If you are experiencing pain or tenderness in your jaw or if your jaw is making a popping or clicking sound, you may have TMJ. If you want to get relief from TMJ pain, TMJ adjustments and specific soft tissue work will help ease the pain and help you loosen up your jaw muscles.
WHAT IS TMJ?
Temporomandibular disorder (TMD), more commonly known as TMJ is a blanket term for acute or chronic inflammation of the temporomandibular joint (which is what connects your mandible to your skull). TMJ is a commonly used term that refers to a wide variety of conditions that affect temporomandibular joints, jaw muscles, and facial nerves.
Your jaw joint, also known as the TM joint, connects the lower jaw bone (mandible) to the temporal bones of the skull on each side of the head. The muscles controlling the joints are attached to the mandible and allow the jaw to move.
The TM joint works in two different ways. the first functions as a hinge to open and close your mouth. The second function is a sliding motion called translation, where your lower jaw moves down and forward. This motion helps the TM joint to move backward and forward and from side to side to help making tasks like chewing, singing, and yawning possible.
When you open your mouth, the rounded upper ends of the mandible on each side of the jaw glide along the joint socket at the base of the skull. When you close your mouth they slide back to their original position. When those rounded upper ends of the mandible slide back into place as you close your mouth, you may hear a pop or a click. This popping or clicking sound is representative of TMJ.
The causes of TMJ include direct injury or trauma to the jaw, teeth grinding, nail-biting, degenerative joint diseases like arthritis, infections, and autoimmune diseases. TMJ is a very common problem, especially among the young population.
Many people believe that they only have to deal with TMJ pain and that’s not at all true! Many patients with TMJ come into our office for a chiropractic TMJ adjustment along with an upper cervical adjustment and many patients also choose to do a series of NCR (Neuro-Cranial Restructuring). Many patients experience a level of immediate relief of which improves and release TMJ pain on a permanent basis with continued care and ongoing self-care.
TMJ has a wide range of symptoms including:
- ear pain
- headaches
- neck pain
- jaw pain or soreness
- jaw pain when biting or chewing
- difficulty opening and closing the mouth
- popping or clicking noises when opening the mouth
- jaw stiffness
- tinnitus
- dizziness
- sensitive teeth when no other dental problems can be found
If you’re experiencing any of these symptoms, you may be experiencing TMJ and we can help!
CHIROPRACTIC TMJ ADJUSTMENT
When you visit us with jaw pain we’ll focus on these key muscles:
- the masseter
- the temporalis
- pterygoids
- suboccipital
The doctor and massage therapist will focus on the treatment of the the jaw joint itself and the top 2 vertebrae because they greatly impact the jaw joint and we want to make sure everything is aligned properly. The skull and sutures may also be involved and NCR and massage can also benefit releasing the muscles resulting in lessening and alleviating pain.
Your masseter is a thick, deep muscle in the upper jaw area that exists to allow us to chew our food. If you put your hand on your cheek and open and close your mouth you can feel your masseter.
Your temporalis is a thinner, clam-shaped muscle on each side of the head. This muscle is crucial for chewing and covers a broader area than the masseter including the area around your temples.
In order to work on the masseter, place two fingers flat against your jaw. Press inward with flat fingers and then up to put pressure on your masseter and then open and close your mouth. From there, you can move up to the next part of the masseter and continue to do a total of 3 repetitions to complete 1 set of this exercise. If you’re currently experiencing jaw pain, we recommend doing 3 sets of this exercise 3 times per day.
This same exercise can be applied to the temporalis as well. When working on the temporalis you’ll want to use all 4 finger pads. Use the same movement and pressure as you did in the masseter exercise but remember, the temporalis will require less pressure than the masseter because it is a thinner muscle. We recommend doing 3 sets of this exercise on your temporalis 3 times per day for TMJ jaw pain relief.
Doing soft tissue work on the pterygoid is more complicated to do yourself so you’ll want to consult a Chiropractor and Certified Neuromuscular Therapist for this. The pterygoid release requires leverage against the cheek between your cheek and your teeth. This is typically the most uncomfortable soft tissue to work on because it’s rarely as strong as your masseter or temporalis.
Once we’ve completed soft tissue work for jaw pain we move on to adjust and assess the jaw in a chiropractic TMJ adjustment. During the TMJ adjustment, your chiropractor will feel for which side of the jaw joint opens the least amount and which one opens last to identify which side should be worked on first. We adjust the stuck side of the jaw first and then the other side with a light push motion. After this adjustment, we reassess and often find that the jaw joint is realigned. If the jaw is very tight, TMJ treatment can be combined with laser treatment to speed up the healing process of the tissue.
We treat many patients who have TMJ and the jaw pain that comes along with it. Do you suffer from TMJ? If so, Arrandt Healthcare is here to help!