Tempero-Mandibular Pain – TMJ

The name is derived from the two bones which form the joint: the upper temporal bone which is part of the cranium (skull), and the lower jaw bone called the mandible. The unique feature of the TMJs is the articular disc. The disc is composed of fibrocartilagenous tissue (like the firm and flexible elastic cartilage of the ear) which is positioned between the two bones that form the joint.

TMJAnatomy

CAUSES

Neck and Back Pain

Muscle spasm of the Head, Neck and Jaw

Muscle Imbalance cause mal-tracking of the joint

Tooth Clenching (particularly at Night)

Worries/Stress

Meniscus Derangement

AGGREVATING FACTORS

Chewy foods

Cold weather

Yawning

Singing etc

Allowing your jaw to move to one side / rolling your jaw

TREATMENT

Jaw Rest

Avoid aggravating factors

If you have to yawn put your tongue on the roof of your mouth

Don’t do anything that causes clicking / locking

Soft diet

Meat/chicken Cut up

Vegetables Cooked & soft

Salad/fruit Sliced

No hard/ chewy food Gum, lollies, chocolate nuts, Muesli, bars, Pizza, McDonalds, rolls, crusty bread, hard/ dry toast

HOT / COLD

Hot wet compresses to the tender areas of the face

Place 2 hand-towels in a basin of hot water and place one of the towels around the face and neck. As it cools, swap the towels.

Repeat 3-4 times a day for 3- 5 minutes

This is more effective than a heat pack or hot water bottle.

PHYSIOTHERAPY

Mobilisation of the TMJ (passive stretching)

Massage of head, face and neck to reduce muscle tension

Biomechanical Assessment & strengthening

Stress reduction strategies.

Provide behaviour modification and counselling.

© Australian HealthCare Network Pty Ltd. 2013

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