Mississauga Chiropractor Presents: TMJ Syndrome

Tags: , , , ,

Categories: Lecture Series

Here’s another Blog from a Mississauga Chiropractor…

 

TMJ Syndrome is defined as pain & tenderness due to a dysfunction of the temporomandibular joint or surrouding musculature.

 Helen-Logo-Black

It is divided into 3 subtypes (that often co-exist):

  • Myofascial pain dysfunction
  • Internal derangement
  • Degenerative joint disease

 

Demographics:

Gender: Females > Males (4:1)

Age: 20-40 years of age.

 

Potential Causes:

  • TMJ synovitis or disc derangement
  • Hyper/hypomobile TMJ
  • Bruxism (grinding teeth)
  • Muscle spasm in jaw muscles
  • Trauma (MVA), psychosocial stress
  • Poorly fitting dentures, dental conditions

 

History:

  • Jaw or facial pain (80%)
  • Increased pain with mastication
  • Locking or catching with motion
    • Limited ROM, TMJ clicking, grinding & popping
    • Headache, earache (30%) & neck pain
    • Past head or facial trauma

 

Presentation:

  • Facial asymmetry, muscle hypertrophy
    • Misalignment of the jaw, abnormal dental wear, missing teeth
  • Tenderness to palpation (80%)
    • Pain over muscles of mastication (chewing muscles)
    • Myospasm in muscles of mastication & facial muscles
  • Clicking or popping of TMJ
  • Abnormal mandibular tracking (lateral deviation of mandible)

 

Management:

  • Soft tissue therapy and/or trigger point therapy (masseter, temporalis, pterygoids), massage & relaxation therapy
  • Hot packs will reduce pain & increase local blood flow; Cold packs if acute
  • TMJ & cervical spine adjustment/mobilizations
  • Friction massage
  • Soft diet to avoid chewing
  • Consider occlusion (dental) splint, night guards, bruxism (grinding) appliances & oral orthotics

 

Prognosis:

  • Estimated 75% of patients will have symptoms resolve within three months with a comprehensive multidisciplinary treatment schedule (restoration or normal muscle function, stress reduction, proper jaw occlusion, pain control & behaviour modification)

 

Consider referral to dentist specializing in TMJ syndrome if:

  • Conservative treatment trial is proving ineffective
  • Acute TMJ locking or poor occlusion of upper & lower jaw occurs, or if abscess appears
  • For night guard or splints.

 

Visit our website at: www.dynamicchirohwc.com

Like us on facebook (click)

Leave a Reply