Body Tremors Movement Disorder

Dr. Travis Stack: This next patient is a movement disorder patient with full body tremors. Not just a head tremor, not just an arm tremor but arms, legs and head. It originally started admittedly after the extraction of a maxillary right first molar tooth. This patient is now being interviewed by Dr. Steven smith, he was referred the patient by Dr. Wesley Shankland and Dr. Smith referred the patients to me. Host: I saw her referred by Dr. Shankland with the movement disorder, and this is been going on since December 02 and how is your writing? Female Speaker: Little shaking. Host: Okay, now if you want to go over with me the history. Female Speaker: Well, I had, in December, and I have some problems after a vision, and at that time I had mile head tremor all my head back and Host: And as there is any infection. Female Speaker: Had an infection arm in extraction or after and there is a lot of pain and I went and I had surgery on that area and troubled with my vision and not able to focus, I'm for extended my retirement without see double vision or vision. Host: Have you been to the ophthalmologist? Female Speaker: I've seen an ophthalmologist on with my with expensive testing Host: This is a right side number three of a right a lower extraction? Female Speaker: And I found this now that I'm might been some nerve damage and vision also my testing was reading out it 2,400. Host: Yeah. Female Speaker: Right my eyes across and occasionally and Host: What's the TMJ and then neck involvement? Female Speaker: When I smile or laugh or yon my space have a lot of facial pain. A pain here in my ear, after the two distraction I had like balls spite in this area, but I was really sensitive in that point area, and then I have next this pain though the back in my neck and the besmears. Host: Is into a number of physicians and a numbers or indentures, they say TMJ is involved and Doctor -- surgery last October and that seems help is that correct? Female Speaker: Yes, it was, I still have the pain in the jaw area and ear and then they got the joint locking and plasmin also and just the tremors getting worse. Host: I agree, your jaw opening. Female Speaker: Right. Host: Closing is it opening better now, they are use to. Female speaker: No that's worse I can only open it some far without being in pain and then in here if I open my mouth wide, the in here starts that it kinds of cave in Host: Okay. Female Speaker: And it's painful I can do it, but it's painful. Host: Okay, so it not particularly involved. Female Speaker: It kind of -- it pops out if I open if you want to Host: But the pains on the right side. Female Speaker: It's primarily on the right and I have some in the left side too. Host: What was that, what you are saying? Female Speaker: Yeah, she focused, you'll see a -- Host: So, what's your definition there, right side? Female Speaker: Right side. Female Speaker: It -- Host: Okay and then the other side. Female Speaker: -- Host: Okay. Female Speaker: On the right side, it back I had like this pain at the top of my head into my ear and all down here. Dr. Stack: This is the first presentation of this patient in my office. You can see that head tremors very obviously. Female Speaker: Sit down please. Dr. Stack: Now you can see that leg tremors particularly her left leg. Female Speaker: We get into walking Dr. Stack: Her walking is impaired, but not nearly as much so as the other patients you have seen, which she holds her hand out, her right hand are tremors. Male Speaker: Treatment on this young lady within insertion of orthopedic appliances. This is the pivot appliance, which I have just finish constructing to the vertical dimension then I judge is correct. So I'm going to inserting in her mouth now the first time. Now notice how the head tremors and the body tremors hold your hands up have you just see what. There is a no longer any tremor to this patient. On these appliances, it is smart to do some cranial adjustment particularly, if the patient has a history of compression other cranial bones. In this specific case the extract other maxillary right first molar, these symptoms began immediately thereafter. This patient has been to 45 physicians and 15 dentists looking for a solution for her full body tremors. On insertion of this appliance, what I usually do is the following cranial manipulations. Open, one is I put my fingers on lingual surfaces of the alveolar processes and spread them apart and so the patients inhales, turn you head right and tell most -- Female Speaker: I can turn my head to the right without my head shaking at all without the pain then I get my base so much strong. Male speaker: Now, turning to the left side preciously. Female Speaker: Same thing from the right in the left no pain and it all no shaking. Male Speaker: Okay. Female Speaker: It's great. Dr. Stack: And then you'll stop hold the hands up and just tell them longer tremor, so it's all go away Female Speaker: After the appliance it's given to me pretty much -- Male speaker: Okay.