Temporo-Mandibular TMJ Injection Patient Story (Aka Cortisone Injection for joints in the jaw) **updated**
Hey! So one of my resolutions is to be as open and real about what’s happening with my health, and given I have a bit of a minor (but major to me lol) procedure coming up. Though it might help also might help others who might have something like this coming up too.
What is it?
An ultrasound guided injection of a corticosteroid to my jaw joints (left and right, temporo-mandibular joint)
Next Monday, Feb 20 at 1 in the afternoon.
Late last year I had problems opening my jaw and had limited opening. I had an MRI earlier this year which showed I had severe degeneration of the joint (arthritis in my jaw, both sides).
So, I thought I’d write this blog post in two part, one before (this one) and one after (next week). From my understanding, the injection includes anesthetic so that’s the part that stings.
I have a wonderful friend over at www.enabledisabled.com.au who has a wealth of knowledge especially when it comes to arthritis-related issues, having juvenile arthritis herself she’s experienced things first hand.
- If you’re nervous like I’m sure I will be on the day, take a Valium about 45mins before the actual procedure and ask a loved one to be with you (I’ll be taking hubby in that’s for sure) just to calm down anxiety
- Make sure to eat 6 hours before as you’re not allowed to eat after that as the injection may make you nauseous
- You may sip water up until 2 hours before your appointment (other than your Valium 45mins before) you water intake shouldn’t be more than a small half cup per hour.
- On the morning of the procedure have a shower and change into comfortable clothing. Minimise jewelry and valuables that you bring
- Don’t take anything that has blood thinning properties e.g aspirin, warfarin etc.
So today I went to the hospi. All prepped up and ready…and it got postponed! :O
This was because the flare up aka symptoms I had late last year have subsided. While the MRI scan shows the degenerative joint, the procedural doc was like if you can open your jaw I think we should wait for the next flare up so you can know (and feel) the difference. I’m like yeah that’s what i was wondering. I already resigned myself to the fact that I need to do this but my symptoms of the jaw have been subsided since December. So he was like i will talk to your Rheuma, but as of right now I don’t feel it’s good to risk the infections possible if you don’t have pain because the injection is asymptomatic and i want to provide relief not further traumatize you lol. The ultrasound doc was really nice and explained the procedure for next time too so I’m more prepared.
Here’s what I’ve noted:
- During the procedure the finest needled is used. In it is a mix of the anesthetic and the steroid. In one shot, better than the anesthesia first to numb the area because it’s a bigger needle too. So it’s all in one shot.
- Before the shots on both sides, I can take 10mg Valium about 45 mins before. Usual is 5mg
- Make sure someone is with you after the procedure and watching over you overnight to follow just in case…of issues.
- Don’t use your jaw at all for the following 48 hours (e.g talking, yawning, chewing etc)
- Since you shouldn’t chew, have smoothies prepared for nourishment (frozen banana & berries/frozen zucchini & broccoli etc)
- If you feel a cold ice pack is almost cool, put an old pair of denim jeans/shorts in the freezer, it’s cold enough for relief but not painful relief if ya get me 😛
- When sleeping, lie on your back avoid sleeping on either side that your jaw injection was on (in my case both)
- Note also, you shouldn’t have more than 3 injections in a joint within 5 years (more could lead to necrosis of the joint)
So we’ll wait until the next flare up (hopefully not in the jaw ever again lol) and if symptoms are back I will get the proper shot. Stay tuned. If it does happen, will let you guys know how it goes 🙂
These thoughts have plagued me over the past few weeks and I can’t help but try to make means of them.
Nope, I’m talking about labels on food, but the labels we put on ourselves.
Vegan? Vegetarian? Pescetarian? Fructose Free? Meat Eater? Ovo-lacto vegetarian? There’s labels for everything but not really a category for anyone who is one and none at the same time? Some could says that’s just being indecisive, you either you or you’re not right? But I feel the whole things with diets, with the feeling of “limits” or “cutting out” is just a way to fail keeping to your nutrition goals. So instead, I like to say that I am a CONSCIOUS EATER meaning I am conscious with what I put in my mouth. I’m pretty much 70% veggies and fruit anyway, but I do still eat the occasional meat and what not, but I do this making the conscious decision of how it will affect me and others, and thus don’t eat it often.
Healthwise, red meat has never really been “on my side” per se and probably doesn’t good to anyone else (human and non-human) I always experience more exaggerated symptoms following a big piece of steak, such as stiff joints and more nodules, hence you’d think I’d cut eating it altogether knowing this, but hey sometimes you forget, we’ve been conditioned to love a cheeseburger or a lamb roast and yet you know it’s not good for you. Surely not a few times would hurt? Actually it would, but we must accept as human beings, behaviours (conscious and unconscious) take time to re-program, re-educate. I could go the route of letting it all go, but it comes down to taste. Sometimes you would really like to a fully-fledged vegan but when you get into cooking vegan meals, it just doesn’t taste all that great. So it takes time to learn the recipes, the substitutions, until they no longer become the “substitutes” but rather the first ingredient you think of. So it’s a learn process. So while we undergo these changed, we need to settle with being conscious eaters, noticing how it makes you feel, really feel. Not just the instant gratification but hours later when you feel bloated or have rashes. Then we look even further outside of ourselves, how it affects the animals, the world. Watching cowspiracy you see the environmental impacts on a grand scale of what eating meat does.
It’s sad because all the signs are there, but yet still it’s hard to make the switch, we are so firmly rooted in what we have always known, sunday roasts with the family, fiesta time, all our major events in life focus on food. How can we reclaim these times, still have it centered around food but CONSCIOUSLY thinking of food that’s not just sustainable but TASTY.
As an Autoimmunee, this is my challenge, I’ve already started being more AWARE of sugar and fructose, which has greatly helped, there is certainly a lot more to learn and instead of being overwhelmed, I see it as a lifelong task we should all strive for. So are you ready? Be a conscious eater with me, axe the labels and get down to what it is you want to do with your health/what kind of human being you want to be in the greater scheme of things. LET’S SHARE AWESOME RECIPES THAT MAKE US FEEL GOOD BOTH INSIDE AND EVEN DEEPER INSIDE, RECIPES TO FEED OUR TUMMIES AND OUR SOULS.
Let’s talk Fruit. As you know I’m on a fructose free kick, but I still have natural fructose in fruit. I know that there are all sorts of tables out there available counting sugar and what not in fruit, but I don’t go that far. As long as I avoid junk foods, refined sugar and other unnaturally sweet things, than fruit to me is fine. In moderation of course. Here are some fruit staples I always have in my kitchen, what about you guys?
- Bananas (must have!!!)
- Naval Oranges
- Berries (raspberries, blueberries, black berries, strawberries etc.)
- Dragon Fruit (special)
There are heaps of veggies out there, in fact if you were to go vegan and ate the right mix of veggies you could have a balanced diet including all the needed vitamins, protein and minerals. But that’s for another time. For now, just want to share with you what’s on our veggie shopping list usually:
- Bok Choy/Pechay
- Sweet Potatoes
- Romaine Lettuce
I tend to have the same everyday and I love it. What’s your favourite go-to brekky smoothie? Share with us in the comments below.
My Fav Brekky Smoothie
- 300ml Almond Milk
- 1 Frozen Banana
- 1 handful Frozen Mixed Berries
- 1 tbsp Psyllium Husk
- 1 handful of Kale and/or Baby Spinach
- 1 tbsp Rice Malt Syrup
- 1 tbsp Greek Yoghurt
- 100ml water
Getting back up
I know the feeling of giving up. There’s a reason. There always is. Several weeks ago, I got Shingles under my right breast. Yep, it sucks. Not sure what it is? Google it if you want, it isn’t pretty. It got me off my exercise for a while. I know it’s a legit reason to stop exercising for the time, as Shingles can get pretty painful and I wouldn’t want to sweat on top of that too. But I used it as an excuse to throw out all notions of a healthy lifestyle, I used it as an excuse to eat crap. Is there ever a good reason to eat crap? Nope! It just made me feel more crap. But it’s easy to slip into old habits when you feel like crap – being health conscious takes effort right? Have you ever done this? What was your ‘excuse’? ProjectBE is all about making this a lifestyle, a new habit that we want to stick. How would you keep up a healthy lifestyle? If you haven’t been able to before, what do you think you could do differently?
What keeps me motivated? There are certainly several things that you could say motivate you, but having ACCOUNTABILITY keeps me motivated to keep going. So I started doing a log, like so:
Snacks throughout the day:
Then I go on to mark red, times I slipped up, just to be more mindful and conscious of my choices and how they made me feel. For example, I had red meat the other evening, and while it tasted great, I woke up with so much pain and heat in my legs. Not everyone reacts the same as I do, but I know that red meat is a trigger for inflammation in my body.
Next up, I address theme days:
Quotes to set the tone for the week:
Music playlist (new songs) for this week:
Goals and Schedule for the week:
(insert inspirational pics)
This week’s life lesson tackle:
(insert workout selfie; workouts to try – look at pinterest)
Career/Business goals and checklist:
(insert pics from the past)
3 things you are grateful for:
Something meaningful that happened to you in the past 24 hours
(insert cheat meal pic)
Reflectiions on food choices this week:
Favourite health recipe:
Favourite healthy snack:
For most people it’s the end of the work week, so Saturday is the perfect day to get done things you couldn’t during it. Laundry day. Clean up the house. It’s also project day. Been dying to try some of those DIY projects on pinterest? Do the project on this day (insert instructions and pic of final product here)
Outing: Where did you go?
Starting Monday 29, August, I’ll share with you some on my log entries 🙂
A way to practice the goodness inside of us and remember why we do what we do, is theme days. Not sure what I’m talking about? Have a read below for some ideas:
#MotivationalMonday – Quotes to set the tone for the week; meditate for 5-10mins; music playlist for the week to get you pumping; set out business goals and schedule for the week
#TransformationTuesday – Images to inspire you to do and be better both yourself and others; if you were asked what’s a lesson you need to learn in this lifetime, what would it be? Could you do something today towards learning this lesson. This will take a bit of introspection, but look at yourself from the outside, what’s something you know as a weakness and how can you make it your power?
#WorkoutWednesday – Post work out selfies; whacky work out gear; workouts to try and findings; what can you do right now for your career? It’s not just about a new exercise activity, but literal work activity – in my case, what can I do to further my writing career? What are things I need to do in my business to get to that next step forward, and if I don’t know what that is, what are my business/career goals?
#ThrowbackThursday – Reminisce on the past things to learn from and also bring back e.g music videos, pics etc.; list down 3 things you are grateful for; something meaningful that happened to you in the past 24 hours
#FoodforThoughtFriday – reflecting on food choices as eat out on Fridays; share favourite healthy recipe; take a pic of cheat meal; try and share a new smoothie recipe; favourite snacks
#SaturdaySolutions – get things done that was missed during the week – clean up; project day – small fixes and DIY at home (e.g balcony garden); pinterest must try projects
#SoulmateSunday – share a workout you do together with your partner; sundates – going out with the your soulmate; future plans – daydream together; feliz day – if you’re single, don’t worry Soulmate Aunday is for you too. It’s a day to love yourself too, because if you can’t love yourself how can you love someone else? Do something for yourself, go out and get a manicure or a massage, go for a nice walk, practice being YOU, I know sounds weird but think, what makes you unique? Your sense of humour? Your sense of style? Whatever it may be, don’t keep all that goodness to yourself, get out there! Join a new meetup group, step outside your comfort zone to meet new people – you may discover something about yourself too.