The temperomandibular joint connects the jaw (and teeth) to the skull. This joint, which can be felt in front of the ear by opening and closing your mouth, can cause acute and chronic pain called Temperomandibular Joint Syndrome (TMJ). Muscles surrounding this joint include temporalis, masseter, and pterygoid muscles that allow chewing and talking.

Causes:
The source of Temperomandibular Joint Pain is not always known. Often causes are due to trauma, bruxism (grinding teeth), or teeth clenching. Due to it’s location, improper teeth care affects how the TMJ moves.

Risk Factors:
Risk factors include stress (increases bruxism and teeth clenching), history of osteoarthritis or rheumatoid arthritis. Poor personal hygiene for oral care.

Signs and Symptoms:
~ Pain in the jaw or face
~ Popping or clicking when opening your mouth
~ Jaw becomes locked or difficult to move with pain on one side or both TMJ
~ Jaw does not open symmetrically. See below for self test.
~ Tinnitus (ringing in ears)
~ Ear ache
~ Neck and Shoulder Pain

Tests:
Orthopedic, neurological, and chiropractic exams are performed for proper diagnosis.
For self test, sit in front of a mirror and open your mouth as wide as possible. If deviation or movement favors one side with pain felt, or if popping or clicking is heard.

Treatment:
Treatment ALWAYS begins with treatment at HealthSource of Portland through chiropractic and progressive rehab. Treatment is designed to relieve pressure from the muscles that surround the TMJ. With pain decreased, following treatment focuses on moving the jaw in proper motion. HealthSource combines massage, chiropractic, and rehabilitation to provide rapid relief and lasting results.
Mouth guards to prevent grinding at night are often used to assist in prevention of further irritation.
Treatment for TMJ Syndrome that is not relieved at HealthSource often results in referral for injection or manipulation under anesthesia.