As most of you already know, I deal with many Tourette’s cases every day. These are such difficult cases that some of the other doctors I know have quit taking them on due to the simple fact that they are tough to ‘win’ the game when it comes to dealing with tics. I believe the reason for this is that the articular disc- the little bit of cartilage that covers the jaw bone- is displaced medially and this is really difficult to repair. What this means in English is that the little disc is jammed to the inside of the jaw bone- not forward or outside- but into all that muscle, blood vessels, and nerves that reside on the inner side of the jaw bone.
Just a moment ago, literally 60 seconds ago, I checked on a young fellow who had Tourette’s ALL HIS LIFE! Until now… of course. Today he came in to see me to check his appliance and there was no sign of any tics whatsoever. He had the surgery a year or so ago and Dr. Gregory found the discs were tipped in medially, as we have come to suspect in all movement disorder cases. Well, Dr. Gregory ended up having to remove the badly damaged discs, and here we are a year later and this young man now has a life. He is thrilled beyond what any of us could have imagined and at last visit, his mother was brought to tears when we told them the risk part was over with and he could eat normally and go back to a real and normal life. Just imagine being 27 years old and the pain, the humiliation, the shunning is now all gone and you can blend in with others whenever you want and no one feels sorry for you or treats you like you have something wrong with you.
As Ferris Bueller once said, and I’m sure I am paraphrasing here- sometimes you just have to step back a little and look around. Well folks… that is what I have done the last couple years because I see so many people with movement disorders. I can now state that approximately 99% of the patients that I have treated with movement disorders have medially displaced discs in their jaw joints. That is a really high percentage, wouldn’t you say?
Every day of the week I am critiqued for not writing papers and doing research on what I do. Just like my mentor, Dr. Stack, what I have learned is that there just is not enough time in the day to do it all. There just is not enough time to study and put it all together into a research article. Maybe one day. But until then I will keep observing and commenting. Besides, these blogs aren’t too bad a venue to tell you what is going on, are they?