02 Apr Temporomandibular Joint Pain and Dysfunction

Temporomandibular Joint (TMJ) dysfunction is a common condition that can significantly disrupt daily life.

It is characterized by jaw pain, difficulty chewing and quite often a clicking sound in the jaw with jaw movement. There may also be associated headache and upper neck pain.

Understanding its causes, diagnosis and management is crucial for effective treatment and quality of life.

The causes of TMJ pain are multifaceted. Trauma, such as a blow to the jaw or whiplash, can directly damage the TMJ leading to inflammation or malalignment. Bruxism (teeth grinding) and clenching, often stress related, places excessive strain on the joint and surrounding muscles, exacerbating pain. Arthritis, including osteoarthritis or rheumatoid arthritis, can degrade the joint’s cartilage, while habits like gum chewing may contribute to muscle fatigue. Psychological factors, such as anxiety, often amplify the perception of pain, creating a cycle of tension and discomfort.

Diagnosis begins with a thorough clinical evaluation. Physiotherapist and osteopaths are especially qualified to assess the patient’s history, symptoms and lifestyle factors. Physical examination involves testing the range of jaw motion, palpating the jaw and listening for joint sounds, as well as examining the neck and surrounding muscles. Imaging with x-rays or MRI scans may be employed to visualize the joint structure and rule out fractures or severe degeneration. Pain patterns and triggers, like chewing tough foods, help differentiate TMJ problems from other dental conditions or sinus infections.

Management of TMJ pain varies based on severity and cause of the symptoms. Conservative approaches are prioritized, including physiotherapy, stress reduction techniques and the use of dental splints. Treatment may include manual therapy to the jaw and upper cervical spine, soft tissue massage techniques and appropriate exercise programs. Anti-inflammatory muscle relaxant medication and the use of heat packs can be used in conjunction with physical techniques to assist in pain management.

At Brighton Spine and Sports Clinic, we offer complete management of TMJ and upper neck dysfunction with experienced practitioners.

Please contact reception for further details or to book an appointment.