TMJ and Myofascial Pain Syndrome Animation
The temporomandibular joint â€“ the TMJ is the joint between the lower jawbone the mandible and the temporal bone of the skull. The TMJ is responsible for jaw movement and enables chewing, talking and yawning. Temporomandibular disorders, or TMD, refer to a group of conditions characterized by pain in the jaw area and limited movement of the mandible. TMD may be caused by problems in the joint itself or in the muscles surrounding the joint. Problems in the joint include: arthritis, inflammation and internal derangements. When the problem is in the muscles, the condition is called myofascial pain syndrome. Myofascial pain syndrome is very common and can occur in patients with a normal temporomandibular.
Joint. The syndrome is characterized by presence of hyperirritable spots located in skeletal muscles called trigger points. A trigger point can be felt as a nodule of muscle with harder than normal consistency. Palpation of trigger points may elicit pain in a different location. This is called referred pain. Trigger points are developed as a result of muscle overuse. Commonly, the muscles of chewing, or mastication, are overworked when patients excessively clench or grind their teeth unconsciously during sleep. The medical term for this condition is â€œnocturnal bruxismâ€�. A trigger point is composed of many contraction knots where individual muscle fibers contract and cannot relax. The sustained contraction of muscle.
Sarcomeres compresses local blood supply, resulting in energy shortage of the area. This metabolic crisis activates pain receptors, generating a regional pain pattern that follows a specific nerve passage. The pain patterns are therefore consistent and are well documented for various muscles. Trigger points in the masseter refer pain to the cheeks, lower jaw, upper and lower molar teeth, eyebrow, inside the ear and around the TMJ area. Trigger points in the temporalis are also associated with headache and toothache from upper teeth. The main culprits of myofascial pain in the TMJ area are the pterygoid muscles. Trigger points in medial pterygoid refer pain to the TMJ region in front of the ear, inside.
The mouth and upper outside of the neck. They may also manifest as sore throat and difficulty swallowing. Pain from lateral pterygoid trigger points can be felt in front of the ear and on the upper jaw. Treatments aim to address bruxism, to relieve muscle spasm and release trigger points. Treatment options include: Therapies: stress management, behavior therapy, biofeedback to encourage relaxation. Dental night guards: Splints and mouth guards to protect the teeth from damage. Medication: pain relievers, muscle relaxants, botox injections. Trigger points release techniques such as needling and â€œspray and stretchâ€�.
Pinched Nerve Cervical Radiculopathy Stretches Exercises Ask Jo
Hey everybody it’s Jo, and today I’m going to show you some stretches and exercises for cervical radiculopathy. Let’s get started. So if you have this, you know is pretty ridiculous, and you want to get rid of that pain because it’s nerve pain. Basically what radiculopathy is is the nerve root at the spine gets inflamed and irritated and then it causes that pain usually down the arm or if it’s in the lower body down the leg. So to start off with, we’re just going to do some nerve glides. With nerve glides, remember you just want to do a little bit. Maybe ten just one time a day because if you.
Do too many, it will flare up the nerve even more that’s definitely what you don’t want. So to start off with, take the arm and put it almost up into a stop sign position, but turn your palm facing you, and what you do is imagine that there’s a string on your finger and your head so they follow each other. So basically you’re going to pull your head over and straighten your arm out and then come back in. Try to keep your head in a straight forward position, don’t turn towards it, but keep it straight ahead, and then just side bend.
Over and follow that hand going down and coming back up. So again just start off with 10 of these. I wouldn’t recommend anymore because it might flare it up a little bit more. Then you’re going to go into some stretching into a trap stretch, and that’s those muscles back here where they get tight they they pull in and put pressure on that spine and put pressure on the nerves. So for the trap stretch, if I’m stretching my right side, I’m going to put my hand down. Some people put it behind their back you can do that. If you’re sitting in a chair, it helps to kind of grab on the bottom of the chair cause then that kind of.
Stabilizes the shoulder because you don’t want your shoulder coming up, you want it to stay down. And then take your opposite hand and then just pull away and hold that stretch for 30 seconds. So you should feel that stretch right in through there, and just nice hold. See if I’m not holding on that shoulder comes up a little bit, and I’m it’s not terrible but then I’m not getting quite as much of a stretch, so make sure you kind of pull it down, you can just take your fist and push it down as well. Holding that for 30 seconds and then doing that three times. If you want to do both sides you.
Can as well. The next one is going to be a chin tuck, and we’ve talked about chin tucks in the past where it’s not tucking down towards your chest, but it’s actually tucking it in making a whole lot of little chin’s there. So the goal is to make a whole bunch of wrinkles right there. So what I like to do is kind of use my finger as a target just so I know that I’m actually retracting that chin back. So just starting here, and then it’s almost like I’m trying to take the back of my head towards my other hand. So just.
Scrunching, in getting lots of little chin’s there, but keeping that chin up. Hold it for about three to five seconds, and then relax, and you can see that there’s a space now between my finger and my chin, and I moved it a little bit, but you can tell that there’s a difference there. And then move it again and retract. Hold it there three to five seconds, and do about five of those. Then the next one is going to be the chin retraction with a little bit of an extension, and remember with extension if you have neck issues anyways, sometimes this movement for people makes you dizzy or very painful, so don’t feel like you.
Have to do a lot, you’re just getting that movement. So you’re going to do that chin retraction first, and then just an up and down while you’re retracted. So you can try and do about five at a time while you’re retracted, or relax each time because sometimes it’s hard because you haven’t work those muscles in a while, people tend to get that forward head posture and then these become weak these become tight, so you might have to do one chin tuck go up, relax. But if you can hold it and do about five at a time, that’s the best and then do two sets of five. So there you have it, those were your stretches for.