Do You Have Temporomandibular Disorder?
TMD assessment might include the examination of
- Musculoskeletal systems, Craniomandibular and vertebral areas & posture
- Motor reflex testing to find Primary Driver
- Breathing rate, patterns as well as airway adequacy
- Psycho-social aspects of pain
A comprehensive approach to TMD Treatment
- Counselling and education for activities of daily living. This can be as simple as finding comfortable sleeping postures.
- Joint mobilization/manipulation
- Soft tissue mobilization / myofascial release
- Intraoral release techniques
- Osteopathic techniques
- Modalities as appropriate to decrease pain and inflammation
- Breathing -Restoration of normal rate and pattern
- Postural re-education aligned with proper resting position of the jaw and tongue
- Prescription of an appropriate TMJ exercise plan to address: control of range of motion and imbalance in strength of paired mastication muscles
- Stress reduction techniques:Sensorimotor psychotherapy & Emotional Freedom Therapy
Common Symptoms Associated with TMD
- Does your jaw joint make a popping, clicking or snapping sound when you move it?
- Do you hear and/or feel a grating sound in your jaw joint on movement?
- Is the joint tender to external pressure? This can be assessed by manually pressing the area in the front of the ear.
- Do you clinch and/or grind your teeth at night or during the day?
- Do you sometimes have difficulty opening or closing your mouth?
- Does your jaw deviate to one side on opening?
- If you have tinnitus (ringing in your ears), does the ringing sound change in any way as you open and close your mouth while applying external pressure to the joint?
- Do you have frequent episodes of vertigo and/or nausea?
- Do you have ear sensitivity and/or pain associated with sound?
- Do you have recurring ear aches for which the doctor can find no apparent cause?
- Do you have recurring migraine-like headaches that do not respond to migraine medicine and for which the doctor can find no cause?
- Do you have facial pain?
- Are your neck and shoulder muscles constantly tense and/or painful?
- Do you have a recurrent knot in the muscles on the edge of your shoulder blades closest to the spine?
- Do you feel chronically fatigued and/or depressed?