
Temperomandibular joint (TMJ) Syndrome can be one of the most difficult and elusive conditions to treat. Patients can continue to suffer with symptoms despite years of traditional medical therapy. In order to effectively alleviate the symptoms associated with TMJ, one must use an integrated treatment approach combining various therapeutic modalities.
One of the primary reasons for a poor outcome in TMJ treatment is a lack in clinically understanding the relationship between articular, muscular, and neurological causes of the condition. If any of these potential causative factors are missing in the treatment approach, poor results can occur. The doctor who diagnoses and treats all factors will notice an increase in positive results and patient satisfaction.
TMJ Anatomy
The temporomandibular joint is the articulation between the condyle of the mandible and the squamous portion of the temporal bone. An internal disk known as the meniscus is a fibrous, saddle shaped structure that separates the condyle and the temporal bone. The meniscus and its attachments divide the joint into superior and inferior spaces. These disks not only act to separate the hard bones but also to absorb and cushion vibrations and impacts transmitted through the joint.
The TMJ is controlled by muscles. The muscles controlling the TMJ are predominantly the masticatory muscles. These would include temporalis, masseter, lateral pterygoid, medial pterygoid, and buccinator. However, other muscles may have an effect on the functioning of the TMJ, such as the neck, shoulder and back muscles. This is the one key areas overlooked by physicians when treating TMJ Syndrome. Primary muscles include the scalene, sternocleidomastoid, trapezius, levator scapulae, supraspinatus, infraspinatus, rhomboids and latissimus dorsi. There has even been a case where the soleus muscle in the calf affected the TMJ via kinetic chain dysfunction.
To schedule an appointment contact
Pain Laser Center, LLC
150 Triangle Plaza
@Edge Fitness Center
Ramsey, NJ 07446
973-800-6570