TMJD (Temporomandibular Joint Disorder)
TMJD related pain affects up to 12% of the population alone and up to 24.8% of the population if Bruxism and Chewing difficulty is included. This condition can be difficult to treat by conventional methods and is often chronic in nature. It is frequently associated with chronic daily headaches and neck pain.
A thorough examination is conducted on every patient. Structural deficits, restrictions, as well as muscle weakness and imbalances are identified. X-rays and state of the art Ultrasound technology are used for diagnosis of structural jaw abnormalities. Advanced imaging techniques such as MRI can be used for further assessment.
- Ultrasound guided injection techniques can relieve TMJD related pain. The injections can consist of steroids trigger point injections.
- PRP (platelet rich plasma) through an ultrasound-guided injection is a new, promising technique that seeks to promote TMJ joint cartilage regeneration.
- Prolotherapy injections are used for rejuvenating and strengthening of the jaw joint and supporting ligaments.
- Osteopathic Manual Therapy (OMT) is utilized during every physician encounter as needed for correction of the jaw alignment and upper cervical joint restrictions that frequently travel with the TMJD.
- State of the art personalized one-on-one physical therapy is conducted to address restrictions, correct imbalances and promote strength of the supporting facial and cervical muscles.
- Private and small exclusive therapeutic Yoga classes are prescribed for further gentle Cervicothoracic muscles. Yoga also addresses stress related causes of neck and jaw pain through teaching of Mindfulness Based Stress Reduction and breathing techniques.
NOTE: Yoga program is typically instituted after completion of the physical therapy and rehabilitation program, but can be used as a first line treatment in cases where there is problem with generally poor exercise tolerance.