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TMJ Dysfunction Treatments Options

October 4, 2010 by drburt

Home Treatments for TMJ Dysfunction

You can perform self-care treatments at home for TMJ dysfunction. Most often, the Temporomandibular joint dysfunction does not develop into a full disorder and the symptoms would disappear after it is able to recover and have enough rest.

Pain medications such as aspirin, ibuprofen or acetaminophen can ease the pain suffered due to TMJ dysfunction. Since chewing can be quite painful for sufferers of TMJ dysfunction, it is advised to eat soft foods during this time.  Apply ice packs on the injured area when the injury is still present. Rest your jaw as this could help in healing your TMJ.

Warm compress application is also advised to be put on the area where you feel pain.  20 minutes after applying the warm compress, you can try home therapy exercises such as opening and closing of the jaw moving from side to side. Repeat this up to 5 times a day at five minutes per session for 2 to 4 weeks. Make sure you don’t open your mouth wide while doing this exercise.

Medical Treatments for TMJ Dysfunction

Conservative medical treatments may also be necessary. The doctor may ask you to perform gentle stretching for the muscles on your jaw. He or She may also require you to perform relaxation exercises.  Stress can be a factor that will affect TMJ treatment thus stress-reduction techniques that manages the stress will help the patient relax his or her jaw alongside with the rest of his or her body.

A bite plate or splint may also be used. This is like a mouth guard that will help in reducing the teeth grinding or clenching especially when the patient sleeps at night. This will also ease the muscle tension on the jaw. However, if using the splint will increase the pain, the patient must stop using it.

If conservative treatments won’t work, a doctor may require you to go a step further and consider some of the invasive techniques to treat TMJ dysfunction.

Cortisone injection can be quite helpful in relieving the pain and inflammation of the jaw. Another procedure that would help in relieving the pain quickly is done at the doctor’s office and under local anesthetics.  The doctor would insert 2 needles in your TMJ for washing. One of the needles would be connected to a syringe that has a cleansing solution and it exits through the other syringe. Sometimes, aside from cleansing agents, the doctor may also inject pain medication this way as well.

If these still won’t work for the patient, surgery may be necessary though this is already considered as the final option. Artificial implants may be used as a replacement to the jaw joints. This is an irreversible method and must be avoided if other options are still available.

Chiropractic treatment for TMJ Dysfunction

This is a protocol that we use in our office: Electrical stimulation is used for 15 minutes on effected side. Deep tissue massage of the masseter muscle bilaterally.  Using rubber gloves on one hand perform a deep tissue massage of internal lateral pterigoid muscle (very painful but very useful and effective procedure). 5 minutes of Erchonia Cold Laser PL 5000 in the painful side of a TMJ.  Upper cervical chiropractic adjustment.

Do take note that most of the cases of TMJ dysfunction cannot be cured as it is most often a cyclic disorder. Modifications in lifestyle and proper treatment could improve the patient’s life without any limitation in function or pain.

Questiom: Was this information helpful? What kind of therapy have you had for your TMJ Dysfunction?

Filed Under: TMJ Tagged With: dysfunction, home treatments, jaws, options, pain medication, self care, tmj, tmj dysfunction, tmj treatments, treatment, treatment options, treatments

Temporomandibular Joint (TMJ) Dysfunction Physiology and Causes

October 1, 2010 by drburt

 

What is TMJ?

temporomandibular jointThe temporomandibular joint, or often called as TMJ, is the joint of the jaw. We have two temporomandibular joints that work in unison, one on the either side of the jaw. It got its name because of the temporal bone and the mandible that forms the joint.

It is the most used joint in our body. It has 6 main components and they are the mandibular condyles, the capsule, the articular surface to the temporal bone, the articular disc, lateral pterygoid and the ligaments.

What is TMJ Dysfunction?

This condition is common and affects over 10 million Americans today. It is affecting the  mastication muscles and the tissue components.  It can be a medical or a dental condition or a collection of conditions.

What are the causes ?

There are different factors that can influence the inflammation of the Temporomandibular joints such as teeth grinding, a direct physical trauma that causes disc derangement, stress, hypermobility of the joint, hypomobility of the joint, osteoarthritis, rheumatoid arthritis and many others.

What are the symptoms ?

Pain on the jaw and facial muscles is one of the first symptoms you would notice when you have TMJ dysfunction. It may even radiate to your neck and shoulders. You may feel this pain when you talk, yawn or chew. The pain is usually felt in front of the ear or on the jaw itself.

Ear pain, headaches, tinnitus and hearing loss may also be a symptom of  Temporomandibular joint dysfunction. This can get confusing as some might think they have an ear infection or ear problem when in fact, the pain is radiated because of TMJ dysfunction.

You may hear a popping, clicking or grating sound when you move the joint. This is caused by an abnormal position of the disc. Others may also hear the popping sound.

Swelling of the mouth or the face can also occur due to inflammation.

Lock jaw whether opened or closed is also a common symptom of TMJ dysfunction.

Teeth may not align properly and no longer touch as you bite on food. Teeth can also start to loosen or get broken or become sensitive.

Swallowing may become difficult because the muscles on the jaw area start to spasm.

You may feel nauseated or have a headache or dizziness.

How is TMJ Dysfunction diagnosed?

A health professional can properly diagnose a dysfunction by beginning with a thorough evaluation of the patient’s medical history. After which the health professional would make a physical examination on the patient to identify the disorder.

A treatment program would then be specified by the health professional according to the severity of the disorder. Treatment programs may include lifestyle modification, techniques for self relaxation, proper education regarding Temporomandibular joint dysfunction, restoration of the jaw’s range of motion, mobilization of the soft tissue, joint mobilizations, nerve stimulation, rehabilitation, etc.

The treatment program would be a per-patient basis. Thus, you may have a different treatment program compared to another patient who is also suffering from TMJ dysfunction. Part 2 is going to be about specific treaments options for this debilitating codition.

Question: Have you or anyone you know had a TMJ Dysfunction ? What kind of treatment otions have you had?

Filed Under: TMJ Tagged With: anatomy, bruxism, causes, dental anatomy, dentistry, dysfunction, hypermobility, jaw, jaws, joint, mandible, medicine, pain, temporomandibular joint, temporomandibular joint disorder, temporomandibular joint dysfunction, temporomandibular joint tmj, tinnitus, tmj, tmj dysfunction, unison

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15200 Hesperian Blvd #104

San Leandro, CA. 94578

(510) 481-2225

drburt@burtchiropractic.com

 

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