Temporomandibular Joint aka TMJ

The temporomandibular joint (TMJ) is often an overlooked joint and when patients are experiencing TMJ pain there aren’t always a lot of options for them to as they seek out treatment. But it’s important for them to know that physical therapy can be very helpful in restoring proper jaw range of motion and decreasing pain to allow patients to return to painfree daily functioning.

Temporomandibular Dysfunction (TMD) is the second most common musculoskeletal condition behind only low back pain. Believe it or not, the TMJ is the most used joint the body and it’s used 1500-2000x/day! TMD typically will go through cycles where patients experience pain and discomfort, while also having periods of time of little to no pain or discomfort. It’s important to note that only a small percentage of people will have long-term problems.

A few unique characteristics of the TMJ include:

-The joint and articular disc are covered by fibrocartilage which can be repaired after an injury or damage

-There can be structural and biomechanical differences between the right and left joints

-The two TMJs have to work together to allow for appropriate movement of the jaw with chewing, eating, yawning, etc.
-Dental occlusion can affect the functioning and movement of the TMJ

The cause of TMJ pain or dysfunction is not always clear and can be due to multiple factors, but it is more common in women. For a lot of people, their symptoms start without injury or an obvious change in activity.

Temporomandibular disorders usually fall into three main categories and it’s important to note that people can be experiencing more than one at the same time.

-Myofascial pain resulting in pain of the muscles that control jaw function

-Internal derangement of the joint which can involve a displaced disc, dislocated jaw, or injury to the condyle

-Arthritis of the TMJ which includes degenerative and inflammatory joint disorders

If you are interested in learning more or about treatment options, don’t hesitate to call/text 701-318-4731 or email connectptnd@gmail.com to learn how we can help. Don’t forget to follow on Facebook and Instagram to stay up to date on the happenings at Connect Physical Therapy.

- Alison Fuhrman, PT, DPT, CMPT, OCS