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 Temporomandibular joint disorders (jaw joint problems) can be treated but not totally cured, in Dr. Lohner's opinion. If you have a problem with your TM joints, you may always have it (like a bad back, trick knee, fibromyalgia, etc.) but hopefully treatment will diminish the occurrence and severity of the TM disorder. TM disorders tend to occur twice as often in females as males, so, hormones may play a role. Success in treatment for TM disorders is dependent on your daily control of your TMJ problem.
1. Soft diet
- During acute periods of pain, a soft diet may prove helpful (milkshakes, soups, jello, eggs, pasta, etc.)
- When symptoms begin to subside, more textured foods may be attempted but only small bite-size pieces. Cut the food up and don't tear it with your front teeth. You do not want to open your mouth wider than necessary.
- Avoid all hard and chewy foods (bagels, tough meat, raw veggies, etc.)
- NO CHEWING GUM
2. Moist heat and cold compresses
- Apply a washcloth wrung out in warm (not hot) water to the joint area for approximately twenty minutes, two to four times a day.
- Alternate with a cold pack to the area for approximately fifteen minutes (if pain worsens, discontinue the cold pack.)
3. Deep breathing relaxation
- Place tongue behind front teeth and swallow, this separates the teeth.
- Breathe deeply in through nose and out through mouth to the count of ten.
- These exercises are good to do in the shower, as the warm water relaxes the facial and chewing muscles.
- Envision stress leaving your body as you exhale.
4. Posture - Military Style
- Head up
- Shoulders back
- Chest out
- No slumping or fetal posture
- NO HOLDING PHONE WITH YOUR NECK
- Try to sleep on your back, not your stomach.
5. Vitamins
- Calcium and magnesium
- B-complex vitamins and Folic Acid
- Euphytose - antispasm herb (not to be combined with other supplements or painkillers.) Do not use this herb if you are allergic to it.
6. Separate the teeth
- Clenching and grinding teeth need to be eliminated.
- Practice keeping lips together, teeth apart.
- Avoid oral habits like biting on pens, fingernails, chewing gum, etc.
- Wear mouthguard or splint while sleeping or during stressful times.
7. Ibuprofen
- 600-800 mg with food if needed - discontinue when pain stops. Do not use this medication if you are allergic to it.
8. Try to relax. Most TMJ problems are due to stress.
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