Jaw Pain When Chewing: Which Specialist to See for Relief? - Rehabilitation

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Experiencing pain while biting down?


I have been experiencing pain in my jaw joint recently, and I have difficulty opening my mouth.
It hurts when I bite down on things.
Which specialist should I see? Is physical therapy effective?

Ya Sheng, 20~29 year old female. Ask Date: 2008/06/01

Dr. Chen Xianchang reply Rehabilitation


Hello, thank you for your question.
I would like to address your concerns and provide the following suggestions:
1.
There are generally two possibilities.
If there is gum inflammation, you should consider seeing a dentist for treatment of periodontal disease.

2.
If there are no dental issues, it may be related to temporomandibular joint (TMJ) inflammation.
You can start with ice packs or pain relievers, and after the acute phase has passed, consider deep heat therapy, as ultrasound therapy has shown good results.
Finally, I wish you peace and happiness.

Reply Date: 2008/06/01

More Info


Jaw pain when chewing can be a frustrating and debilitating issue, often linked to conditions affecting the temporomandibular joint (TMJ), which connects the jawbone to the skull. Given your symptoms of pain when chewing and difficulty opening your mouth, it is advisable to consult a specialist who can accurately diagnose and treat your condition.

The first step is to see a dentist, particularly one who specializes in TMJ disorders or orofacial pain. Dentists are trained to evaluate the alignment of your jaw, the condition of your teeth, and any potential issues with your bite that may be contributing to your pain. They can conduct a thorough examination, which may include imaging studies like X-rays or MRIs, to assess the joint and surrounding structures.

If the dentist determines that your jaw pain is related to TMJ dysfunction, they may recommend several treatment options. These can include:
1. Physical Therapy: Rehabilitation can be highly effective for TMJ disorders. A physical therapist can guide you through exercises to strengthen the jaw muscles, improve flexibility, and reduce pain. They may also use modalities such as ultrasound or electrical stimulation to alleviate discomfort.

2. Occlusal Splints or Mouthguards: These devices can help to realign the jaw and reduce strain on the TMJ. They are particularly useful if your pain is exacerbated by teeth grinding or clenching, which often occurs during sleep.

3. Medications: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain and inflammation. In some cases, your dentist may prescribe muscle relaxants or anti-inflammatory medications.

4. Stress Management Techniques: Since stress can contribute to jaw tension and pain, incorporating relaxation techniques such as yoga, meditation, or counseling may be beneficial.

5. Surgical Options: In rare cases, if conservative treatments do not provide relief, surgical interventions may be considered. This could involve arthroscopy or open joint surgery to repair or reposition the joint.

Regarding the effectiveness of rehabilitation, studies have shown that physical therapy can significantly improve symptoms in many patients with TMJ disorders. It is essential to follow a tailored rehabilitation program designed by a qualified physical therapist who understands TMJ issues.

In summary, your best course of action is to start with a consultation with a dentist specializing in TMJ disorders. They can provide a comprehensive evaluation and guide you through the most appropriate treatment options, including rehabilitation. Early intervention can lead to better outcomes, so seeking help sooner rather than later is advisable. Remember, managing jaw pain often requires a multidisciplinary approach, and with the right care, you can find relief and improve your quality of life.

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