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Physical therapy for jaw problems?
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By ATI Physical Therapy
Aug. 8, 2013 12:01 a.m.

It’s jaw-dropping information, but believe it!
We all know that physical therapists treat the musculoskeletal system - bones, joints and muscles. So that includes knees, backs, shoulders . . . and jaws?
That’s right. The Temporomandibular Joint, better known as TMJ, is the hinge joint that connects the lower jaw (mandible) to the temporal bone of the skull. It is immediately in front of the ear on each side of your head and is often the culprit for many symptoms of Temporomandibular Disorders (TMD) including:
Pain and tenderness in the face, jaw joint area, neck, shoulders and ears during activities like chewing and speaking
Limited ability to open the mouth wide, or the joint locks in the open or closed position
Clicking or popping sounds
Tired feeling in the face

Tips for dealing with TMD

For the temporary discomfort of TMD, here are some things that can help:
Heat or ice
Eat soft foods
Medicate to reduce pain and swelling
Avoid excessive yawning and chewing
Avoid resting your chin on your hand
Keep your teeth apart to relieve pressure on the jaw
Improve posture
Learn relaxation techniques

What can Physical Therapy Do?

When these basic treatments prove unsuccessful, physical therapy may be the answer!
Instead of resorting to trigger point injections or surgery, patients can be treated by specially trained physical therapists who utilize soft tissue mobilization, massage, manual therapy, ultrasound and electrostimulation modalities to relieve and correct the symptoms of TMD.
“I feel most patients appreciate a conservative approach . . . and a majority of them show improvement after treatment,” says David Feiza, physical therapist at ATI’s Geneva South clinic, who has been practicing physical therapy for 34 years. “Exercises are used to relieve pain and restore function. Emphasis during treatment is focused on self-care techniques, including postural training, since the cervical spine has a strong influence on the TM joints.
Be an advocate for your own care
Talk to your physician, dentist or oral surgeon about PT as an option for your jaw problems. While many involve physical therapy during the care of their patients, yours may not be aware of its benefits.
Post Operatively: Some patients who do take the surgical route are referred by their oral surgeon or orthopedic surgeon to do some post-operative rehab for the joint. This helps improve the outcome of their surgery, so if you are a surgical candidate, be sure you choose a surgeon who recommends PT for his/her patients!
Home Exercises: The exercises and stretches learned during physical therapy are a valuable tool that can help you if symptoms should ever return. You will be able to manage symptoms on your own.

Find out if physical therapy could help you

ATI Physical Therapy offers complimentary screenings. However, not all physical therapists have special training to screen for and treat TMD. Please use this list to find a specially trained therapist in your area, and call today to schedule your complimentary screening appointment!
Bear (Ari Kaplan) (302) 392-3400
Newark Spine / Ortho (Marie Mullen) (302) 894-1800
Millsboro (Dave Pinkerton) (302) 297-0700

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