Treatment FAQ

what kind of treatment does a physical therapist do for tmj

by Nathaniel Sipes Published 3 years ago Updated 2 years ago

How Do Physical Therapists Treat TMJ? Treatment involves any of the following: Modalities such as applying heat and/or ice. Manual treatments such as massage, dry needling and ultrasound.

Full Answer

How can physical therapy help patients with TMJ disorder?

The following tips may help you reduce symptoms of TMJ disorders:

  • Avoid overuse of jaw muscles. Eat soft foods. Cut food into small pieces. ...
  • Stretching and massage. Your doctor, dentist or physical therapist may show you how to do exercises that stretch and strengthen your jaw muscles and how to massage the muscles yourself.
  • Heat or cold. Applying warm, moist heat or ice to the side of your face may help alleviate pain.

Does acupuncture help with TMJ?

Fortunately, for those suffering from TMJ, acupuncture is extremely helpful in relieving the inflammation, pain and tension commonly associated with the condition. Patients with acute pain can experience immediate relief in a few treatments, with more chronic conditions taking a series of treatments over several weeks.

Does physical therapy really work?

When determining, “does physical therapy work?” you’ll find the answer will most likely be “yes” by finding the right person to provide treatment. First and foremost, if you want your physical therapy to work, you must work alongside a licensed health professional.

Which are physical therapy techniques help TMJ facial pain?

  • Tongue position at rest. Place the tip of the tongue on the palate, just behind the front teeth.
  • Teeth apart. Keep the bottom and upper teeth apart to help relax the jaw.
  • Nasal-diaphragmatic breathing. Breathe through the nose to help better position the teeth and tongue.
  • Tongue up and wiggle. ...
  • Strengthening. ...
  • Tooth and bite. ...

How to treat TMJ in neck?

Physical therapy aims to address these deficits with several approaches: 1 Manual therapy (joint mobilizations to the neck and/or TMJ) 2 Soft-tissue mobilization of the chewing muscles and/or neck 3 Patient education about how posture/positions impact the TMJ and the associated muscles 4 Targeted exercises and stretches

What is the best posture for TMJ?

Posture. The best posture is a moving posture (any prolonged position/posture is typically not a good position/posture). However, a forward-head posture specifically can increase muscle activation and tone of the muscles that chew and close the mouth. This can lead to more compression of the TMJ and teeth grinding.

What is the TMC in jaw?

The TMC is made up of the Temporomandibular Joint (TMJ) and the surrounding structures and muscles. Thus, it allows opening and closing of your mouth, talking, chewing and yawning.

What is occlusive approach to TMD?

When the teeth fit together better, this can reduce the surrounding muscle tone. An “occlusive approach” refers to approaching TMD from a teeth alignment standpoint. When necessary, your physical therapist will work closely with your dental clinician.

Does work cause TMJ to be compressed?

Some common work-related activities can tend to worsen TMD and its associated symptoms. These can add compression at the TMJ.

Is there a perfect posture for TMJ?

Again, no perfect posture exists (“the best posture is a moving posture”). Not all of the activities listed above will be problematic for everybody. Having a physical therapist who specializes in TMJ treatment is important. They can help guide a person through the process, in addition to manual therapy and targeted exercises.

How to reduce TMJ?

Lifestyle and home remedies. Becoming more aware of tension-related habits — clenching your jaw, grinding your teeth or chewing pencils — will help you reduce their frequency. The following tips may help you reduce symptoms of TMJ disorders: Avoid overuse of jaw muscles.

What is the best medication for TMJ?

If over-the-counter pain medications aren't enough to relieve TMJ pain, your doctor or dentist may prescribe stronger pain relievers for a limited time, such as prescription strength ibuprofen.

What is the purpose of MRI for TMJ?

MRI to reveal problems with the joint's disk or surrounding soft tissue. TMJ arthroscopy is sometimes used in the diagnosis of a TMJ disorder. During TMJ arthroscopy, your doctor inserts a small thin tube (cannula) into the joint space, and a small camera (arthroscope) is then inserted to view the area and to help determine a diagnosis.

What is the procedure called when you insert a needle into a joint?

Arthrocentesis (ahr-throe-sen-TEE-sis) is a minimally invasive procedure that involves the insertion of small needles into the joint so that fluid can be irrigated through the joint to remove debris and inflammatory byproducts. Injections. In some people, corticosteroid injections into the joint may be helpful.

How long do you take muscle relaxers for TMJ?

Muscle relaxants. These types of drugs are sometimes used for a few days or weeks to help relieve pain caused by TMJ disorders created by muscle spasms.

Why are tiny openings inserted into the TMJ?

With arthrocentesis, tiny openings are inserted into the TMJ so that fluid can be flushed through the joint to remove debris.

What is the best device for jaw pain?

Oral splints or mouth guards (occlusal appliances). Often, people with jaw pain will benefit from wearing a soft or firm device inserted over their teeth, but the reasons why these devices are beneficial are not well-understood.

What muscles do physical therapists use to treat TMJ?

For us, as physical therapists, our focus is on helping our patient to improve their overall muscular strength and flexibility concerning the oral, facial, neck and shoulder muscles that can all contribute to the cause of the TMJ.

How to help TMJ?

Strengthening – exercises to make your facial and jaw muscles stronger are also recommended and your physical therapist can work with you to begin this process but again, this is something that should be continued in order to help to stave off future problems with your TMJ.

What is a massage for temperomandibular joint?

A Stretching massage – the physical therapist presses down on the muscles associated with the temperomandibular joint and slowly stretches them outward.

What are some exercises to help with TMJ?

What Exercises Are Good For TMJ? 1 Relaxing – stress and tension are two contributors often found in many TMJ patients. So, it makes sense that learning to relax your body and your mind will help to alleviate the tension in your jaw, face, neck and shoulders. 2 Stretching – there are many different types of stretching exercises that you can perform (after you have been trained by a physical therapist) to help to keep your muscles flexible and relaxed which in turn will help you to avoid any future problems. 3 Strengthening – exercises to make your facial and jaw muscles stronger are also recommended and your physical therapist can work with you to begin this process but again, this is something that should be continued in order to help to stave off future problems with your TMJ.

How does ultrasound help with TMJ?

The use of ultrasound is very similar to applying moist heat to the muscles that are contributing to the TMJ problem. The difference is that the heat provided by the ultrasound penetrates deeper into the tissue area which will hopefully provide relief to the patient.

What type of massage is used to create a circular motion?

A Kneading type of massage – the physical therapist uses their fingers to create a consistent circular type of motion against the temperomandibular joints and the surrounding muscles.

How to reduce jaw pain?

Heat And Ice. The use of moist heat placed along your jawline can help to reduce your level of pain. The use of ice can also reduce your pain but it can also work to decrease inflammation.

What is TMJ?

Before we get into treatment options, let’s first define what TMJ is exactly. TMJ (short for Temporomandibular Joint) Dysfunction is a condition that results in pain and decreased mobility in the jaw and surrounding muscles. Here are some of the common symptoms of TMJ:

Treatment Options for TMJ

Most cases of TMJ can be treated conservatively – with surgery being reserved as a last resort. Physical therapy is a great first line of treatment for TMJ. A physical therapist can examine the extent of the condition and recommend jaw exercises to increase mobility and decrease pain.

Minnesota Physical Therapy Clinics

The Minnesota physical therapy experts at OrthoRehab Specialists work directly with each and every patient to address their unique needs. We have been providing physical therapy care to Minnesota patients for nearly thirty years.

How long does TMJ pain last?

While some people have short-lived jaw pain, most people with TMJ/TMD have it for months to years. “Physical therapy is a conservative treatment that’s very effective. It’s best to be seen and start fixing that imbalance than to wait for symptoms to worsen or for compensatory problems to occur.”.

What is the best treatment for jaw clenching?

Physical Therapy as a Solution for Jaw Clenching and Grinding. Knees, hips, and shoulders are few joints that come to mind when we think about outpatient physical therapy.

What is TMD in a therapist?

TMD is sometimes called TMJ (a term that encompasses several diagnoses affecting the temporomandibular joint in the jaw). Physical Therapist Jason Gubler at Cope Family Medicine | Ogden Clinic talks more about this type of therapy.

Why does my jaw hurt?

Jaw pain is usually caused by prolonged tension and compression. “Physical therapy for the jaw includes both working on the soft tissue with massage and mobilization to lengthen it out and relieve tension, as well as prescribing postural changes and exercises that continue to take pressure off the joint.”

Does Utah require a referral for physical therapy?

Yes! In Utah, physical therapy is recognized as a “Direct Access” service meaning that most insurances do not require a referral from a primary care provider. This is great since it saves patients both time and money. However, some exclusions can apply, so you may want to check with your insurance before scheduling.

Does physical therapy help TMJ?

“When we start moving the joint around and correcting the imbalances, many patients start experiencing relief.” With adherence to the at-home exercises and postural changes, even patients with severe TMJ/TMD find relief in a few weeks.

How to treat TMJ pain?

One of the more effective pain relief options is ultrasound treatment. You may have heard about ultrasounds for prenatal appointments, but they also can be effective in combating pain. When used to fight TMJ pain, ultrasound waves can provide near-immediate relief, relaxing the muscles, and reducing pain. Ultrasound waves can be a great way to decrease joint stiffness and promote healing, making it a fantastic tool in the fight against TMJ pain.

Why does my TMJ hurt?

A common cause of TMJ pain stems from bad posture . Bad posture has increasingly become a major problem in the world. People are spending more time hunched over their computers and phones. Sitting or standing in the same bad posture for extended periods of time can have many negative effects on your body, including causing TMJ pain. Having your head in an awkward position consistently can strain areas like your jaw, causing lots of pain. A physical therapist can provide you with tips and exercises designed to improve your posture, making your TMJ pain disappear after awhile.

Can a physical therapist help with TMJ?

In cases where your TMJ pain is extreme, a physical therapist may be able to help by referring you to a dentist or other medical professional. A cause of TMJ pain could be problems in your teeth alignment, which can be extremely uncomfortable. Unfortunately, in a situation like this, a physical therapist can fully cure the cause of your problem. However, a physical therapist will refer you to a dental professional that can solve your problem. Many insurance companies require referrals to pay for any treatment, so this referral may be necessary to be able to receive treatment.

TMJ dysfunction - overview, symptoms

The temporomandibular joint is a hinge that connects your jaw to your skull. When that joint is injured or damaged, it can lead to temporomandibular joint (TMJ) syndrome.

TMJ treatment options

Physical therapy is a common choice for those suffering with TMJ dysfunction. Here at Rise, we first do an assessment of your entire body to determine the cause of the pain. TMJ dysfunction can be caused by a multitude of problems so the key is determining the root cause and then beginning treatment.

What does physical therapy treatment for TMJ dysfunction look like?

At RISE we'll work to help you restore the natural movement of your jaw and decrease your pain. Based on your condition, your therapist will select treatments that will work best for you. Your treatments may include:

Diagnosis

Treatment

  • In some cases, the symptoms of TMJ disorders may go away without treatment. If your symptoms persist, your doctor may recommend a variety of treatment options, often more than one to be done at the same time.
See more on mayoclinic.org

Lifestyle and Home Remedies

  • Becoming more aware of tension-related habits — clenching your jaw, grinding your teeth or chewing pencils — will help you reduce their frequency. The following tips may help you reduce symptoms of TMJ disorders: 1. Avoid overuse of jaw muscles.Eat soft foods. Cut food into small pieces. Steer clear of sticky or chewy food. Avoid chewing gum. 2. Stretching and massage.You…
See more on mayoclinic.org

Alternative Medicine

  • Complementary and alternative medicine techniques may help manage the chronic pain often associated with TMJ disorders. Examples include: 1. Acupuncture.A specialist trained in acupuncture treats chronic pain by inserting hair-thin needles at specific locations on your body. 2. Relaxation techniques.Consciously slowing your breathing and taking dee...
See more on mayoclinic.org

Preparing For Your Appointment

  • You'll probably first talk about your TMJ symptoms with your family doctor or dentist. If suggested treatments don't provide enough relief, you may be referred to a doctor who specializes in TMJ disorders.
See more on mayoclinic.org

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