All About Temporomandibular Joint Dysfunction (TMD)

 
With appropriate physiotherapy most patients will see a significant improvement in their symptoms within 3 to 6 weeks.
— Physiopedia
 
 

This week we are exploring the temporomandibular joint (TMJ) and associated dysfunctions. The temporomandibular joint, also known as the jaw joint, is a hinge-type joint involving various structures and muscles. As a clinic that specializes in working with TMJ cases, we will go over some common trends with these cases.

A lot of the times with TMJ dysfunctions, pain is the primary symptom. Often the pain is right along the jaw joint line, which can sometimes be mistaken as an intense earache. The pain could occur along the masseter muscle, which is an important muscle for moving the jaw. There can also be pain along the temporalis muscle, which runs along the side of your head and can lead to headaches. In our blog last week, we went over headaches, and TMJ dysfunction can be a cause of secondary headaches.

Other common symptoms of TMJ dysfunction include pain/discomfort along the jaw, ear, face, and cervical spine. Clicking, popping, difficulties chewing, and locking can be common symptoms as well and ringing in the ears (tinnitus) may also occur. Numbness and tingling can also occur along the face.

The cause of TMJ dysfunction can be from motor vehicle accidents, impact to the head, grinding/clenching teeth, arthritis, or anatomical abnormalities. In some cases it can often be difficult to label a clear cause, but we still identify the structures that are causing symptoms.

When coming in for treatment, you will be provided with a detailed assessment in which we obtain relevant information about your symptoms, along with an objective exam to determine a direction of treatment. During treatment we always provide clients with education, self-management techniques, exercise, manual therapy, and acupuncture when indicated.

Common exercises include controlled opening and self-myofascial release. Controlled opening is a great exercise to correct joint mechanics especially if you note stiffness or clicking/popping. To perform this exercise, place the tip of your tongue to the roof of your mouth behind your teeth and then open your mouth as wide as you can. Try this for 10 repetitions and hold it for a few seconds and do this every few hours if possible. Self-myofascial release can help take care of pain symptoms along with headaches, and you can do this by pressing into areas that are painful and wait for it to release, or by using both hands to stretch the muscles along the jaw and head to help relieve your symptoms.

We work with a number of TMJ specialists, orthodontists, dentists and physicians, so if you have any TMJ dysfunction we would be more than happy to help you out. Give us a shout or send us an email, we can help!