Since the COVID-19 pandemic began, we’ve been seeing patients with TMJ symptoms more frequently. Patients with chronic TMJ symptoms, and those who have never before had jaw issues are finding that mask use and stress have changed the way that they hold their jaw, resulting in pain.

While chiropractors are mostly thought of as spine doctors, they can treat a wide-range of issues that arise in all parts of the body. TMJ dysfunction is a very common condition, affecting more than 3 million Americans per year. We caught up with Dr. Cydney to learn more about TMJ and how it can be treated at Equilibrium.

Question: Why do chiropractors treat jaw issues?

Dr. Cydney:  I see the primary role of a chiropractor as a provider who specializes in muscles, bones, and nerves. Any place in the body that has one or more of those tissues is fair game!  Although chiropractors are historically and currently positioned to be excellent spine care specialists, I enjoy treating areas that may not come to mind first when one thinks of a chiropractor.

Question: What's a healthy jaw vs. unhealthy jaw? 

Dr. Cydney: A healthy jaw moves smoothly, quietly, and without pain during opening and closing of the mouth, especially during activities of daily living including eating, talking, and working. An unhealthy jaw may show asymmetry of movement, clicking/popping/clunking/grinding noises, locking, pain or tightness.

Question: How does the jaw work in relationship with the rest of the body?

Dr. Cydney: The jaw (temporomandibular joint ="TMJ") is connected, directly and indirectly, to many other body areas. For example, the upper cervical (neck) joints interact with the TMJ due to their proximity to one another. If the joints in the upper neck have dysfunction or injury, this affects the angle and mechanics of the jaw. Another example is the use of dental appliances in past research studies to positively affect scoliosis symptoms.

Question: Is tongue posture/mouth posture a thing?

Dr. Cydney: Many people have postural habits that can negatively affect body tissues and cause pain. For example, computer work can be associated with a "shrugging" and "slouching" posture, which may lead to tightness and pain in the neck and shoulders. Especially during times of stress, dysfunctional jaw and mouth positions can arise, similarly leading to tightness and pain.

Question: How might TMJ issues be treated at Equilibrium?

Dr. Cydney: Depending on the comfort level of each patient and each provider, we can find a way to assess and treat the jaw without compromising safety during the pandemic. Manual therapy can improve the function of tight muscles and joints in a way that can positively affect jaw, neck, upper back/shoulder pain, and headaches. Postural advice and home care instructions can improve symptoms between treatments. Because Equilibrium also offers massage therapy and acupuncture, we will find a treatment combination tailored to a patient's symptoms and find the approach that works best for each individual. In the case of the jaw, relief can often be achieved through muscle work on the face, head, and inside the mouth. Gentle joint manipulation or mobilization, both manual and instrument assisted, can also contribute to relief. If it's not in my wheelhouse, I will refer out.