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Jaw Tremor


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#1 Gardener

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Posted 20 March 2012 - 03:32 AM

Dear Doctors,

I was recently diagnosed with PD at age 56. My main symptoms were stiffness and balance problems which I wrongly attributed to arthritis until I started having involuntary jaw movements. It took a 30 min. visit with a movement specialist to get the diagnosis. I haven't found much about jaw tremors but mine is very inconsistent. My teeth will snap down in a jerk at times and other times my teeth will chatter. These episodes happen throughout the day but are not constant. The medication (amantadine and mirapex) seems to lessen the frequency. I have other facial symptoms as well. Chewing is slow, swallowing can be uncoordinated, my cheeks feel "shrunkened" and I sometimes bite the insides of my mouth. My voice comes and goes and my throat feels dry and tight. I have a slight tremor in my left hand, but again, it is not constant. Is it normal to have tremors come and go like this? Do you see many patients with jaw tremors? Could I possibly have been misdiagnosed? Thanks in advance for your response and in general for the good work that you are doing.

Gardener, female, 58, diagnosed at 55, 650 mg of Sinemet daily.


#2 Dr. Okun

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Posted 22 March 2012 - 06:38 AM

This is all completely possible with PD. Jaw tremors and also dystonia (locking down of the jaw muscles) can occur. I have been most successful over the years with sinemet and also the use of botox in some cases.
Michael S. Okun, M.D.
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
or Visit Parkinson's Disease treatment and research blogs at:
NPF's What's Hot in Parkinson's disease
or his parkinsonsecrets.com blog for treatment tips

#3 PhilSinTX

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Posted 29 March 2012 - 08:11 AM

I am a PWP, age 50, diagnosed 6 years ago.
Interesting post and response! Thanks to all the PWP's for posting, and for the Doctors responding!

I also have irregular (i.e., not constant) problems with my jaw cracking, popping, and sometimes almost locking. I can feel very tight knots in my jaw when this occurs. There is usually some slight tremor in my jaw when it occurs, causing a light chattering of my teeth. Chewing during these times is uncoordinated, and excruciatingly painful.

My dentist quickly called it TMJ, and frankly, didn't listen when I tried to describe what was happenung. But I really question it because it isn't always there, I can feel these knots when it does occur, and because of the presence of tremor when it does.

Dr. O, what are your thoughts? Does it sound more like a dystonia than classic TMJ? I don't want to go through all the TMJ care, if there might be a better treatment to come at it from a PD perspective.

Thank you!

#4 Dr. Okun

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Posted 29 March 2012 - 08:24 AM

It could be dystonia and you might ask your doc to try botox.
Michael S. Okun, M.D.
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
or Visit Parkinson's Disease treatment and research blogs at:
NPF's What's Hot in Parkinson's disease
or his parkinsonsecrets.com blog for treatment tips




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