TMD changes over time! Like the rules at King’s College
February 26th, 2013
Rachel had always had a slight early TMJ click on the right that has been asymptomatic. Her maximum intercisal opening was 51mm. In December she started to feel bilateral soreness in her masseter muscle.
“Spotlight on Masseter”
A number of muscles act upon the TM joint. capable of exerting hundreds of pounds of pressure, masseter is the most powerful. It is comprised of three layers, stacking upon each other and filling out the region of the lateral cheek. It is involved primarily with chewing, clenching, strong closure of the jaws, and, to some degree, postural positioning and balancing the jaw, particularly when head position changes. It is overworked by habits of daily life, particularly chewing gum, clenching and grinding the teeth, as well as internalizing emotional distress.
Treatment is indicated for masseter when the range of opening of the mouth is restricted or when there is pain or other sensations in areas of the TM joint and trigger point target zones of referral.
Rachel then developed a late click on the left and then her mouth started to deviate to the right on closing. In addiition she noticed that it was painful to chew, the base of her skull and upper neck was always sore , and was progressively losing the ability to open her mouth to yawn or laugh.
Then the headaches,facial and teeth pain started which lasted for days. What could it be? Did she have an infection? Cracked tooth? It was many Trigger points in the masster muscle. The red areas show why Rachel had pain
Treatment has been successful using the Rocabado 6×6 protocol with emphasis on posture, correct breathing into diaphragm, using alterante nostril breathing, massage and a specialized technique to balance the jaw