TMJ and TMJD.
The Temporomandibular Joint (TMJ), also known as the jaw joint, is a vital structure in the head that we rely on daily for talking and eating. Unfortunately, 1 in 10 to 20 U.S. adults experience some form of Temporomandibular Joint Disorder or Dysfunction (TMJD), according to a 2002 study by Johansson et al, which affects quality of life and daily activities.
Some common symptoms of TMJD include:
Headaches
Teeth clenching or grinding
Neck, shoulder, or back pain
A sensation of “tired” facial muscles
Clicking or popping sounds when opening or closing the mouth
Tinnitus (ear ringing) or ear pain
Jaw pain
Tension in the neck or jaw muscles
Difficulty opening or closing the mouth
Facial pain or swelling
The causes of TMJD are varied, often involving multiple risk factors. These may include head and neck trauma (such as whiplash), bruxism (teeth grinding or clenching), a forward head posture, stress, or arthritis in the joint. TMJD can generally be classified into three types of pain:
Damage to the joint structures
Arthritis of the joint
Myofascial pain (pain in the muscles surrounding and controlling the joint).
How can massage help TMJD?
Tension and spasms in the muscles around the jaw and other related areas can directly affect the jaw, as these muscles are closely connected. Several muscles in the head and face control jaw movement and contribute to the alignment of the structures in the head and neck. When these muscles aren't functioning properly, they can lead to jaw dysfunction, resulting in symptoms like pain, clicking, popping, or difficulty opening the jaw.
Massage therapy techniques, such as myofascial release and trigger point therapy, can help restore proper muscle tone. The primary muscles involved in jaw movement are the masseter, temporalis, lateral pterygoid, medial pterygoid, and the hyoid muscles.
Massage therapy can also improve jaw mobility and function by targeting muscle tension and enhancing blood flow to the area. This can be particularly beneficial for individuals who have difficulty chewing or speaking.
Additionally, TMJ massage therapy has been shown to reduce headaches. Tension headaches, often caused by strain in the muscles of the head, neck, and jaw, can be alleviated by addressing the tension in these interconnected muscle groups, including those in the upper back and shoulders.
While massage therapy may not be a solution for all forms of TMJD, it can be an effective component of a comprehensive treatment plan. Due to the complexity of TMJD, combining massage with other therapies, such as physical therapy, acupuncture, or dental appliances (splints), can help restore jaw function and reduce pain.
Consistent massage, along with other therapeutic modalities, can offer both short-term relief and long-term improvements, enhancing the quality of life for those dealing with TMJD.
What does intra-oral massage involve?
Intra-oral massage is a specialized technique where the practitioner massages the muscles inside the mouth. The therapist, using gloved hands, gently inserts a finger into the mouth to directly access and assess the muscles within. Certain jaw muscles, like the lateral pterygoid, can only be effectively reached from inside the mouth. Gentle pressure is applied to release tension, reduce tightness and muscle spasms, and alleviate pain or discomfort in the jaw muscles.
At Align Bodywork, we prioritize hygiene during intra-oral massage. This includes sanitizing hands before and after the session, wearing gloves, and the therapist wearing a mask while performing the techniques. We also use hand signals throughout the session to ensure clear communication and enhance client comfort.
Intra-oral massage requires additional written consent as part of the intake process (provided after booking), and consent can be withdrawn at any time, for any reason.
