<human>: Dear Doctor,Six months back I had severe cough which ran through 1 month. The cough disappreared after taking medicine for GERD. I felt some occasional pain below my left ear  which was sometimes like sprain in the jaw. My ENT advised me to go for dentist and dentist advised me that I might have TMD. I went for the MRI of left TMJ, the findings are as follows:-Anteriorily displaced left TMJ disc noted in closed mouth position which is not reducing in the open mouth.Streched superior retrodiscal layer noted  in left TMJMild TM joint effsion Mild irregularity noted in the articular surface of left mandibular condyle suggestive of mild degenerative changesPlease advise as I dont have any maxilofacial surgeon in Kuwait.RegardsParul Jain
<bot>: Hello, Thanks for writing to us. I have read your concern. From the details mentioned, its clear that your TMJ has dislocated. Intermaxillary fixation may be required. Jaws has to be immobilized for a while. Avoid mouth opening too widely as well as biting on hard objects. Usually in such cases, amoxycillin as well as analgesics with muscle relaxants has to be administered. I hope you get well soon.