Medical Practice · TMJ & Orofacial Pain
Evaluation and personalized management of chronic neuropathic (nerve) pain affecting the face and jaw.

Neuropathic pain is a complex, chronic condition caused by damage or disease affecting the network of neural structures responsible for the conscious perception of touch, pain, temperature, pressure, and body position. Rather than signaling a physical injury, damaged nerves send abnormal pain signals to the brain. Patients often describe neuropathic pain as burning, shooting, stabbing, or a persistent "pins and needles" sensation. Because the condition originates within the nervous system itself, it can be difficult to manage with traditional pain medications. Neuropathy may develop from a wide range of medical conditions and underlying factors, including: • Metabolic diseases: diabetes is the leading cause of peripheral neuropathy. • Viral infections: conditions such as shingles (postherpetic neuralgia) and HIV/AIDS. • Nerve compression: herniated discs, carpal tunnel syndrome, and spinal stenosis. • Toxins and deficiencies: chemotherapy, radiation therapy, excessive alcohol use, and severe vitamin deficiencies. • Autoimmune and neurological disorders: multiple sclerosis, Guillain-Barré syndrome, fibromyalgia, and others. • Trauma: facial trauma from surgeries, dental treatment, and physical contact. For Dr. Hsu, treatment begins with understanding the connection between the medical health history and the orofacial complex, including jaw alignment, jaw function, and the musculoskeletal and neurological systems. Every care plan is customized to the individual patient. Dr. Hsu is committed to developing personalized treatment strategies designed to address each patient's unique condition, symptoms, and long-term wellness goals.
Also in tmj & orofacial pain
Comprehensive evaluation and treatment for temporomandibular joint disorders. Most cases are managed without surgery.
Chronic facial pain syndromes: when the cause is dental, when it is not, and how to tell the difference.
Targeted injections to release muscle tension around the jaw, head, and neck.
Platelet-rich fibrin or plasma injections to support healing and tissue regeneration.
A minimally invasive washout of the jaw joint to relieve TMJ pain, locking, and limited opening — optionally enhanced with PRF.
A precision-fitted TMJ orthotic that repositions the jaw to relieve joint and muscle strain from clenching and grinding.
A comprehensive exercise program combining myofunctional therapy, myofascial therapy, and isotonic and isometric exercises for TMJ, facial pain, and sleep-disordered breathing.