TMJ Syndrome

Causes

There is no widely agreed-on cause of TMJ disorders. They have been linked to stress, injury, arthritis, genes, and how someone feels pain.

Symptoms

Symptoms may include:

• Pain in the face, jaw, or neck.

• Pain with jaw movement or chewing.

• Locking or catching sensation of the jaw.

• Clicking, popping, or grinding sounds with movement of the TMJ.

• Headaches.

• Ear pain.

Home care

Modest treatments are a good first step toward relieving symptoms. Try these methods:

• Reduce stress on your jaw by not eating crunchy or hard-to-chew foods. Don’t eat hard or sticky candies. Soft foods and liquids are easier on the jaw.

• Protect your jaw while yawning. If you need to yawn, put your fist under your chin to prevent your mouth from opening too wide.

• To help relieve pain, put hot or cold packs on the area that hurts. Try both hot and cold to find out which works best for you. To make a cold pack, put ice cubes in a plastic bag that seals at the top. Wrap the bag in a clean, thin towel or cloth. Never put ice or an ice pack directly on the skin. If you use hot packs (small towels soaked in hot water), be careful not to burn yourself.

• You may take acetaminophen or ibuprofen for pain, unless you were given a different pain medicine. (Note: If you have chronic liver or kidney disease or have ever had a stomach ulcer or gastrointestinal bleeding, talk with your doctor before using these medicines. Also talk to your doctor if you are taking medicine to prevent blood clots.) Do not give aspirin to children or teens unless your child’s doctor says it is safe. Aspirin can put your child at risk for Reye syndrome, a rare but serious condition.

Reducing stress

If stress seems to be contributing to your symptoms, try to find the sources of stress in your life. These aren’t always obvious. Common stressors include:

• Everyday hassles. These include things such as traffic jams, missed appointments, or car trouble.

• Major life changes. These can be good, such as a new baby or job promotion. Or they can be bad, such as losing a job or losing a loved one.

• Overload. This is the feeling that you have too many responsibilities and can't take care of everything at once.

• Helplessness. This is when you feel like your problems are more than you can solve.

When possible, try to make changes in your sources of stress. See if you can stay away from hassles, limit the amount of change in your life at one time, and take breaks when you feel overloaded.

Many stressful situations can't be prevented. Learning how to manage stress is very important. To make everyday stress more manageable:

• Get regular exercise.

• Eat nutritious, balanced meals.

• Get enough rest.

• Try relaxation and breathing exercises, visualization, biofeedback, or meditation.

• Take some time out to clear your mind.

For more information, talk with your doctor.

Follow-up care

Follow up with your doctor, or as advised. More testing and other treatment may be needed. If changes to your lifestyle do not improve your symptoms, talk with your doctor about other treatments. These include bite guards for help with teeth grinding, stress management methods, and more. If stress is an important factor and does not respond to the above lifestyle changes, talk with your doctor about a referral for counseling in stress management.

If X-rays were done, they will be reviewed by a specialist. You will be told the results and if they affect your treatment.

Call 911

Call 911 if you have:

• Trouble breathing or swallowing.

• Wheezing.

• Confusion.

• Extreme drowsiness or trouble waking up.

• Fainting or loss of consciousness.

• A fast heart rate.

When to get medical advice

Contact your doctor or get medical care right away if you have:

• A swollen or red face.

• Jaw or face pain that gets worse.

• Neck, mouth, tooth, or throat pain that gets worse.

• A fever of 100.4°F (38°C) or higher, or as directed by your doctor.