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TMJ Cranial Facial Pain Checklist Mobile App

If you answer “yes” to a number of the questions provided in the TMJ Cranial Facial Pain Checklist mobile app , it may be beneficial for you to have a comprehensive TMJ examination. Some of the questions may seem unrelated, but they provide a preliminary diagnostic screening to help us discover the source of any chronic pain (headaches, neck/shoulders, ears) you may have.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the TMJ Cranial Facial Pain Checklist Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

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    beneficial for you to have a comprehensive TMJ examination.

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    Name:

  • Ico date

    Date:

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    None:

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    Do you snore or have diagnosed sleep apnea?

  • Ico checkbox

    Are you living with painful chronic headaches?

  • Ico checkbox

    Do prescription drugs no longer relieve your symptoms?

  • Ico checkbox

    Is it painful, or sore, when you press on your jaw joints?

  • Ico checkbox

    Do you have a grating, clicking, cracking or popping sound in your jaw joints when you chew?

  • Ico checkbox

    Do you have pain or soreness in any of the following areas: jaw, jaw joints,neck/shoulder muscles...

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    Do you have sensations of stuffiness, pressure or blockage in you ears?

  • Ico checkbox

    Have your jaw joints ever become locked?

  • Ico checkbox

    Do your ears produce excessive earwax?

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    Do you have ringing, roaring, hissing or buzzing sounds in your ears?

  • Ico checkbox

    Do you ever feel dizzy or faint?

  • Ico checkbox

    Are you ever nauseous for no apparent reason?

  • Ico checkbox

    Do you fatigue easily or consider yourself chronically fatigued?

  • Ico checkbox

    Does your tongue go between your front teeth when you swallow?

  • Ico checkbox

    Do your fingers go numb for no apparent reason?

  • Ico checkbox

    Is it hard for you to move your jaw from side to side, forward or backward?

  • Ico checkbox

    Do you have difficulty chewing your food?

  • Ico checkbox

    Do you have missing teeth?

  • Ico checkbox

    Have you had extensive dental crowns or bridgework?

  • Ico checkbox

    Do you clench your teeth during the day or night?

  • Ico checkbox

    Do you grind your teeth at night?

  • Ico checkbox

    Have you ever had whiplash injury?

  • Ico checkbox

    Have you ever worn a cervical collar or had head/neck traction?

  • Ico checkbox

    Have you ever experienced a blow to the chin, face or head?

  • ...and More!

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