Jaw dysfunction (TMJ/TMD) eDMONTON

USE MULTIPLE DISCIPLINE PAIN RELIEF STRATEGIES

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EASE THE PAIN

Alleviate the pain and reduce the swelling in your temporomandibular joint (TMJ), which connects the jawbone to your skull. Ease the ongoing symptom of headaches or migraines for ultimate relief.

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REDUCE CHANCES OF RE-OCCURRENCE

Make sure your TMJ or orofacial pain issues don’t return. Physiotherapy and other TMJ treatments at Body Restoration, can provide preventative measures to stop the cycle of pain and stiffness before it comes around again.

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RESTORE RANGE OF MOTION

Get back to your normal joint movements, such as talking, chewing and yawning, with custom treatments that relax and stretch the muscles around the TMJ.

THE 4 TYPES OF TMJ DISORDERS

  1. Hypomobility
  2. Hyermobility / Instability aka. Open Lock
  3. Disc Displacement
  4. Muscular / Myofascial Imbalance

HYPOMOBILITY
Signs and Symptoms:

  • Decreased opening (n<40mm) and reduced lateral movements
  • Occasionally painful
  • Signs of ankylosis/contractures
  • May be combined with other syndromes
  • Often found in the elderly
  • Often unilateral
  • History of trauma, surgery, bruxism, joint noises
  • Deviation towards the affected side on opening
  • Lateral excursion limited to the contra lateral side

 

Treatment:

  • Muscular Release Techniques
  • Mobilization to improve opening on hypomobile side
  • Splint Therapy
  • Electrotherapy, Ultrasound, Acupuncture
  • Exercises (often)
  • Postural Correction, Stretching (opening, protrusion and lateral excursion), self-massage, controlled opening

HYPERMOBILITY/INSTABILITY
Signs and Symptoms:

  • Excessive anterior translation and too little rotation
  • Anterior subluxation of condyle outside eminence
  • Possible loud clunk at end of excessive opening
  • Possible lock in open position (send to dentist/PT)
  • General laxity of the joints
  • Atrophy and/or hypertrophy of masticatory muscles
  • Incoordination and weakness of the jaw muscles
  • ROM of opening in excess of 50mm
  • Excursion towards the non-affected side
  • History or trauma (ie. dental work/MVA) or habitually bad posture

 

Treatment:

  • Muscular techniques – AMRT, massage, IMS
  • Mobilization of TMJ to improve opening only if unaffected side is hypomobile
  • Electrotherapy, Ultrasound, Acupuncture
  • Exercises – Postural correction, self-massage, controlled opening, isometric strengthening all movements
  • Avoid full opening, yawning with cervical spine flexion, strengthening hyoid muscles

ANTERIOR DISC DISPLACEMENT (WITHOUT REDUCTION) – CLOSED LOCK
Signs and Symptoms:

  • Past history of trauma, click, occasional locking
  • With or without pain
  • Often acute
  • Decreased function (i.e. opening and ability to chew)
  • Severe limitation of opening (5-30mm)
  • Lack of anterior glide of the condyle because disc is blocking movement
  • Severe deviation of the jaw on opening towards the affected side

Treatment:

  • Muscular Release Techniques –  AMRT, massage, contract/relax, IMS
  • Reduce the blockage with mobilization –  Distraction and anterior glide
  • If disc does not reduce, mobilization to improve opening –  Distraction and anterior glide
  • Electrotherapy, ultrasound, acupuncture
  • Exercises (often) –  Postural correction, self-massage, stretching (opening, contra lateral lateral excursion and protrusion), controlled opening
  • Splint therapy (anterior positioning splint used temporarily to recapture the disc)
 

MYOFASCIAL/MUSCULAR IMBALANCE
Signs and Symptoms:

  • Usually gradual onset but sometimes trauma involved
  • Rarely joint noises
  • Facial pain, head pain, headache, referred pain patterns (teeth, ear, upper c/spine)
  • Incoordinated muscle function and reduced strength
  • Signs and symptoms of c-spine dysfunction or cranial dysfunction
  • Bruxism, parafunctional habits (stress)
  • No intra-articular dysfunction
  • Atrophy/hypertrophy
  • Postural syndrome, ergonomic contributing factors, repetitive postures

Treatment:

  • Usually need to address cervical spine dysfunction as well as posture
  • Muscular techniques –  AMRT, massage, contract/relax, IMS
  • Electrotherapy, ultrasound, acupuncture
  • Exercises (often) –  Postural correction, self-massage, controlled opening, isometrics
  • Education –  Eating soft food, posture correction
  • Splint therapy

WHO WE ARE

Body Restoration is a collaborative rehabilitation centre in Edmonton, Alberta, offering you cutting edge care for TMJ and orofacial pain management.

By combining various treatments with our TMJ experience and special training, our elevated quality of care puts all of your recovery needs right at your fingertips.