Start Living a TMJ Pain Free Life with Dr. Insolera from The TMJ & Sleep Center

Episode Transcript

Speaker 1 (00:04):
Thirteen ten wib A and ask the experts. Really excited
to introduce someone new to the Madison in the Morning audience.
Doctor Insolara, doctor in Selearra comes to us from the
Tmjsleep Center. They're right on Century Avenue in Middleton. You
can learn more online their website Tmjpaincenter dot com. That's
tmjpaint Paincenter dot com. Doctor Paul, how you doing this morning?

Speaker 2 (00:28):
Very well? Thank you? You Tom a little excited.

Speaker 3 (00:30):
Yeah, it's a sunshine, it is, it is.

Speaker 2 (00:34):
And I'm so happy to have you in studio.

Speaker 1 (00:35):
I had a chance the other week to stop on
in and see a consultation firsthand and learn a little
bit more about what you guys are able to do
at the TMJ Pain Center. Let's talk a little bit
about some of the things that you guys do there.
It's a very unique approach and one of those and
correct me if I'm wrong, kind of leave you scratch

(00:57):
your head, you go. Why don't all all clinics operate
this way? Let's talk about your clinic, doctor.

Speaker 3 (01:04):
Well, it started a long time ago when I first
I went to my first lecture and it had to
do actually with scoliosis, and I was saying what am
I doing here with TMJ lecture? And they're talking about scoliosis,
But what the lecture was about was explaining that byte
change creates posture change, and that's.

Speaker 4 (01:27):
Where the people get lost.

Speaker 3 (01:30):
So if I told you that your bad back could
be because your jaws in the wrong place, you might say, well,
what did one have to do with the other. But
they're intimately connected because when you have a malplaced jaw,
and that's a genetic thing that again I'm segueing, but
this is genetics. If anyone as TMJ, it's in the family.
It doesn't skip generations and so but what it does

(01:54):
do is it creates a forward head posture with a twist,
so you don't come forward symmetrically, you come forward d asymmetrically,
and that's where your scoliosis is. So everyone with TMJ
has scoliosis and forward head, no exceptions.

Speaker 4 (02:07):
Why can I.

Speaker 3 (02:08):
Say that because I got thirty five years that proves
me right. So, and the problem is, as soon as
the head is forward of the shoulders, it doesn't weigh
twelve pounds anymore down your spine. It can weigh twenty
thirty forty and create all kinds of spinal issues and
posterio issues and reflux issues and vertigo issues. So it's

(02:28):
anyone's guess where your symptomology could be. But the culprit
is five thousand times a day. This is where the
disconnect is. The jaw moves five thousand times a day approximately.
But if it's dysfunctional and there's twenty muscles that attach
to the jaw and to the wind pipe, you create
adverse problems through time. So you take the take that

(02:52):
and go through time with it, and then you can
be a little more realistic about what we see.

Speaker 1 (02:57):
And I want to ask you a little bit more
about that, doctor, because as you talk talk about you know,
you kind of talk about the body as a whole,
and you talk about, you know, what is your jaw,
I have to do with your with your spine and
those type of things. I really want to break that
down because that, to me is also some of the
really fascinating stuff that I've had a chance to learn
from you. One of the things I think a lot
of people wonder about is what is TMJ. We hear

(03:18):
that term a lot TMJ TMJ. Obviously, the point if
people people who suffer from it probably are somewhat familiar.

Speaker 2 (03:25):
But for those of us who may.

Speaker 1 (03:26):
Suffer from TMJ and don't even know what what is it?
What are some of the identifying features and what should
people be aware of their doctor?

Speaker 3 (03:34):
Well, TMJ actually is just a site. So it's temporo
temporal on the side of your head mandibular, your lower
jaw joint, so it's the joint capsule in the in
the skull that houses your lower jaw. And like I said,
it's a genetic predisposition in family. So people with sometimes
you might say this guy, this, the whole family doesn't

(03:55):
have a chin. It looks like the chin went south
for the wind. Well, that's the genetic predisposition. Or you
have deep bites or crossbytes or overbites, things like that,
that's all part of the TMJA complex. What we do
there is we don't do braces right away because.

Speaker 4 (04:11):
That's to me, the wrong thing to do.

Speaker 3 (04:13):
Well, now I'm going have to say wrong, but I'm
going to say that in order to facilitate what we
need to do, respect the muscles, respect the joints, respect
the posture. We have to find out, well, where is
the best position possible? And to do that you need
to measure muscle. So specifically, over the last thirty eight
years or more, I have various forms of neuromuscular computer

(04:35):
which measure muscle with and that's how we can find
out what's going on and in order to measure. When
you have measure, you have facts. When you have facts,
you can cure people. So that's why in our office,
documentation is essential. It's not opinion. It is always documentation
to support what we do.

Speaker 1 (04:56):
One of the great things too, as we talked this
morning with doctor Paul from the TMJ Sleeps Center online
Tmjpaincenter dot com.

Speaker 2 (05:03):
That's t Mjpaincenter dot com. All one word.

Speaker 1 (05:06):
As you were talking this morning with the doctor, if
you are interested in a free consultation, they do a
gear consult that's not going to cost you anything. Can
schedule it right online at TMJ Paincenter dot com. And doctor,
when you talk about you talk about the TMJ complex mechanically, biologically, physically,
why is that such an important part of the body

(05:26):
that it seems like almost like like you think of
that area like it's kind of irrelevant.

Speaker 2 (05:32):
It's not.

Speaker 1 (05:32):
It's not like my hands, it's not like my feed
it's not my spine.

Speaker 3 (05:36):
But it's it's literally the most relevant part of what
do you do when you're when you're awake, because what's
in your what is the keystone of your face or throat?
It's your windpipe, okay, And what's the most important thing
you can put in your body? Ironically, some people say
food or water. No, it's not food or water.

Speaker 4 (05:55):
It's air.

Speaker 2 (05:55):
Okay.

Speaker 3 (05:56):
So the air needs a patent airway. But that airway
in your throat is surrounded by twenty muscles.

Speaker 2 (06:02):
And where did they go?

Speaker 4 (06:03):
To your jaw?

Speaker 3 (06:05):
So these muscles code, go to your jaws, surround the windpipe,
and go into your clavicle, go into your chest, go
into your ribs. So when you have dysfunctional jaw position,
like we can prove and show on our computers, that
windpipe is at risk for collapsing. And that's where you
get the lack of you get the mouth breathers and

(06:25):
the snoring and eventually even the sleep apne is of course,
and these are all life threatening over time, and we
want to prevent that from happening. So if we make
an idealized environment muscular environment of the head, neck and
face via met muscle measure, we can create the position
that keeps the windpipe and keeps you patent and gives

(06:48):
you the proper posture as well.

Speaker 2 (06:50):
So are you.

Speaker 1 (06:50):
Saying it's like some of these breathing issues kind of
com cumulatively destructive. Is that it's not because I think
we are in such a world where like everything is instantaneous,
like I have a heart attack, Oh, I fall over,
I'm going to pass away. This sounds to me like
this is something where it's the fact that is going
on continuously that it is slowly degenerating.

Speaker 3 (07:13):
Your yeah, eroding, degenerating. Yeah, And that's exactly right. And
what is creating it, well, the five thousand times a
day in the wrong place and sending the head more
forward so it weighs more, and so it collapses the
back end of the wind pipe. But the front end
of the windpipe gets collapsed because the jaw is too
is also retruated too far up and too far back.

(07:36):
So a lot of times these people will have swollen
actually swollen. You can see their faces are kind of
swollen on the angles of their jaw because the muscles
are working short and they clench a lot. And these
clenchers really create a problem and we see a lot
of that, which we will clean up. But when you clinch,
you actually intrude your back teeth, and those back teeth

(07:57):
being intruded shortened the muscles, and the shorten muscle create
more dysfunction and more forward head and more collapse of
your you know, your breathing and actually can create swallow problems.

Speaker 1 (08:08):
Do we see and I know for I'll speak for
myself at the at the Preble household. When it comes
to my health, the alarm and the action taker is
my wife, is my spouse?

Speaker 2 (08:19):
Do we see that a lot?

Speaker 1 (08:20):
When in four spouses that are listening this morning, what
are some of those signs that they should be looking
for that say, hey, you know, you know my better
half probably should get into in to see doctor and
celera and take that opportunity for that care console. What
are some of the things we should be looking for.

Speaker 3 (08:34):
Well, number one, it's not just your spouse, it's your kid.
There's no child that should be snoring. There's no child
that'll be sleeping with their mouth open. And that goes
the same way for your spouse. So if your spouse
is snoring, you know it used to be. Growing up,
we had these little cartoons of a guy snoring cutting
a log and the log and fall on his head
and wake them up. That was supposed to be funny,
which I guess it was, but nobody knew the ramifications.

(08:55):
Real ramifications are lack of oxygen and your body has
a fighter flight response because you're not getting the oxygen
you need.

Speaker 2 (09:03):
But that's every night.

Speaker 3 (09:04):
So how long can you support the every night fighter
flight response through time? And that's where you get these
problems that you know that's sleep, sleep problems that can
cause this cardiovascular response.

Speaker 2 (09:18):
Does waight play an issue.

Speaker 3 (09:21):
During the day when you're walking around, but when you're
you know, lying down flat, I mean the biggest issue
is the constriction in the throat, and the head position
and the and the jaw position contribute to that because
you actually constrict right around C four, which is C
four is six cervical vertebrae excuse me. And there's a

(09:41):
little bone there called it's not a little bit bone,
it's called the hyoid bone. It's the only bone that
doesn't connect to another bone, but it's connected to twenty
muscles of your throat. So it's actually a barometer as
to what we can see because it does control airway
posture and bite. So we I want to make sure
that all of those are working properly, and that's why

(10:06):
we measure.

Speaker 1 (10:07):
Talking this morning with doctor Paul and Selearra. Of course,
doctor Paul comes to us from the tmjsleep Center. Their
website tmjpaincenter dot com. That's tmjpaincenter dot com. Great website.
Not only to learn more about the great stuff they
are doing at the tmjsleep Center, also great opportunity there
for you for a cure consult It's not going to
cost you anything. You can schedule that free consultation right

(10:27):
online tmjpaincenter dot com. We'll talk with doctor Paul a
bit about what goes on in those cure consults, how
he's able to help folks. Again, if you're seeing any
of these signs, you definitely do not want to waste time.
You want to make that appointment today again, just heading
over to the website tmjpaincenter dot com. More with doctor
Paul at the tmjsleep Center. Wee'll chat with him next

(10:47):
here and ask the experts thirteen ten wi b A
thirteen ten wui b A and ask the experts. Brought
to you by TMJ and Sleep Center. Of course, we
are joined by doctor Paul and Selera. He is with
the TMJ Pain Center Sleep Center of course. Get more

(11:08):
information online Tmjpaincenter dot com. That's Tmjpaincenter dot com all
one word and doctor Paul. One of the things folks
will see when they get to the website is an
opportunity to schedule that free consultation, that care consult we're
talking the last segment, and I want to get into,
obviously more specifics of all the different areas we touched
on that last segment as the weeks go on. But

(11:30):
some of those things, I know there's a lot of
folks listening in their car this morning or at the
office going that sounds like me or that sounds like
my loved one. What goes on in one of those
care consults? What could people expect? It is free, so
it's a great opportunity for folks. But kind of walk
us through how that cure console works.

Speaker 3 (11:47):
Well, first of all, say hello, of course, and then
I really just asked them all how did you find us?
And what's your motivation to be here? And then I
just make it kind of known that the reason I
like these cure consoles is I don't want you spending
your time or money here if you don't think this
is for you, because what we're going to talk about.

Speaker 4 (12:07):
You know, is your skin in the game to cure
yourself with my help.

Speaker 3 (12:12):
Of course, so we talk about that in depth and
people get an idea is exactly what it takes to
be cured and what it takes on their end to
help themselves. So why I'm saying that is because there's
no pills at our place, there's no needles, there's no surgeries.
It's all about muscle measure It's all about creating an

(12:34):
environment of function through the jaw, through the posture, through
the bite, just simple breathing because you should be breathing
through your nose, not through your mouth, so the diaphragm
breathing is very important. It's all about muscle. Where just
it's simplistically all about muscle. And so we go over
the patient's responsibility in what they need to do their homework,

(12:58):
if you will, what is that?

Speaker 1 (12:59):
And well what is that as far as when we
when I know measurement is is vital, it's hard to track,
it's impossible to track.

Speaker 2 (13:06):
What you're not measuring. But what about as far.

Speaker 1 (13:08):
As how you feel when when we talk about some
of those results, what are some of those signs people
are going to see as as we kind of work
down that successful path.

Speaker 2 (13:16):
How are things going to improve for folks?

Speaker 3 (13:18):
Well, first of all, head position improves. Airway improves the
fact that they're here because their muscles are dysfunctioning, whether
they know it or not. That improves because it liberates
when when you're functioning properly, you get endorphin relief. I
just had a lady in who's she's just beside herself

(13:38):
with happiness because of the way she used to feel
and what she.

Speaker 2 (13:41):
Feels like now.

Speaker 3 (13:42):
And so this is again, this is pretty common in
our office because people come in a lot of times
very desperate and possibly in tears. But if they do
everything we're saying and they're you know, they are responsible
for their actions. And because we're going to measure that,
we're going to measure those. Every time you come into

(14:03):
my office, you have a sheet that you fill out
and it will see how are you feeling and what
are you doing about it? So I want to know
what you're doing for poster and we require homework, Yeah,
muscle homework.

Speaker 4 (14:15):
If you will is.

Speaker 1 (14:17):
That sometimes as we talk to about that, about that
consultation and that that gear consult is that one of
the things that people are maybe often most surprised by
is we live in a world where people are like, well,
just give me a pill or give me a shot,
and and you know those kind of those temporary band aids.
Are people sometimes surprised that, you know, we're not we're
not talking shots, we're not talking pills, we're not talking scalpels.

(14:39):
But we are talking about something that you're going to
need to engage with. That This is not something that
you can pop a pill in the morning and then
forget about the rest of the day.

Speaker 2 (14:47):
Are people sometimes surprised by that?

Speaker 3 (14:49):
I think so because that's all they've been given, and
they've been treated segmentally. We're not going to treat you segmentally.
I actually I'm only getting this from my pay the
feedback from the patients because they're saying, the first person
that's treating me whole body, well, I can't help but
treat your whole body. Because when your head is forward
from age five.

Speaker 4 (15:06):
It is whole body.

Speaker 2 (15:07):
So we need to we need to work that.

Speaker 3 (15:09):
So the responsibility of posture is something I can't do
for you, but the responsibility of what we do for
you in muscle measure for your jaw and and and
the adjustments of that.

Speaker 4 (15:22):
That's what we do.

Speaker 3 (15:24):
And that's critical because as you get better, your muscles
change and they come from dysfunction to function.

Speaker 4 (15:31):
So people with swallow dysfages.

Speaker 3 (15:33):
People with pain in their joints and face, that all
goes away.

Speaker 1 (15:37):
Yeah, as somebody as that, I consider myself be kind
of a visual learner. I like seeing examples those type
of things. One of the things that really impressed me
as well and getting a chance to visit the clinic
in Middleton was was seeing you You've got really really
for people that are wondering like kind of documentation and
and and want to see firsthand what's going on. You
do a really good job doctor of presenting that and

(16:00):
both both explaining it but also really nice visual aids
that really show people the success and what.

Speaker 2 (16:06):
You're able to do. At the TMJ Sleep Center.

Speaker 3 (16:08):
Well, we're all about measure and there's nothing better than
my picture's worth a thousand words. So when we take
our before and after pictures, and I might include the
X rays of course, you'll see decided differences in befores
and afters, and you know, it's just amazing. It's not
amazing anymore to me, but it's amazing to people to say, Wow,

(16:29):
look what I used to look like.

Speaker 4 (16:30):
Look how I feel.

Speaker 3 (16:31):
But they feel better because if your head is now
over your spine, you're not carrying a twenty thirty pound
bowling ball all day when you stand up and go
through life, whatever you do in life, because now that
bowling ball is reduced to twelve over your spine, and
that gives you the energy you need. It also helps
your mental Outlook.

Speaker 1 (16:49):
Do you hear from doctors and other parts of the
country that are asking what you're doing?

Speaker 2 (16:54):
Doctor? I mean, as we talk about this stuff is
I've got to.

Speaker 1 (16:57):
Guess that people are. You know, we talk about the
results and talk about what you're doing, your phone's got
to be ringing, not just patients wanting to get in,
but doctors wanting to learn about what you are doing.

Speaker 2 (17:08):
Here in Madison and out in Middleton.

Speaker 4 (17:10):
At the colin well there is there.

Speaker 3 (17:11):
There are schools of thought, of course, and then the
clinician is free to do whatever they want.

Speaker 4 (17:17):
And that's fine and dandy.

Speaker 3 (17:19):
I just know that over the last thirty five years,
what I do and how we script it works. Okay,
And my job before I even have this patient accept
treatment is to tell them exactly why it works and
how we do it, and then they can decide for
themselves if this is a viable option for them to
be at our office.

Speaker 2 (17:36):
And it's a great opportunity.

Speaker 1 (17:37):
As you talk about that consultation, that care consult that conversation,
it's not going to cost you anything. All I got
to do is head on over to the website tmjpaincenter
dot com. That's all one where tmjpaincenter dot com. You
are somebody special in your life. I've hear some of
the stuff is really resonating with you. It's a great
day to do that cure consult e would be saying,
you know what I'm feeling, fine, guess why. You may

(17:57):
be surprised, And again he may be one of those
you going doctor Paul will say, you're perfect, You're doing fantastic.
I keep doing what you're doing and thanks for taking
time to stop it. I was going to ask you
before we wrap up this week, Doctor's a little bit
about you For folks that don't know, of course, you practice.
You've got your clinic right out in Middleton, right on
Century Avenue. Let's talk a little bit about your background.
What led you to opening the TMJ Sleep Center.

Speaker 3 (18:21):
Well, it was a combination of things. But my first
lecture ever on TMJ occurred well more than thirty five
years ago when I was out of school, and it
was a very prominent clinician. His name I can mention
him since he's not any around anymore, doctor Harold Gelp,
and he had a clinic in New York City. I
believe his son has that clinic now anyway. And there

(18:43):
was another guy that again deceased, doctor Robert Ricketts from
Pacific Palisades. So I hear I am expecting to look
at tm joints and they didn't show that. They showed spines.

Speaker 4 (18:55):
I kid you not.

Speaker 3 (18:56):
I almost walked out because I was like, what are
they doing? And when the bytes changed, it made a
significant impact on posture, which again kind of blew my
mind because how does one relate to the other, which
people even now today unfortunately need need to be It
needs to be explained and illustrated. But it came away

(19:16):
from that lecture with more questions and and and not
enough answers, which led me to my journey, and I
just find myself now being more of a mentor to
some physicians and not physicians so much, but dentists and
uh pts, possibly in Cairo's and of course patients when

(19:37):
we have our podcasts, and so I decided to leave
those nine podcasts on the website are pretty much a legacy.

Speaker 4 (19:43):
Of what we're about.

Speaker 3 (19:46):
And when we made that public, the phones went a
little crazy, and we've got people from all over the
United States that said, I've never heard this before, and
I want to and I want to come.

Speaker 4 (19:58):
So it's been very nice.

Speaker 1 (20:01):
We're very lucky to have you, and it's a great
opportunity for folks that want to do that consultation.

Speaker 2 (20:05):
That cure consul is great day to do that.

Speaker 1 (20:07):
If you head on over the website Tmjpaincenter dot com
that's Tmjpaincenter dot com, you can listen back to those podcasts.
You can also learn about the different treatments that they
offer at the TMJ and Sleep Center as well. Again
the website Tmjpaincenter dot com. Schedule that consultation. Do that
right online from the website there telephone number six oh

(20:27):
eight eight three three zero eight sixty five. That's eight
three three zero eight sixty five, of course, located right
on Century Avenue in Middleton. Again that website, TMJ Paincenter
dot com. Doctor Paul, thank you so much for joining
us this morning. You enjoyed this beautiful day.

Speaker 4 (20:41):
You're welcome you too, Thank you.

Speaker 2 (20:43):
News comes your way next right here on thirteen ten.
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