TMJ Disorder

12 min read

Temporomandibular joint (TMJ) disorder is a condition that affects the jaw joint and the muscles that control jaw movement. It is a common disorder that can cause pain, tenderness, and limited jaw movement. TMJ disorder can be caused by a variety of factors, including genetics, trauma, and arthritis. It is important to understand the causes and risk factors of TMJ disorder in order to properly diagnose and treat the condition.

Causes of TMJ Disorder

TMJ disorder can be caused by a variety of factors, including genetics, trauma, and arthritis. Genetics can play a role in the development of TMJ disorder, as some people are more likely to develop the condition due to their family history. Trauma to the jaw joint, such as a blow to the face or jaw, can also cause TMJ disorder. Arthritis is another common cause of TMJ disorder, as it can cause inflammation and damage to the joint.

Risk Factors for TMJ Disorder

Certain factors can increase the risk of developing TMJ disorder. These include age, gender, and lifestyle factors. Women are more likely to develop TMJ disorder than men, and the risk increases with age. People who grind their teeth or clench their jaw are also at an increased risk of developing TMJ disorder. Other risk factors include stress, arthritis, and jaw injury.

Diagnosis of TMJ Disorder

TMJ disorder is typically diagnosed through a physical examination and imaging tests. During the physical examination, the doctor will check for tenderness and swelling in the jaw joint. Imaging tests, such as X-rays and CT scans, can help the doctor to get a better look at the jaw joint and determine if there is any damage or inflammation. The doctor may also order blood tests to check for signs of inflammation or infection.

Conclusion

TMJ disorder is a common condition that can cause pain, tenderness, and limited jaw movement. It can be caused by a variety of factors, including genetics, trauma, and arthritis. Risk factors for TMJ disorder include age, gender, lifestyle factors, and stress. Diagnosis of TMJ disorder typically involves a physical examination and imaging tests. It is important to understand the causes and risk factors of TMJ disorder in order to properly diagnose and treat the condition.

Take the TMJ Disorder Assessment

Symptoms

Pain and Discomfort

The most common symptom of TMJ disorder is pain and discomfort in the jaw, face, neck, and shoulders. This pain can range from mild to severe and can be constant or intermittent. It can also be accompanied by a clicking or popping sound when the jaw is moved.

Difficulty Chewing

TMJ disorder can cause difficulty in chewing, as the jaw may not be able to move properly. This can lead to difficulty in eating certain foods or even avoiding certain foods altogether.

Difficulty Speaking

TMJ disorder can also cause difficulty in speaking, as the jaw may not be able to move properly. This can lead to slurred speech or difficulty in forming words.

Difficulty Opening and Closing the Mouth

TMJ disorder can also cause difficulty in opening and closing the mouth. This can lead to difficulty in yawning, eating, and even brushing teeth.

Headaches and Earaches

TMJ disorder can also cause headaches and earaches. This can be due to the tension in the jaw muscles or the pressure on the jaw joint.

Tinnitus

TMJ disorder can also cause tinnitus, which is a ringing or buzzing sound in the ears. This can be due to the pressure on the jaw joint.

Dizziness

TMJ disorder can also cause dizziness, which can be due to the tension in the jaw muscles or the pressure on the jaw joint.

Causes

Stress

Stress is one of the most common causes of TMJ. When people are under stress, they tend to clench their jaw or grind their teeth, which can lead to pain and discomfort in the jaw joint. Stress can also cause the muscles in the jaw to become tense, leading to further pain and discomfort.

Injury

Injury to the jaw or the muscles that control the jaw can also lead to TMJ. This can include injuries from sports, car accidents, or falls. In some cases, the injury may be so severe that it requires surgery to repair the damage.

Arthritis

Arthritis is another common cause of TMJ. Osteoarthritis, rheumatoid arthritis, and other forms of arthritis can cause inflammation in the jaw joint, leading to pain and discomfort. In some cases, the arthritis may be so severe that it requires surgery to repair the damage.

Genetics

Genetics may also play a role in the development of TMJ. Some people may be more prone to developing the condition due to their genetic makeup.

Malocclusion

Malocclusion, or misalignment of the teeth, can also lead to TMJ. When the teeth are not properly aligned, it can cause the jaw to be misaligned as well, leading to pain and discomfort.

Other Causes

Other causes of TMJ include jaw trauma, dental procedures, and certain medications. In some cases, the cause of TMJ may be unknown.

Getting a Diagnosis

Diagnostic Tests

To diagnose TMJ disorder, your doctor will likely start by asking about your medical history and performing a physical exam. They may also order imaging tests, such as X-rays or a CT scan, to get a better look at the jaw joint and surrounding structures.

Your doctor may also order a magnetic resonance imaging (MRI) scan to look for signs of inflammation or damage to the joint. They may also order a blood test to check for signs of infection or other conditions that could be causing your symptoms.

Joint Function Tests

Your doctor may also perform joint function tests to assess the range of motion of your jaw and the strength of the muscles that control it. These tests can help them determine if there is any damage to the joint or if the muscles are not functioning properly.

Treatment

Once your doctor has diagnosed TMJ disorder, they will work with you to develop a treatment plan. Treatment may include medications to reduce pain and inflammation, physical therapy to help strengthen the muscles that control the jaw, and lifestyle changes to reduce stress. In some cases, surgery may be necessary to repair the joint or correct any underlying issues.

Questions for Your Doctor

Questions to Ask Your Doctor

  • What is causing my TMJ disorder?
  • What treatment options are available?
  • What lifestyle changes can I make to help manage my symptoms?
  • Are there any medications that can help?
  • Are there any exercises I can do to help relieve my symptoms?
  • Are there any alternative therapies that may help?
  • What can I do to prevent my symptoms from getting worse?

Things to Bring to Your Appointment

  • A list of all medications and supplements you are taking
  • Any recent X-rays or other imaging studies
  • A list of questions you want to ask your doctor
  • A family member or friend to help you remember what was discussed

It is important to be honest and open with your doctor about your symptoms and any treatments you have tried. This will help your doctor determine the best course of action for your TMJ disorder.

Treatment

Medications

Medications are often used to help reduce pain and inflammation associated with TMJ disorder. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen are commonly prescribed. Muscle relaxants, such as cyclobenzaprine, may also be prescribed to help reduce muscle spasms. In some cases, tricyclic antidepressants may be prescribed to help reduce pain.

Physical Therapy

Physical therapy is often used to help reduce pain and improve jaw function. Exercises may be prescribed to help strengthen the muscles that control jaw movement. Heat and cold therapy may also be used to help reduce pain and inflammation. In some cases, ultrasound or electrical stimulation may be used to help reduce muscle spasms.

Surgery

In some cases, surgery may be necessary to treat TMJ disorder. Surgery may be used to repair or replace the joint, or to release the muscles that control jaw movement. Surgery is usually only recommended when other treatments have failed to provide relief.

Alternative Treatments

There are a variety of alternative treatments that may be used to help manage the symptoms of TMJ disorder. Acupuncture, chiropractic care, and massage therapy may be used to help reduce pain and improve jaw function. Relaxation techniques, such as meditation and yoga, may also be used to help reduce stress and tension in the jaw muscles.

Drugs & Medications

Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)

Nonsteroidal anti-inflammatory drugs (NSAIDs) are a type of medication that can help reduce inflammation and pain. Common NSAIDs used to treat TMJ disorder include ibuprofen (Advil, Motrin) and naproxen (Aleve). These medications can be taken orally or applied topically to the affected area.

Muscle Relaxants

Muscle relaxants are medications that can help reduce muscle tension and spasms. Common muscle relaxants used to treat TMJ disorder include cyclobenzaprine (Flexeril) and tizanidine (Zanaflex). These medications can be taken orally or applied topically to the affected area.

Antidepressants

Antidepressants are medications that can help reduce pain and improve mood. Common antidepressants used to treat TMJ disorder include amitriptyline (Elavil) and nortriptyline (Pamelor). These medications can be taken orally or applied topically to the affected area.

Corticosteroids

Corticosteroids are medications that can help reduce inflammation and pain. Common corticosteroids used to treat TMJ disorder include prednisone and methylprednisolone (Medrol). These medications can be taken orally or applied topically to the affected area.

Conclusion

TMJ disorder can be a painful and debilitating condition. Fortunately, there are a variety of medications that can help reduce pain and improve function. If you are experiencing symptoms of TMJ disorder, talk to your doctor about the best treatment options for you.

Diet

Foods to Avoid

Certain foods can worsen the symptoms of TMJ disorder, so it is important to avoid them. These include hard and chewy foods, such as steak, jerky, and gum. It is also important to avoid crunchy and sticky foods, such as chips, popcorn, and candy. Additionally, it is best to avoid foods that require a lot of chewing, such as nuts and raw vegetables.

Foods to Eat

Soft foods are best for people with TMJ disorder. These include cooked vegetables, mashed potatoes, oatmeal, and soft fruits. Soups and stews are also good options, as they are easy to chew and swallow. Additionally, it is important to drink plenty of water to stay hydrated and to help reduce inflammation.

Conclusion

While there is no specific diet that can cure TMJ disorder, there are certain foods that can help reduce the symptoms. It is important to avoid hard and chewy foods, crunchy and sticky foods, and foods that require a lot of chewing. Soft foods, such as cooked vegetables, mashed potatoes, oatmeal, and soft fruits, are best for people with TMJ disorder. Additionally, it is important to drink plenty of water to stay hydrated and to help reduce inflammation.

Lifestyle

1. Practice Relaxation Techniques

Relaxation techniques such as deep breathing, progressive muscle relaxation, and guided imagery can help reduce stress and tension in the jaw muscles. Practicing these techniques regularly can help reduce the symptoms of TMJ disorder.

2. Avoid Chewing Gum

Chewing gum can put extra strain on the jaw muscles, which can worsen the symptoms of TMJ disorder. Avoiding gum and other hard or chewy foods can help reduce the strain on the jaw muscles.

3. Avoid Clenching or Grinding Your Teeth

Clenching or grinding your teeth can put extra strain on the jaw muscles and worsen the symptoms of TMJ disorder. If you find yourself clenching or grinding your teeth, try to relax your jaw muscles and avoid doing it.

4. Apply Heat or Cold

Applying heat or cold to the jaw can help reduce the pain and tenderness associated with TMJ disorder. Try applying a warm compress or an ice pack to the jaw for 10-15 minutes at a time, several times a day.

5. Eat Soft Foods

Eating soft foods can help reduce the strain on the jaw muscles and make it easier to chew. Try to avoid hard or chewy foods, such as steak, nuts, and gum. Instead, opt for softer foods such as mashed potatoes, oatmeal, and yogurt.

6. Exercise the Jaw Muscles

Exercising the jaw muscles can help reduce the pain and tenderness associated with TMJ disorder. Try gently opening and closing your mouth several times a day, or try massaging the jaw muscles with your fingers.

7. See a Doctor

If lifestyle changes don't help reduce the symptoms of TMJ disorder, it's important to see a doctor. A doctor can diagnose the condition and recommend treatments such as physical therapy, medications, or surgery.

TMJ disorder can be a painful and debilitating condition, but with the right lifestyle changes, it can be managed. Try these tips to help reduce the symptoms of TMJ disorder.