-joint surgeries. Arthroscopic procedures allow surgeons to visualize and repair joint damage through small incisions, often resulting in shorter recovery times and reduced scarring. In contrast, open-joint surgeries, while more invasive, may be necessary to address severe joint degeneration, tumors, or complex fractures. Choosing the right surgical approach requires careful evaluation of the patient’s specific condition, taking into account factors such as the extent of joint damage, the presence of related symptoms, and the patient’s overall health.

The expertise within OMS offices extends beyond surgical skill; it also encompasses advanced diagnostic capabilities. Sophisticated imaging technologies, such as Cone Beam Computed Tomography (CBCT) and Magnetic Resonance Imaging (MRI), provide detailed views of the TMJ, enabling precise surgical planning. This meticulous approach enhances the likelihood of successful outcomes and minimizes potential complications.

Pain Management Clinics: Specialized Centers for Pain Relief

Pain Management Clinics offer a multidisciplinary approach to treating chronic pain conditions, including those stemming from TMJ disorders. These clinics bring together a team of specialists, such as pain management physicians, physical therapists, psychologists, and other healthcare professionals, to develop comprehensive treatment plans. The focus is not solely on alleviating pain but also on improving the patient’s overall quality of life.

One of the key benefits of pain management clinics is their ability to integrate various treatment modalities. Medication management, including the use of analgesics, anti-inflammatory drugs, and muscle relaxants, is often a cornerstone of treatment. However, these clinics also emphasize non-pharmacological approaches, such as physical therapy, cognitive-behavioral therapy, and interventional procedures.

Physical therapy plays a crucial role in restoring jaw function and reducing muscle tension. Therapists employ techniques such as manual therapy, therapeutic exercises, and posture correction to address the underlying biomechanical issues contributing to pain. Cognitive-behavioral therapy (CBT) helps patients develop coping strategies for managing pain and reducing stress, which can exacerbate TMJ symptoms.

Interventional procedures, such as nerve blocks and trigger point injections, can provide targeted pain relief by disrupting pain signals or relaxing specific muscles. These procedures are typically performed under image guidance to ensure accuracy and minimize risks. Pain management clinics also offer advanced therapies like spinal cord stimulation and peripheral nerve stimulation for patients with intractable pain.

Additional Therapeutic Approaches

Beyond specialized surgical and pain management interventions, certain therapeutic approaches offer targeted relief for specific TMJ-related symptoms.

Botox Injections

Botulinum toxin, commonly known as Botox, is a neurotoxin that, when injected into muscles, blocks nerve signals, causing temporary muscle paralysis. In the context of TMJ disorders, Botox injections are primarily used to relax the muscles involved in jaw clenching and teeth grinding (bruxism). By reducing muscle activity, Botox can alleviate pain, reduce headaches, and improve jaw function.

The procedure involves injecting small doses of Botox into the masseter and temporalis muscles, which are responsible for chewing and jaw movement. The effects of Botox typically last for three to six months, after which the injections may need to be repeated. While Botox can be effective in managing TMJ symptoms, it is not a cure and should be considered as part of a comprehensive treatment plan. Potential side effects include temporary muscle weakness, difficulty swallowing, and cosmetic changes, although these are generally rare when administered by a qualified healthcare professional. It’s also crucial to understand that Botox addresses the symptoms of muscle tension and spasms, not the underlying structural issues within the TMJ itself.

Maintaining Long-Term Jaw Health: Prevention and Management

Diagnosis and assessment are pivotal first steps, but finding effective treatment is the ultimate goal when dealing with jaw locking and TMJ disorders. These conditions present a spectrum of challenges, and the therapeutic approach must be equally varied and tailored. From simple, at-home remedies, the commitment to long-term management often proves crucial in preventing relapse and ensuring sustained well-being.

The journey to lasting jaw health doesn’t end with the alleviation of immediate symptoms. It requires a proactive approach focused on continuous monitoring, strategic lifestyle adaptations, and preventive measures meticulously integrated into daily routines. This holistic strategy is essential to safeguard against recurrence and promote a resilient, functional jaw.

Continued Monitoring and Follow-Up Care

The cornerstone of long-term jaw health lies in diligent monitoring and consistent follow-up care. Regular check-ups with both dentists and specialists are not merely advisable; they are paramount. These appointments serve as vital opportunities to assess the ongoing effectiveness of treatment plans, identify potential warning signs, and make necessary adjustments to ensure optimal outcomes.

A collaborative approach involving multiple healthcare providers – dentists, oral surgeons, and physical therapists – often provides the most comprehensive and effective long-term management. Each specialist brings unique expertise to the table, collectively offering a multifaceted perspective on your jaw health. Consistent communication among these professionals is vital for a unified and coordinated strategy.

This ongoing evaluation also allows for the timely detection of any subtle changes or emerging issues, preventing minor concerns from escalating into significant problems. Early intervention is key to preserving jaw function and minimizing the need for more invasive treatments in the future.

Lifestyle Adjustments for Prevention of Jaw Problems

The development and persistence of jaw problems are often deeply intertwined with lifestyle factors. Adopting strategic lifestyle adjustments can significantly reduce the risk of recurrence and promote long-term jaw health. These adjustments focus on mitigating known triggers and fostering an environment conducive to healing and resilience.

Stress Management Techniques

Stress is a notorious contributor to jaw tension and clenching, often exacerbating TMJ disorders. Integrating effective stress management techniques into your daily routine is essential. Consider incorporating mindfulness practices, such as meditation or deep breathing exercises, to calm the nervous system and reduce muscle tension.

Regular physical activity, even simple activities like walking or stretching, can also serve as powerful stress relievers. Engaging in hobbies and activities that bring you joy can further buffer the impact of stress on your jaw. If stress proves overwhelming, seeking guidance from a mental health professional may provide valuable coping strategies.

Ergonomic Adjustments

Poor posture and improper body mechanics can place undue strain on the jaw, contributing to muscle imbalances and joint dysfunction. Making ergonomic adjustments to your workspace and daily activities can alleviate this strain and promote optimal jaw alignment.

Ensure that your workstation is set up to support good posture, with your computer monitor positioned at eye level and your chair adjusted to allow your feet to rest comfortably on the floor. When using electronic devices, maintain a neutral neck posture and avoid prolonged periods of head tilting. Consider consulting with an ergonomist to identify potential risk factors and implement personalized adjustments.

Dietary Considerations

Certain dietary habits can also contribute to jaw problems. Chewing tough or excessively chewy foods can place significant stress on the TMJ. Adopting a diet that prioritizes softer, easier-to-chew foods can reduce this burden. Avoid habits like chewing gum or biting your nails, which can further exacerbate jaw tension.

Additionally, staying adequately hydrated is essential for maintaining the health of the cartilage and synovial fluid within the TMJ. Dehydration can lead to increased friction and stiffness, contributing to pain and dysfunction.

So, there you have it! Hopefully, you’ve got some helpful tips to try if your jaw locks up. Remember, these are just quick fixes and not a substitute for professional help. If your jaw locks frequently or the pain is severe, please reach out to a doctor or dentist. They can help diagnose the underlying cause and find a long-term solution to get you back to feeling your best!