Temporomandibular Joint Dysfunction Flashcards
What is an umbrella term for jaw probems?
TMJD / TMD
What is TMJ often categorized?
- Myofascial pain syndrome
- Internal derangement
- Osteoarthritis
Which category is when trigger points in the jaw muscles can refer pain to the head, neck and face?
Myofascial pain
Which category is when the fibrocartilaginous disc or other structures may be abnormal or damaged?
Internal derangement
Which category is when progressive wear and tear at the jaw can lead to permanent remodeling of the joint?
Osteoarthritis
What is a condition where a person grinds, clencher or gnashes his or her teeth?
Bruxism
What is a popping, clicking or crackling sound in a joint?
Crepitus
What to observe during assessment?
- Postural conditions
- Shoulder elevation, face asymmetry, head forward pressure, px facial expression, HT of temporalis or masseter
What is hypomobility on the side of deviation?
C / Reverse C curve
What is a muscle imbalance or medial displacement of condyle?
S / Reverse S curve
What type of problem if there is pain on opening? (depression of TMJ)
Extraarticular Problem
What type of problem if there’s pain on closing? (elevation of mandible)
Intraarticular problem
What will you find in palpation?
- Tenderness in masticatory muscles and local to the tmj - edema and heat may occut
- HT & TPs in the muscles of mastication, neck and thorax & possible adhesions
What are the special tests?
- Three knuckle
- Auscultation
What are the goals during massage treatment?
- Decrease pain
- Reduce HT & TPs
- Decrease fascial restriction & spasm if present
- Reduce inflammation if present
- Restore ROM & jt. mobility
What positioning can increase pain in some client?
Prone
What are homecare exercises to give?
- Breathing & relaxation exercises
- Self massage & mobilization
- Stretch / Strength
- Thermal applications
- cold to decrease pain or stimulate
- heat to decrease tone & muscle pain
- contrast to increase circulation
What are signs & symptoms?
- Pain in jaw, neck, shoulder & ears
- HT & TPs
- Headache
- Difficulty opening/closing
- Difficulty chewing & swallowing
- Crepitus
- Locking of the joints
- Bruxism
- Tinnitus
- Chronic c/s imbalances
What are CIs & Precautions?
- No massage with active dental infection
- If self diagnosed, refer out.
- Be cautious of vessels & nerves in anterior & posterior neck
- Do not treat anterior cervical spine bilaterally
- No heavy pressure over temporal styloid process
- No frictions with anti inflammatories
- Do not compress over mandible in superior direction
- Gloves must be used for intra oral
- no latex if allergic - Intra oral should be gentle
