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Temporomandibular Disorder
AKA Jaw Pain

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Temporomandibular Disorder (TMD), or Jaw Pain, could simply be an issue with the Temporomandibular Joint (TMJ) and its associated musculature and nerve supply. 

Recent studies and consensus amongst peers in the medical and surgical field have supported that neck and thoracic postural changes and muscular tension in the sub-occipital region can be primary or secondary causes.

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Physiotherapy for TMD is well established to be effective for most TMD conditions without a need for invasive treatments such as surgery. However, a multi-disciplinary approach, involving the Dentist, General Practitioner, Surgeons and Physiotherapists is instrumental in maximising outcomes for these conditions.

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How does Physiotherapy help?

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  • Detailed history taking - Medical / Social / Occupational

  • Aggravating and Relief factors

  • General and Mental Health

  • Physical assessment of Jaw and Neck and associated musculature, posture and neural factors

  • Education about condition and contributing factors

  • Hands on Treatment

    • Soft tissue release for associated musculature

    • Dry needling

    • Reduction if required

  • Corrective exercises for Jaw, Neck and Posture

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Collaborative approach

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The collaborative approach to treating the TMJ is no different to treating other conditions. The treating Physiotherapist is expected to maintain timely communication with anyone involved in the patient's care, including but not limited to the dentist, doctor (GP) and/or Surgeon.

Our TMJ Physiotherapist is invested in achieving best outcomes for the patient and continues to deepen his understanding of the TMJ + Neck + Head complex through consultation and discussions with dentists, surgeons and other peers practising in the same field of TMJ complications.

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Symptoms Associated with TMD:

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  • discomfort in the jaw or face

  • clicking, grating or other noises in the joint during actions such as chewing or yawning

  • unevenness or deviation in movements of the jaw

  • locking, or a feeling of the jaw being out of place - could be prolonged or brief

  • reduced opening or stiffness

  • headaches and/or dizziness

  • earache or a feeling of ear blockage

  • worn teeth, unexplained toothache

  • teeth grinding during sleep

  • clenching or tension in the facial jaw or muscles

  • muscular tension in neck and shoulder

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Conditions we treat

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  • Anterior disc displacement with/without reduction

  • Retro-discal tissue fibrosis

  • Muscular tone: Lateral/Medial Pterygoid, Masseters, Temporalis

  • Cervical spine and postural conditions

  • Inflamed TMJ joint from degeneration or overuse

  • Whiplash

  • Irritation post prolonged dental procedures

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