Our Approach to TMJ (Jaw) Disorders
TMJ (temporomandibular) disorders are often complex conditions involving not only
the jaw joint and associated musculature, but are affected by posture, spinal conditions,
lifestyle factors, and stress. In fact, many experts in the field now believe that
you cannot have a jaw problem without a cervical spine problem and you cannot have
a cervical spine problem without jaw involvement.
To illustrate this, try the following simple test. Sit normally and open your mouth
and see how many knuckles you can insert into your mouth. Then tilt your head backwards
and reinsert your knuckles. You should notice that it is much easier to insert your
knuckles now, confirming how the neck influences the jaw.
Our approach is to develop a complete treatment program for optimum results. We
often work hand in hand with dental professionals. Brentwood Chiropractic has a
long history of working with local dentists.
The good news about treating your TMJ or jaw is that there are a wide range of activities
you can do to help yourself. Helping improve your jaw function will often have surprising
effects on your total health and well being. Jaw problems are significant because
your jaw and related muscles are essential to so many activities of life including:
chewing, swallowing, talking, breathing and expressing emotions.
- Relaxed Jaw Posture: You must learn to relax your jaw during the day
and to hold it in a relaxed normal position. When not eating or chewing try to keep
your tongue on the roof of your mouth, your lips together, but your teeth apart.
Stay in this relaxed position throughout the day. Take lots of deep relaxing breaths
as well. See Eight Tips to Control your Stress below.
- Strengthening the jaw opening muscles: As above, keep your teeth apart
but ‘purse’ your lips. Forcefully push your tongue against the roof of your mouth
like saying and holding the letter “N”. Hold for 4-5 seconds, repeat 10 times and
do it 4-5 times per day.
- Active motion: Place your tongue in the center of the roof of your
mouth. Keep the tongue in place and open slowly to only a 1/3rd opening. Repeat
10-15 times slowly 4-5 times per day.
- Correct spinal posture: (a) Keep your head level and slowly retract
your neck by pulling your chin in without tipping your head. (b)Repeat this motion
with your hands behind your head and bringing your elbows slowly backward. (c)Lean
against the wall with your feet about 10 inches from the wall. Have your elbows
bent to 90 degrees with the arms out in front. Slowly rotate your arms out to the
wall while you try to squeeze the lower parts of your shoulder blades together.
Repeat each exercise 3-4 times and perform 2-3 times per day.
- Breaking jaw tightening habits: Avoid clenching, grinding, chewing
gum, chewing pens and pencils, biting your tongue or cheek. Watch that your tongue
doesn’t keep pushing against certain teeth. Avoid pushing your jaw side to side
or trying to make it ‘pop’ or crack or seeing if your jaw hurts if you force it
in certain directions.
- Before bed: Relax before bed time and establish regular sleep habits.
Use a chiropractic pillow and a good mattress. Heat your jaw for 10-20 minutes with
a hot water bottle, magic bag or heating pad.
Following the above exercises, breaking negative habits and establishing healthy
patterns, as well as following your recommended treatment program are the keys to
long term success in treating your TMJ or jaw condition.