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The how-to of solving jaw pain!

July 5, 2018 by Amy

If you suffer from jaw pain, or know someone who does, you know how debilitating this can be. Here is a great article written by one of our amazing massage therapists, Amy.

How to solve pain in the jaw - TMJ Dysfunction

Problems with the jaw and surrounding soft tissues can create a multitude of uncomfortable, and sometimes debilitating symptoms for one in four of us. The umbrella term to describe these symptoms is TMJ or TMD, Temporomandibular Joint Dysfunction. This busy joint is an essential part of daily life; the complex and small sliding hinge joint connects our jawbone to our skull, making it possible for us to talk, chew and laugh with which I think we can all agree are basic but vital components to living a happy life!


The Symptoms

Signs of TMD range from mild and almost unnoticeable sensations, to acute or chronic pains that severely impact the quality of day to day living.
 

•   Pain in the muscles of mastication and/or in the joint itself

•   Radiating pain in the face, neck, behind the eye or around the sinuses

•   Clicking or grinding noises when open and closing the mouth

•   Reduced range of movement in the joint

•   Headaches or migraines

•   Bruxism (grinding of the teeth)

•   Tight neck and/or shoulders

•   Undiagnosed toothache

•   Tinnitus or undiagnosed ear pain

•   Visual disturbances

•   Malocclusion i.e misalignment of the teeth when closing.
 

Not only is the reality of being in regular discomfort irritating, but the pain consequently affects quality of sleep, mood and productivity, which in turn exasperates the symptoms. Untreated pain symptoms may then go on to provoke postural adaptation as the body adjusts to cope with the pain and any imbalances, creating knock on reactions elsewhere in the body. Therefore, it is important to address these symptoms as early as possible.
 

The Causes

As noted in the Journal of Oral Rehabilitation, “The causes of TMD include structural (e.g., skeletal, neural, muscular), functional (e.g., posture, lifestyle), and psychological (e.g., stress) factors, or any combination of these factors [1].


In my experience of treating TMD these listed factors never act in solitude. Predominantly, those who I have seen presenting with TMD symptoms have been the protagonist in a story combining all three components. For example, the functional demands of an eight-hour-desk-day in a fast paced office can induce overworked neck muscles as the eyes strain towards the screen. Over time structural changes occur, such as a forward head posture. An accumulation of muscle fatigue in the cervical spine then activates local trigger points (a hyper-irritable spot in skeletal muscle which can refer pain). The trigger point prompts local tenderness in the neck, referred pain, and as a result, a clenched jaw.

The above scenario is just one example where the functional use of the body is illustrated as the first step, but the plot could easily run the other way round too. For example, a stressful emotion such as fear or grief can lead to a change in posture, poor functionality then occurs and inappropriate joint motion patterns induce dysfunction within the structure of the muscular system.


HOW MASSAGE CAN TREAT THE SYMPTOMS AND THE CAUSES

The intention of massage treatment is to release the soft tissues—in this case, muscles, tendons and fasciae—but also to understand the bigger picture; whether an increase in jaw tension correlates with a particularly stressful period, whether a recent change of activities are putting pressure on the body in new and different ways, or whether an old injury, which may be seemingly unrelated, is revealing its ‘fascial creep’ (imagine pulling on the corner of your t-shirt and observing the changes to the rest of the shirt’s shape).

As part of the massage treatment the following protocols, carried out by an experienced therapist, will help increase the effectiveness of the soft tissue work:

•   A Consultation: An opportunity for the therapist to determine which potential causal components are present, referring to the aforementioned structural, functional and psychological factors.

•   Postural Assessment: The therapist will view the body as a whole to pinpoint any possible muscle imbalances around the immediate jaw area, and as far away as the hips and feet.

•   Assessment of the TMJ: Performing an intra-oral examination (inside the mouth with the use of examination gloves) and an examination from inside the ear, enables the therapist to gain clarity on joint deviation, problems with the articular disc of the joint and the muscles of mastication.

By going through these steps both therapist and client together can begin to understand the entirety of potential contributing factors. Positive action can then be taken to address the causes. In my own experience clients have felt great improvement after a series of three to four massage treatments, with some people enjoying a level of pain relief after just one session.

As therapists we can address these issues with hands on work in a safe and relaxing environment. We can also provide after-care exercises and stretches that empower each individual to take control of caring for their own body with confidence, while also serving to make progress between treatments. When we have a deeper understanding and connection to the workings of our own unique beings, the journey to a pain-free life is much speedier!

                               

Amy Moffat is a qualified Deep Tissue Therapist (2011), with certification in Advanced Clinical Massage for TMJ Pain.

[1] Lundeen TF, Sturdevant JR, George JM. “Stress as a factor in muscle and temporomandibular joint pain. Journal of Oral Rehabilitation, 1987.

To book an appointment with Amy, please email or call us on 020 7275 8434. Amy is available at Holistic Health during the week.


With love,
Tracy and the Holistic Health team x


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