Many people don't realize they have this disorder. They seek medical help only when they feel pain along the jaw extending towards the ear of the affected side, or only when they experience discomfort when they open their mouth while chewing, talking and even smiling. This is commonly associated with headache. One may also experience the classic arthritic type of pain especially in the early mornings. The most common early indicator is the sound produced while chewing and opening of the mouth. If this is not treated early and properly, pain may increase and become chronic, which would lead to depression.
Overuse of this joint due to uneven teeth alignment, uneven bite, teeth grinding, excessive biting and gum chewing are the most common causes of this problem. Stress is also a major issue. But once diagnosed early and correctly, treatment is easy. If the problem has something to do with uneven teeth or bite, the orthodontist may prescribe splint or surgery. A night mouth guard is also suggested to avoid further unhelpful effects of habitual teeth grinding while asleep. The most common do-it-yourself treatment is facial massage and exercises.
TMJ physical therapy intervention would include patient education, e.g. a soft diet initially, the avoidance of gum chewing, and avoiding tightening and stressing the jaw. Application of moist heat followed by facial and moderate massage along the temporal area before and after facial exercises is highly recommended to relieve the pain. During facial exercises, use the mirror so you see yourself while moving your jaw. Close and open the mouth as wide as you can, using the hold-relax technique for at least 10 seconds hold for ten repetitions at least twice daily. To increase the range of motion (ROM), bring your lower jaw at the front, and assist your lower jaw out to reach the available ROM and apply minimal resistance and hold for ten seconds. Do this at least five times. Do some gentle stretching by reaching your ear to your shoulder on each side of the neck. Do this for ten repetitions. Always keep in mind to stay away from pain while doing the TMJ facial and jaw exercises.
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