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Managing Stress for Sleep Apnea & TMJ Disorder Relief
The interplay between stress and health is complex and indisputable. Elevated stress levels can negatively impact various aspects of physical and mental well-being, including sleep quality and the management of chronic pain conditions like temporomandibular joint (TMJ) disorders. While stress is not the root cause of sleep apnea and TMJ disorders, managing stress can be an effective approach to control symptoms and enhance the outcome of more traditional treatment methods.
In this blog post, we will explore the connections between stress, sleep apnea, and TMJ disorders, and discuss practical stress management techniques that can improve overall health and well-being in individuals affected by these conditions. Incorporating effective stress management strategies into your daily routine can help alleviate symptoms, promote relaxation, and improve sleep quality, ultimately offering a more comprehensive approach to managing sleep apnea and TMJ disorders.
Sleep apnea is a sleep disorder characterized by recurrent pauses in breathing during sleep, often resulting in disrupted sleep patterns and reduced oxygen levels, which can contribute to fatigue, cognitive difficulties, and other health complications if left untreated. TMJ disorders involve conditions affecting the temporomandibular joint, the hinge connecting the lower jaw to the skull, which can cause pain, discomfort, and reduced jaw function.
At Columbia Center for Sleep Apnea and TMJ, we recognize that a multidimensional approach to treating sleep apnea and TMJ disorders must address the role of stress in symptom management. Dr. Jared Bloxham is committed to providing personalized care that incorporates stress management techniques in concert with other treatment strategies, empowering our patients to take control of their health and experience long-lasting relief from symptoms.
1. The Connection Between Stress and Sleep Apnea
Stress can negatively impact sleep quality and exacerbate sleep apnea symptoms through a variety of mechanisms. When the body is under stress, it releases stress hormones, such as cortisol, which can interfere with the body's ability to fall and stay asleep. Poor sleep quality and sleep deprivation can further exacerbate stress levels, creating a vicious cycle. Additionally, stress can lead to an increased likelihood of developing unhealthy habits, like smoking or excessive alcohol consumption, that can worsen sleep apnea symptoms. Recognizing the connection between stress and sleep apnea is the first step in implementing effective stress management strategies, ultimately supporting the management and treatment of this sleep disorder.
2. How Stress Can Exacerbate TMJ Disorder Symptoms
Stress can play a significant role in the severity and chronicity of TMJ disorders, as it contributes to muscle tension and inflammation, which in turn can exacerbate pain and discomfort. When stress levels rise, the muscles in the jaw may tense and clench involuntarily, placing added strain on the temporomandibular joint. Moreover, elevated stress levels can lead to a decreased pain threshold, making TMJ disorder symptoms feel more severe than they may be under less stressful circumstances. Incorporating stress reduction techniques into a comprehensive treatment plan can help decrease muscle tension, reduce inflammation, and ultimately provide relief from TMJ disorder symptoms.
3. Practical Stress Management Techniques for Sleep Apnea and TMJ Disorders
Implementing effective stress management techniques can be transformative for individuals struggling with sleep apnea and TMJ disorders. The following strategies can provide relief from stress, improve sleep quality, and help control symptoms associated with these conditions:
- Exercise regularly: Regular physical activity helps release endorphins, reduce stress, and improve sleep quality. Aim for at least 150 minutes of moderate aerobic exercise or 75 minutes of vigorous aerobic exercise per week, along with muscle-strengthening activities on two or more days per week.
- Prioritize relaxation techniques: Engage in daily relaxation practices, such as deep breathing exercises, progressive muscle relaxation, or meditation. These techniques can help calm the mind, reduce muscle tension, and promote relaxation, supporting sleep quality and TMJ disorder symptom management.
- Establish a consistent sleep schedule: Creating a consistent sleep-wake schedule and adhering to it, even on weekends, can help regulate your body's internal clock and improve sleep quality.
- Create a calming sleep environment: Make your bedroom a relaxing space by limiting noise, reducing light exposure, and using comfortable bedding.
- Limit screen time before bed: Exposure to the blue light emitted by smartphones, tablets, and computer screens can interfere with the body's production of melatonin, a hormone that helps regulate sleep. Try to limit screen exposure during the hours leading up to bedtime.
4. Seeking Professional Support for Stress Management
Sometimes, managing stress on your own can feel overwhelming and may not be sufficient to provide the relief needed. In these cases, seeking professional support can be an essential component of treating sleep apnea and TMJ disorders effectively. Potential sources of professional assistance include:
- Psychotherapy: A trained therapist can help you develop personalized stress management strategies, teach you coping mechanisms, and provide guidance in identifying and resolving the root causes of stress.
- Biofeedback: This technique involves using specialized equipment to monitor physiological responses to stress, helping you develop greater control over these reactions. Biofeedback can be especially helpful in managing muscle tension associated with TMJ disorders.
- Acupuncture: Acupuncture is a complementary therapy that may help relieve stress and muscle tension, potentially offering benefits for individuals with sleep apnea and TMJ disorders.
- Support groups: Connecting with others who experience similar conditions can provide emotional support and practical advice regarding stress management and symptom relief.
Conclusion
Incorporating stress management techniques into a comprehensive treatment plan for sleep apnea and TMJ disorders can offer transformative benefits for individuals struggling with these conditions. By combining practical stress reduction strategies with the expert care provided at Columbia Center for Sleep Apnea and TMJ, patients can experience lasting relief from symptoms, improved sleep quality, and greater overall well-being.
Begin your journey towards comprehensive symptom relief and a more balanced, stress-free life by scheduling an appointment with Dr. Bloxham at Columbia Center for Sleep Apnea and TMJ. Contact us today to discover our holistic approach to
sleep apnea solutions in Richland.
Struggling with CPAP? Discover a Simpler, More Comfortable Solution. If you’ve been diagnosed with sleep apnea or another sleep related breathing disorder and find CPAP machines uncomfortable or difficult to use, you may be wondering if there’s another option. An oral appliance for sleep apnea offers a non-invasive, effective alternative to help you breathe better and sleep deeper. At Columbia Center for Sleep Apnea & TMJ , we specialize in customized oral appliances that provide relief without the hassle of a CPAP mask. What is an Oral Appliance for Sleep Apnea? An oral appliance is a small, custom-fabricated device worn in the mouth during sleep. It repositions the lower jaw and tongue to keep the airway open , preventing obstructions that cause snoring and breathing interruptions. This alternative treatment is ideal for patients with mild to moderate obstructive sleep apnea (OSA) or those who cannot tolerate CPAP therapy. Benefits of Oral Appliance Therapy 🔹 Comfortable & Easy to Use: No bulky masks or noisy machines. 🔹 Custom-Fit for Maximum Effectiveness: Designed to fit your mouth perfectly for optimal results. 🔹 Portable & Convenient: Travel-friendly and easy to maintain. 🔹 Improves Sleep Quality: Reduces snoring, breathing pauses, and daytime fatigue. 🔹 Non-Invasive Treatment: No surgery or complex equipment required. Who Can Benefit from an Oral Appliance for Sleep Apnea? You may be a good candidate if: ✔ You have been diagnosed with mild to moderate sleep apnea ✔ You struggle with CPAP intolerance ✔ You experience loud snoring and frequent awakenings ✔ You want a simple, effective, and travel-friendly treatment option Why Choose Columbia Center for Sleep Apnea & TMJ? Our clinic specializes in custom-fitted oral appliances that are designed for maximum comfort and effectiveness. We work closely with sleep specialists to ensure you receive the best possible care. Our goal is to help you achieve restful, uninterrupted sleep without the struggles of traditional CPAP therapy. Take the Next Step Toward Better Sleep If you’re looking for an oral appliance for sleep apnea in Richland, Kennewick, Pasco, or surrounding areas , we can help. Schedule a consultation today at Columbia Center for Sleep Apnea & TMJ to see if an oral appliance is the right solution for you. 📍 Serving Richland, Kennewick, Pasco & Eastern WA | 🌐 www.columbiatmjandpain.com | 📞 509-581-4456
Waking Up with Jaw Pain or Headaches? You May Be Grinding Your Teeth at Night . Teeth grinding, also known as bruxism, is a common issue that affects many adults, often without them realizing it. If you experience jaw pain, morning headaches, or worn-down teeth , you may be looking for solutions on how to stop grinding teeth at night . However, what many people don’t know is that bruxism is often linked to underlying sleep-related breathing disorders , including sleep apnea . At Columbia Center for Sleep Apnea & TMJ , we specialize in identifying the root causes of teeth grinding and providing targeted treatment for long-term relief. Why Do People Grind Their Teeth at Night? While stress and anxiety are common contributors, many cases of nighttime teeth grinding are caused by disruptions in breathing during sleep . If your airway is partially blocked, your body may respond by clenching the jaw and grinding teeth to reopen the airway. This is why bruxism is frequently seen in individuals with obstructive sleep apnea (OSA) and other sleep-related breathing disorders. Signs That Your Teeth Grinding May Be Sleep-Related Not sure if your bruxism is tied to a deeper issue? Here are some indicators: 🔹 Waking up with a sore jaw, headaches, or facial pain 🔹 Clicking or popping sounds in the jaw (TMJ disorder) 🔹 Tooth sensitivity or visible enamel wear 🔹 Disturbed sleep, frequent awakenings, or feeling unrested in the morning 🔹 Loud snoring or gasping for air during sleep (common in sleep apnea patients) 🔹 Neck and shoulder pain from prolonged jaw tension How to Stop Grinding Teeth at Night If you’re suffering from nighttime teeth grinding, the best approach is to address both the symptoms and underlying causes . Here’s what can help: ✔ Oral Appliance Therapy : Custom night guards, orthotics or mandibular advancement devices help protect teeth and improve airway function. ✔ Sleep Apnea Screening : Identifying and treating sleep apnea can reduce bruxism significantly. ✔ TMJ Treatment : Relieving jaw tension through specialized therapies. ✔ Stress Management : Relaxation techniques and lifestyle changes to reduce jaw clenching. ✔ Proper Sleep Positioning : Adjustments to keep your airway open and prevent grinding. Find Relief with Columbia Center for Sleep Apnea & TMJ At Columbia Center for Sleep Apnea & TMJ , we take a comprehensive approach to treating teeth grinding by addressing both jaw-related issues and sleep-disordered breathing . If you’re looking for effective solutions on how to stop grinding teeth at night in Richland, Kennewick, Pasco , or surrounding areas , our expert team is here to help. Don’t let teeth grinding disrupt your sleep and health— schedule a consultation today to uncover the root cause and find lasting relief. 📍 Serving Richland, Kennewick, Pasco & Eastern WA | 🌐 www.columbiatmjandpain.com | 📞 509-581-4456
Struggling with Poor Sleep, Fatigue, or Snoring? It Could Be Sleep Apnea. Sleep apnea is a serious sleep disorder that affects millions of adults, often without them realizing it. If you wake up feeling exhausted, experience frequent headaches, or have been told you snore loudly, these could be key sleep apnea symptoms in adults. At Columbia Center for Sleep Apnea & TMJ, we specialize in treating sleep apnea with an alternative to CPAP therapy, by using Oral Sleep Appliance Therapy, to help you regain restful, healthy sleep. Common Sleep Apnea Symptoms in Adults Many people dismiss the signs of sleep apnea as simple tiredness or stress, but untreated sleep apnea can have serious health consequences. Here are some of the most common symptoms: 🔹 Loud, Persistent Snoring: Snoring, especially with pauses or gasping, is a primary indicator of sleep apnea. 🔹 Excessive Daytime Fatigue: Even after a full night’s rest, you may feel exhausted throughout the day. 🔹 Morning Headaches: Frequent headaches upon waking can signal poor oxygen flow during sleep. 🔹 Waking Up Gasping or Choking: A major red flag for obstructive sleep apnea. 🔹 Difficulty Concentrating: Memory problems, brain fog, and difficulty focusing are common effects of sleep deprivation. 🔹 Irritability or Mood Swings: Sleep apnea can contribute to anxiety, depression, and mood instability. 🔹 Dry Mouth or Sore Throat in the Morning: A sign that your airway is being blocked during sleep. 🔹 High Blood Pressure: Sleep apnea is linked to cardiovascular issues, including hypertension. Who is at Risk for Sleep Apnea? While sleep apnea can affect anyone, some factors may increase your risk: ✔ Being overweight or having a larger neck circumference ✔ Family history of sleep apnea ✔ Chronic nasal congestion or sinus issues ✔ Smoking and alcohol consumption ✔ Age (more common in adults over 40) ✔ Gender (men are at higher risk, though women can also develop sleep apnea) Why Treatment is Essential Untreated sleep apnea doesn’t just cause fatigue—it can increase the risk of heart disease, stroke, diabetes, and other serious health conditions. If you recognize sleep apnea symptoms in adults, seeking treatment is crucial for improving your overall health and quality of life. How Columbia Center for Sleep Apnea & TMJ Can Help At Columbia Center for Sleep Apnea & TMJ, we offer comprehensive sleep apnea evaluations and non-invasive treatment options, including: 🔹 Oral Appliance Therapy: A comfortable alternative to CPAP that repositions the jaw to keep your airway open. 🔹 Sleep Studies & Diagnosis: Working with sleep specialists to determine the severity of your condition. 🔹 Lifestyle & Sleep Coaching: Helping you implement changes to improve sleep quality. Take the First Step Toward Better Sleep If you’re experiencing sleep apnea symptoms in adults and live in Richland, Kennewick, Pasco, or surrounding areas, don’t wait to get help. Schedule a consultation today with Columbia Center for Sleep Apnea & TMJ and start your journey to better sleep and better health. 📍 Serving Richland, Kennewick, Pasco & Eastern WA | 🌐 www.columbiatmjandpain.com | 📞 509-581-4456
Are You Experiencing Jaw Pain, Headaches, or Clicking Sounds? If you've been dealing with jaw discomfort, chronic headaches, or difficulty chewing, you may be showing signs of a TMJ disorder. Many people in Richland, Kennewick, Pasco, and surrounding areas suffer from TMJ issues without realizing the source of their pain. At Columbia Center for Sleep Apnea & TMJ, we specialize in diagnosing and treating TMJ disorders to help you find lasting relief. Common Signs of TMJ Disorder TMJ/TMD (Temporomandibular Joint Dysfunction) can cause a variety of symptoms that impact daily life, including: 🔹 Jaw Pain or Tenderness: Discomfort in the jaw, face, or around the ears. 🔹 Clicking, Popping, or Locking Jaw: Sounds or sensations when opening and closing your mouth. 🔹 Frequent Headaches or Migraines: TMJ dysfunction can contribute to tension headaches. 🔹 Ear Pain or Ringing (Tinnitus): TMJ issues can cause earaches or a feeling of fullness in the ears. 🔹 Difficulty Chewing or Biting: Pain or discomfort while eating. 🔹 Facial Fatigue or Muscle Soreness: Stiffness or tiredness in the facial muscles. 🔹 Neck and Shoulder Pain: TMJ issues can extend beyond the jaw, affecting surrounding muscles. What Causes TMJ Disorder? Several factors can contribute to TMJ dysfunction, including: ✔ Teeth grinding or clenching (bruxism) ✔ Stress-related jaw tension ✔ Arthritis or joint inflammation ✔ Jaw misalignment or injury ✔ Sleep apnea and airway issues How Columbia Center for Sleep Apnea & TMJ Can Help If you’re experiencing signs of TMJ disorder, seeking professional care is essential to prevent further discomfort. Our clinic provides specialized, non-invasive treatment options, including: 🔹 Custom Oral Appliances: Designed to reduce strain on the jaw and prevent teeth grinding. 🔹 TMJ Therapy & Myofascial Pain Treatments: Targeted solutions to relieve muscle tension and inflammation. 🔹 Sleep Apnea Evaluations & Treatment: Addressing airway issues that may contribute to TMJ pain. Find Relief from TMJ Disorder Today You don’t have to live with jaw pain and discomfort. If you're in Richland, Kennewick, Pasco, or surrounding areas, the expert team at Columbia Center for Sleep Apnea & TMJ is here to help. Schedule a consultation today and take the first step toward relief. 📍 Serving Richland, Kennewick, Pasco & Eastern WA | 🌐 www.columbiatmjandpain.com | 📞 (509) 581-4456
Are Chronic Headaches and Jaw Pain Disrupting Your Life? If you’re experiencing persistent headaches and jaw pain , you’re not alone. Many individuals in Richland, Kennewick, Pasco, and surrounding areas struggle with these symptoms without realizing they may be linked. Chronic headaches and jaw pain often stem from TMJ disorders, teeth grinding (bruxism), or even sleep apnea. At Columbia Center for Sleep Apnea & TMJ , we specialize in diagnosing and treating these conditions to help you find long-lasting relief. What Causes Chronic Headaches and Jaw Pain? Several underlying issues can contribute to ongoing headaches and jaw discomfort , including: 🔹 TMJ Disorder (TMD) : The temporomandibular joint (TMJ) is responsible for jaw movement, and dysfunction in this joint can cause pain, stiffness, and headaches . 🔹 Teeth Grinding & Clenching (Bruxism) : Many people grind their teeth at night, leading to jaw tension, facial pain, and morning headaches. 🔹 Sleep Apnea : Interrupted breathing during sleep can strain the jaw and facial muscles, resulting in tension headaches and jaw pain. 🔹 Muscle Tension & Stress : Chronic stress can lead to jaw clenching and tightness, triggering headaches and discomfort. 🔹 Bite Misalignment : Poor alignment of the teeth and jaw can contribute to uneven pressure and chronic pain . Symptoms of TMJ-Related Headaches and Jaw Pain If you’re unsure whether your headaches and jaw pain are connected, watch for these common symptoms: ✔ Persistent, tension-like headaches or migraines ✔ Jaw pain, clicking, or popping sounds ✔ Facial pain or tightness ✔ Earaches or ringing in the ears (tinnitus) ✔ Neck and shoulder discomfort ✔ Difficulty chewing or opening the mouth fully If these symptoms sound familiar, visiting a headache and TMJ specialist near you can help pinpoint the root cause. How Columbia Center for Sleep Apnea & TMJ Can Help At Columbia Center for Sleep Apnea & TMJ , we offer non-invasive, specialized treatments to relieve chronic headaches and jaw pain: 🔹 Custom Oral Appliances : Designed to relieve pressure on the TMJ and reduce teeth grinding. 🔹 TMJ Therapy & Myofascial Pain Treatments : Targeted therapies to alleviate muscle tension and inflammation. 🔹 Sleep Apnea Evaluations & Treatment : Ensuring proper airway function to prevent jaw strain and associated headaches. Find Lasting Relief from Headaches and Jaw Pain Don’t let chronic headaches and jaw pain control your life. If you’re in Richland, Kennewick, Pasco, or nearby areas, Columbia Center for Sleep Apnea & TMJ is here to help. Schedule a consultation today and start your journey to pain-free living. 📍 Serving Richland, Kennewick, Pasco & Eastern WA | 🌐 www.columbiatmjandpain.com | 📞 509-581-4456
February is a month dedicated to love—and that includes self-love. Taking care of your health is one of the most impactful ways to show yourself you care. Stress, pain, and sleep issues can take a toll on your overall well-being. Whether you’re dealing with jaw discomfort, frequent headaches, or restless nights, self-care means seeking the help you need to feel your best. At Columbia Center for Sleep Apnea & TMJ, we offer comprehensive treatments to help you reclaim your health. From managing TMJ pain to improving sleep quality, our team is here to support you every step of the way. Easy Self-Care Practices: Schedule regular health check-ins. Practice mindfulness and relaxation techniques. Don’t ignore symptoms like snoring or jaw pain—address them promptly. Make self-care a priority this February. Contact us to learn how we can help you achieve better health and comfort.
Persistent headaches can disrupt your daily life, making it hard to focus and enjoy activities. Did you know that sleep disorders and TMJ issues can have connections to headaches? Many people suffer from tension headaches or migraines without realizing their origins may lie in sleep disorders or jaw dysfunction. Poor sleep quality, jaw clenching, or misaligned bite can strain your muscles and lead to chronic pain. At Columbia Center for Sleep Apnea & TMJ, we take a holistic approach to headache management. By addressing possible underlying causes, we help patients find relief. Steps to Manage Headaches: Maintain a regular sleep schedule. Use relaxation techniques to reduce stress. Seek professional care for persistent pain. Ready to tackle your headaches once and for all? Schedule an evaluation with our team and find relief today.
Do you often experience jaw pain or tension headaches? These could be signs of a temporomandibular joint (TMJ) disorder. This February, prioritize your well-being by addressing the discomfort that’s been holding you back. TMJ disorders can cause a range of symptoms, including jaw clicking, difficulty chewing, and even ear pain. Left untreated, these issues can worsen over time and make it difficult to fully enjoy life. At Columbia Center for Sleep Apnea & TMJ, we specialize in diagnosing and treating TMJ disorders. Our customized treatment plans may include oral splints, physical therapy, and stress-reduction techniques to relieve tension and restore comfort. Home Care Tips for TMJ Relief: Avoid hard or chewy foods. Practice gentle jaw exercises to improve flexibility. Apply heat or ice packs to ease soreness. Don’t let TMJ pain hold you back. Contact us today to learn about your personalized treatment options and see how Dr. Jared Bloxham and team can help you, become you again.
This Valentine’s Day, skip the chocolates and flowers—give yourself, and your partner, the gift of restful, rejuvenating sleep. A good night’s sleep isn’t just a luxury; it’s essential for your health, happiness, and relationships. When you’re well-rested, your body and mind function at their best. Sleep helps regulate mood, improves focus, and even strengthens your immune system. Unfortunately, conditions like sleep apnea can disrupt your rest, leaving you feeling tired and irritable. Chronic poor sleep can strain not only your health but also your personal connections. At Columbia Center for Sleep Apnea & TMJ, we understand the importance of quality sleep. Our personalized treatments, including CPAP alternative oral appliance therapy, can help you wake up refreshed and ready to enjoy life. Simple Tips to Love Your Sleep: Stick to a consistent bedtime. Limit screen time and caffeine before bed. Create a cozy, distraction-free sleep environment. Show yourself some love this February. Schedule a consultation today and take the first step toward better sleep.
Waking Up with Jaw Pain? Here’s What It Could Mean: If you’ve ever asked yourself, “Why does my jaw hurt when I wake up?”, you’re not alone. Many people in Richland, Kennewick, Pasco, and surrounding areas wake up with jaw discomfort, facial tension, or headaches without knowing the cause. Morning jaw pain can be more than just an inconvenience—it may be a sign of an underlying issue like TMJ disorder, teeth grinding (bruxism), sleep related breathing disorder, or sleep apnea. At Columbia Center for Sleep Apnea & TMJ, we specialize in getting to and treating the root causes of morning jaw pain to help you wake up feeling refreshed and pain-free. Common Causes of Morning Jaw Pain Several factors can contribute to jaw pain upon waking, including: 🔹 Teeth Grinding & Clenching (Bruxism): Many people grind or clench their teeth unconsciously during sleep, leading to muscle tension and jaw pain. 🔹 TMJ Disorder (TMD): Dysfunction in the temporomandibular joint (TMJ) can cause stiffness, discomfort, and clicking in the jaw. 🔹 Sleep Apnea & other sleep related breathing disorders: When the airway is blocked during sleep, the jaw may shift forward in an attempt to keep airways open, leading to strain on the TMJ. 🔹 Misaligned Bite: Poor alignment of the teeth and jaw can lead to uneven pressure and morning discomfort. 🔹 Stress & Muscle Tension: High stress levels can contribute to unconscious clenching and increased jaw tightness overnight. Signs Your Jaw Pain May Be a TMJ Disorder If your jaw pain is persistent, it may be linked to TMJ dysfunction, which can cause: ✔ Jaw clicking or popping ✔ Headaches or migraines, especially in the morning ✔ Facial pain or tension ✔ Difficulty opening or closing your mouth ✔ Earaches or ringing in the ears If you experience these symptoms, seeking treatment from a TMJ specialist near you is the best way to find relief. How Columbia Center for Sleep Apnea & TMJ Can Help At Columbia Center for Sleep Apnea & TMJ, we provide customized, non-invasive treatments to relieve morning jaw pain and improve your quality of life. Our services include: 🔹 Custom Oral Appliances: Designed to support proper jaw positioning. 🔹 TMJ Therapy & Myofascial Pain Treatments: Targeted treatments to reduce muscle tension and inflammation. 🔹 Sleep Apnea Evaluations & Treatment: Ensuring your airway remains open for better sleep and reduced strain on the jaw. Find Relief from Morning Jaw Pain Today You don’t have to live with chronic morning jaw pain. If you’re in Richland, Kennewick, Pasco, or surrounding areas, Columbia Center for Sleep Apnea & TMJ is here to help. Schedule a consultation today and take the first step toward a pain-free morning. 📍 Serving Richland, Kennewick, Pasco & Eastern WA 🌐 www.columbiatmjandpain.com 📞 509-581-4456
CONTACT
1363 Columbia Park Trail, Suite 101,
Richland, WA 99352
info@columbiatmjandpain.com
(509) 578-5774
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Friday: 8 AM – 12 PM
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