Dr. Roubal's Omaha, Nebraska blog

Omaha, Nebraska

Monday, March 29, 2010

Fix the Cause

Why do I keep blogging about headaches? I think I have read that a solution for a headache pain is the most common reason for medical office visits. Interesting isn't it? Visit a well qualified and experienced dentist for headache problems; find the cause and "fix" it. Get off the medications with all the negative side effects.

Yours for better health, Dr. Roubal

posted by Dr. Roubal at 9:02 AM

Wednesday, March 24, 2010

Headache patients usually have more symptoms

It is rare to find a patient who arrives with the single symptom of headaches. Usually, there are many other symptoms such as ear congestion or pain, neck pain, jaw pain and often many other concurrent symptoms. After looking over the, I Hate Headaches site, I suggest you look at my personal site - http://www.whyallthispain.com/ for more information and the change to contact us directly. We do offer a complimentary phone consultation to discuss your situation and for me to answer any pain related questions you may have.

Yours for better health, Dr. Roubal

posted by Dr. Roubal at 8:44 AM

Wednesday, March 17, 2010

Chiropractors and Headaches

If the chiropractor can help you with your headaches, but they keep returning after some time interval, you may have a jaw relationship problem that needs correction. I have successfully treated countless patients who have been helped by chiropractors, but the adjustments don't "hold". By the way, we often utilize the skills of chiropractors in the treatment of some of our patients.

Yours for better health, Dr. Roubal

posted by Dr. Roubal at 11:50 AM

Morning headaches and Sleep Apnea

Morning headache patients should be evaluated for sleep apnea. I have had many patients report resolution of their headache pain with successful sleep apnea treatment. There is a lot of negative "buzz" surround the CPAP machines usually used in the treatment of sleep apnea. I use an oral appliance for those who can not tolerate the CPAP machine or for those who are looking for alternative treatment.

Yours for better health, Dr. Roubal

posted by Dr. Roubal at 11:48 AM

Monday, March 15, 2010

Migraine Medications

If you have been prescribed migraine medication and it isn't helping, please give us a call as I have seen quite a lot of this recently. Or, if you are concerned about the negative side affects of medication, we could evaluate you for more conservative treatment.

Yours for better health, Dr. Roubal

posted by Dr. Roubal at 5:27 PM

Dental Intervention and Headaches

I have had several common threads this week regarding failed dental intervention for headache relief. Also in common, checking jaw joint or other obvious dental problems such as worn down teeth and also neck pain. I would really encourage people to go into TMJ/TMD research and find a highly trained dentist to help them. Your family dentist may not have enough training and experience to recognize the dental/headache connection.

Yours for better health, Dr. Roubal

posted by Dr. Roubal at 5:22 PM

Tuesday, March 9, 2010

Headaches, Orthodontics, and Unhealthy TM Joints

I just examined a headache patient who just completed orthodontic treatment. In fact, the headaches were so bad that the mother requested the orthodontist remove the braces. I do not think the orthodontics caused the headaches, but rather aggravated a TM joint that was already unhealthy. The inevitable bit changes taking place were too much for the body to accept. I recommend those who are looking to straighten their teeth make sure the TM joints are healthy. If there is any noise such as popping or clicking on jaw movement, or any soreness in chewing activity or limited jaw opening this could indicate a TM joint disorder. which should be corrected prior to starting braces.

Yours for better health, Dr. Roubal

posted by Dr. Roubal at 8:46 AM

Thursday, March 4, 2010

Mouth Guards and Joint Noise

I encourage those with jaw joint noise to be examined by a trained expert in regards to how much damage is present in the TM joints and how much strain is present in the muscles. I just had a patient in who has been told for the past 2 1/2 years that they didn't have enough symptoms to warrant treatment for their condition. Anyway, after 2 1/2 years of mouth guard nightly wear, this patient developed quite significant headaches, jaw pain, ear pain, and a very limited jaw opening. On review of the TM joint tomographic X-rays, the patient has one joint virtually destroyed. The good part is that she was seeking out help, it just wasn't enough treatment for her. I am not against mouth guards, I am against continuing the mouth guard if it isn't working.

Yours for better health, Dr. Roubal

posted by Dr. Roubal at 5:16 PM

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