Can Chiropractic Treatment Help with Long-Term TMJ Disorders? - Dentistry

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Can temporomandibular joint (TMJ) disorders be treated with osteopathy?


I would like to ask about a case of temporomandibular joint (TMJ) disorder that has lasted for over ten years.
The lower jaw has progressed from a painful phase to a pain-free state, allowing for normal mouth opening and eating, but there is a noticeable facial asymmetry.
Is it advisable to consult an osteopath for adjustment, or is there a risk of worsening the condition? Thank you.

lin, 20~29 year old female. Ask Date: 2019/08/20

Dr. Huang Tingfang reply Dentistry


Dear Mr.
Lin,
Hello! Regarding osteopathy, I actually do not understand its medical mechanisms.
As for the noticeable facial asymmetry, it occurs when the mouth is opened or closed.
If it is the latter, then orthognathic surgery may be necessary.
Please take care! Wishing you peace and success in everything!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2019/08/20

More Info


Temporomandibular joint (TMJ) disorders can be quite complex and often require a multifaceted approach to treatment. Chiropractic care is one of the options that some individuals consider for managing TMJ disorders, especially when traditional treatments have not provided sufficient relief.
Chiropractic treatment for TMJ disorders typically involves manual adjustments and manipulations of the jaw and neck. The goal is to improve the alignment of the jaw, reduce muscle tension, and enhance overall function. Chiropractors may also employ techniques such as soft tissue therapy, stretching, and exercises to help alleviate pain and improve mobility.
In your case, since you have a long-standing history of TMJ issues and have transitioned from pain to a more functional state, it is essential to approach chiropractic care with caution. While some patients report positive outcomes from chiropractic treatment for TMJ disorders, there are potential risks involved, particularly if the underlying issues are not thoroughly assessed.
Here are some considerations regarding chiropractic treatment for TMJ disorders:
1. Assessment by a Qualified Professional: Before seeking chiropractic treatment, it is crucial to have a comprehensive evaluation by a healthcare professional who specializes in TMJ disorders. This could be a dentist, oral surgeon, or a physician familiar with TMJ issues. They can help determine the underlying causes of your symptoms and whether chiropractic care is appropriate for your specific situation.

2. Potential Benefits: Chiropractic adjustments may help alleviate muscle tension in the jaw and neck, improve joint function, and reduce pain. Some patients find relief from headaches and facial pain associated with TMJ disorders after chiropractic treatment.

3. Risks of Worsening Symptoms: There is a possibility that chiropractic manipulation could exacerbate your condition, especially if there are structural issues or if the jaw is not properly aligned. If your TMJ disorder is related to underlying dental issues, such as malocclusion or structural abnormalities, chiropractic care alone may not address the root cause.

4. Complementary Approaches: It may be beneficial to consider a multidisciplinary approach to your TMJ disorder. This could include physical therapy, dental treatments (such as splints or orthodontics), and possibly counseling for stress management, as stress can exacerbate TMJ symptoms.

5. Self-Care and Home Exercises: In addition to professional treatment, self-care strategies can be beneficial. Gentle jaw exercises, heat or cold therapy, and relaxation techniques may help manage symptoms.
6. Monitoring Progress: If you decide to pursue chiropractic treatment, it is essential to monitor your symptoms closely. Keep track of any changes, both positive and negative, and communicate these to your chiropractor and other healthcare providers.

In conclusion, chiropractic treatment may offer some benefits for TMJ disorders, but it is vital to approach this option with careful consideration of your specific situation. Consulting with a healthcare professional who understands TMJ disorders will help you make an informed decision about whether chiropractic care is appropriate for you. Remember that a comprehensive treatment plan that addresses all aspects of your condition is often the most effective way to achieve long-term relief and improve your quality of life.

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