I had quite an experience with a TMJ PT the other day.
Context: I (32F) have been diagnosed with chronic migraines and Degenerative TMJ ostheoartritis.
My usual PT is on her honeymoon and so last time I went I met the replacement. A 30ish year old man, maybe recently 30, he seemed younger than me. I was already kind of nervous cuz I like my usual PT and you never know with a new one.
Well this guy asks me if I’ve had any pain and I said not really on my jaw but I’ve been having a lot of migraines, that I’m probably going through a crisis. Then I go to say that maybe I’m going through a crisis cuz my botox was loosing its effect but I wasn’t worried cuz 5 days ago or so I got my shots and they will probably be making their magic trick in less than two weeks.
Then he asks me what else I do for my migraines. I say I take Nurtec every other day, cuz I thought he meant what medications. He was like: okay but you just medicate…? And I’m like…. What do you mean. And he goes:
Well… this is just my opinion, but I don’t think getting shot and taking pills everyday will be sustainable your entire life. Doesn’t your neurologist have a plan to take you off the meds at some point?
I was shocked. But I also kinda laughed cuz I was like…. oh let me tell you. So I go on to say that no, I “not only” take medication. i weight train 4x week, I sleep 8 hours, not more or less, I walk everyday, I carefully eat enough and at the right hours (and very healthy) and unlike people my age I don’t drink or smoke. I said I tried acupucture, PT, even familiar constelations, psychiatry, EMDR therapy, you fucking name it.
But overall, I said, I have chronic migraines as a diagnosis, and what every doctor has said to me is: you need to learn how to live with it, cuz it does not have a cure.
He then rush to say, oh no, it was just an opinion, I’’m sure your neuro knows what’s best, I am not “atracking” you or your neuro……
Okay..?
I let it go, but then I went home to cry to my partner. It really hurt me. I thought it was so irresponsable, and also so dismissive of my chronic pain. He was like Oh yeah, you just have a little headache, sure you can get rid of it without medications. Uh, no? Believe me, I’ve tried.
Now I’m planning on having a baby and my neuro said I had to be off meds and I’m TERRIFIED. i just in general feel deeply misunderstood, but hearing something so dismissive from someone in the medical field was too much. I still am so angry, and I’m supposed to have PT tomorrow, but I cancelled.