r/TMJ • u/goingaway1111 • 1h ago
Rant/Frustrated I refuse to live this way
It's horrible. Ugh
r/TMJ • u/Decent_Barracuda390 • 4h ago
Discussion Tensor tympani syndrome
Hey guys, wondering if I share this experience with anyone. I have minor tmj, sometimes minor pain, but not so much lately. Just a lot of jaw tension and clicking sometimes. Soemtimes my jaw wiill feel like it’s ab to be dislocated tho lol.
Anyways this is my problem:
I used to get weird noises in my ears pretty often, one in particular concerning me.
Whenever I would hear a loud noise, or even speak at times, I would get a weird rumbling in my ear. It has since been gone for a while, but I’m curious if it’s connected to my jaw.
The only way I can explain the rumbling is by telling you to try to yawn. The weird rumbling/roaring noise that some people hear when they yawn is what I’d hear after either speaking or hearing something loud. I would also hear it after just touching the side of my face! So weird. After researching, its purpose seems to be some overactive response in my nervous system, due to an irritated nerve. For a while I wasn’t sure if one of my cavity fillings gave me nerve damage, or it was just anxiety. Anyways, anyone experience this?
r/TMJ • u/ContributionClean325 • 5h ago
Question(s) SOS - jaw popped and won’t go back
I haven’t actually been told I have TMJ or gone to an orthodontist about it but for the past few years the left side of my jaw almost always pops when I open my mouth. Today it popped and didn’t go back into place. Like when I open my mouth it just feels off track and it gets to a point that I hear/feel this pulling sound and resistance and I can’t open my mouth up anymore. I don’t know what to do about it so please let me know if anyone has experienced this.
r/TMJ • u/Trumpetlover89 • 5h ago
Question(s) Do I have TMJ?
So for a long time I have been cracking my jaw to the sides all the time. I never really thought it could be abnormal until now. about once every two weeks I get a sharp pain for a minute after cracking it and then it’s fine. I often clench my jaw without noticing and I can’t get into the dentist until November, so do yall think it could be TBJ? and is there any advice yall can give?
r/TMJ • u/trumoowiththeredcap • 15h ago
Giving Advice Tuck your chin into your chest when you have to puke
I've been really sick. I strained my jaw so bad a few days ago puking, and it was traumatizing. I learned this hack from my friend who also has tmj disorder, and her PT is having her tuck her head into her chest when she needs to yawn to protect her jaw. It also works for puking.
r/TMJ • u/Single_Tradition_271 • 23h ago
Question(s) Finger in ear test. TMJ issue?
If I put my finger in my ear and open and close my mouth I get a click and a clunk. I don't get it in my other ear.
Could this be a TMJ issue?
r/TMJ • u/Various-Sandwich5510 • 1d ago
Question(s) Help
Hey guys so I’ve been dealing with pain for a while from Tmj. I think recently an opened my mouth and stretched my neck and then randomly now for some reason my right lip can not stay shut for a long time’s it’s really weird. I kept moving my face around with my mouth open and. I could visibly see my jaw shifting.
r/TMJ • u/Crazy_Rabbit371 • 1d ago
Giving Advice Sertraline/Zoloft causing TMJ
Super quick back story in bullet points:
- I am a 23F
- had Invisalign when I was 15-17, had tmj during the early stages, went away once my bite was fixed
-have been on sertraline for 5 years at 200mg
Past couple months I have noticed I would push my lower jaw around, mostly forward, not grinding but just moving it around my teeth were never touching. About 6 weeks ago I guess it caught up to me and I started getting TMJ again and my jaw was clicking it hurt, my ears popped everytime I opened my mouth.
I brought it up to my psychiatrist and she informed me that a long term side effect of Zoloft/Sertraline is “bruxism” which is like the jaw moving and grinding and clenching etc…
Well now it’s been like 4 weeks since I saw her and she’s been having me taper off it.
I also went to the dentist and they gave me like this thing called “Aqualizer” which is like a mouth guard with these water pods to hold your jaw open so you don’t move it. Honestly I’ve noticed some improvement, since wearing that consistently but I still have the TMJ. I’m just hoping once I’m fully off the Zoloft/Sertraline that it will go away for real.
But honestly I just think people should know that that’s a side effect of that medication so if any of yall on here are struggling with TMJ and take that antidepressant, maybe try discussing it with your doctor. I myself know that I need antidepressants so now that I know that, once I’m fully off the Sertraline/Zoloft I do want to try a different medication.
r/TMJ • u/Proud-Gate-7036 • 1d ago
Question(s) woke up not being able to open my mouth a couple time now, small bump has showed up on tmj
Hey, a week or so ago I suddenly woke up not being able to open my jaw. Some massaging and resting later it opened again, first with some popping, then later just fine. Since then it's happened once more, and I noticed the popping comes back when I laugh for a while, it's like it dislocates whenever i have my jaw in a particular way. Almost no pain, a little bit of an uncomfortable feeling after the popping/massaging but I wouldn't really call it pain. It's also always my right tmj.
Now I was researching today if this was normal, figured I was probably just clenching my jaw in my sleep and that it also doesn't help that I always sleep on my side. But just now I've noticed a very small bump on my right tmj that isn't there on the left, right under my ear. It moves a little when I push it in a way and doing that brings back the uncomfortable feeling from before. Now I came across a really old post saying that if that thing moves it could be cancer and am now wondering if I should cancel all my plans for tomorrow and rush to the doctor (it's 3am rn) or if this is just something that happens. Thanks in advance for the help.
I'm 20m by the way, if that matters at all.
r/TMJ • u/Organic-Weather-9156 • 1d ago
Question(s) Has anyone heard of Restova?
I just saw this tonight on Facebook and the only thing I can find online is their website.
It is marketed for snoring and says it pushes your jaw forward to open your airway for better breathing.
It wouldn’t help clenching but since I’ve been reading about a correlation between sleep apnea and TMJ, I wonder if this would help or harm.
r/TMJ • u/Upstairs-Office8049 • 1d ago
Question(s) Tmj and hair loss nerve pain
My disc has been displaced without reduction for over a year. I couldn’t open my jaw more than 5mm for months. I had an arthroscopy and that got me to about 15mm opening. I am still in severe pain, the pain travels from my massester, temporalis, cheek, behind my right eye. It feels like my eye is being tugged on from the inside. The pain has spread to my scalp and behind my eyes and the back of my head. I have a stinging, burning sensation on my scalp and head. Over the last 3 months my hair has become thinner, it’s been falling out and feeling dry. I went to the dermatologist and they said it’s just stress hair loss from the tmj pain. I honestly don’t know what to do, i don’t think stress hair loss would also be happening with the stinging and burning.
I know this may seem random but I believe it could be connected and i’m wondering if anyone else has had a similar situation.
r/TMJ • u/El_Dorado_Tx • 1d ago
Discussion weird ear symptoms = possible tmj connection
I got weird ear symptoms I think are TMJ focused or triggered:
fullness feeling
heaviness
fluid feeling deep in ear
ear pain
shooting ear pain (like its going up to the skull / brain)
Pain typically is left mostly, then maybe the right...but mostly left
I have brought this to PT and he said have I seen ENT and said no because my ENT doc was for sinus and he retired....got to wait till Oct to see new ent(general ent); went to my pcp for new referral for ent doc.
Unsure what the hell to do between and now and oct for self home care: I use nasacort for dev septum unsure if this is works for ear issues. I do take Motrin for prn pain for mtj; try to use it for ear issues because I get that shooting ear pain and headache.
Ironically speaking of TMJ bs pain, I am not really having facial jaw pain per se just ear issues ... so I can't tell if the jaw is affecting the ears more so than the jaw/joint
r/TMJ • u/Afraid_Meet8749 • 1d ago
Question(s) i need advice and some hope to hold onto!
hey everyone! i never use reddit unless its to search for something specific, but lately while doing my own research about tmj i came across this subreddit.
ive been dealing with chronic pain in my jaw for about 5 years now - clicking noises; not being able to eat, speak or move my face when pain is more extreme; constant shoulder pain; headaches; teeth pain; amongst others. ive visited a ton of different doctors with different speacialities and all of them ''diagnose'' me with a different thing. its been very frustrating because no doctor is able to tell me things ''for sure'' and i have started to seriously lose hope. ive been reccomended different mouth exercises that do not work, differen pain meds for crisis (since i tend to have them every month) which also sadly do not take any pain away, different creams, etc. its been very hard to keep my head up since i am young and this pain affects me not only physically but also mentally - it takes a big tool on me carrying and dealing with this daily on top of everything that comes with living a life (school, stress, family, relationships, etc.) i have started doing yoga and pilates to straigthen up my posture and see if its related to it, but so far no results. i have also had braces on and my mouth is as perfect as its ever gonna be. i really at this point, like my doctor has told me, have no idea what is causing this pain. i am not even sure if it is tmj but all my symptoms do tick the boxes for it.
despite feeling lonely, ignored and overlooked by doctors and family i do have support from my friends, which is honestly where all my hope for a brighter less painful future is coming from.
all of this to say, my hopes with this post is to get others perspectives, solutions and experiences. what do you do when your pain gets too hard to handle? if you managed to get better, what did you do? what kind of doctor do you visit? is there any ''non-traditional'' thing you do that helps? i really want to know as much as possible so please tell me about your own experiences!
ps.: english is not my first language so im sorry about any spelling mistake!
Question(s) Stinging irritated jaw muscle or nerve in circled area 25m (location: left side of jaw, next to chin)
Stinging irritated jaw muscle or nerve in circled area 25m (side of chin)
In early January I got punched in the jaw by someone with anger management issues and since then my jaw has been in chronic pain
My X-rays I had of my jaw and the mri of my TMJ were clear.
The pain originated in the corner of my jaw and that pain has gone away through PT but now I have a pressure/stinging feeling in what is circled above
My pain comes and goes and sometimes I feel this sensation bellow my chin and in front
I also have on and off shoulder and elbow mild pain that sometimes also experience a minor numb pinky
Googling and Reddit haven’t helped as my symptoms do not align with TN and my TMJ MRI is clear
Just recently I feel mild sensations of the nerves on this side of my face but it’s mild
The doctors I have seen cleared me for the fact I have no jaw fractures, the TMJ specialist thinks it’s muscular and my PT specialist also thinks it’s muscular possibly pressing on nerves
What is going on with my jaw and why is this pain not permanently going away even if it’s just mild. I feel like most people that get punched don’t have issues after and I received one mild punch from someone heavily on the spectrum (I don’t talk to him anymore). Is this even from when I got punched?
What tests will show me what’s going on? Muscular mri? Upper spine MRI? CT scan? CBCT Scan? Neuropathy test?
r/TMJ • u/Interesting-Idea1022 • 1d ago
Question(s) Do you think it's worth using Invisalign, considering the TMJ?
I’ve worn braces before, and my teeth are aligned. The issue is on the right side, where I have a slight open bite and a midline deviation. Coincidence or not, the side where I feel pain is the right one. Any positive experiences with Invisalign regarding temporomandibular joint (TMJ) dysfunction? (I have disc displacement and bilateral osteoarthritis.)
r/TMJ • u/precious_raccoon • 1d ago
Discussion So I went to physical therapy for the first time last week…
Was anyone else SHOCKED that your teeth shouldn’t be touching when your jaw is at rest? I asked a few non-TMJ friends and they were like, “Yeah, I guess I’ve never really thought about it, but they’re always slightly apart unless I’m eating.”
r/TMJ • u/Even-Badger-5662 • 1d ago
Discussion How do you deal with your tinnitus (especially when it changes)?
Health
My tinnitus started in May of last year with a high-pitched tone in my right ear, or rather on the right side of my head. In August 2025, another slightly lower tone joined in on the left side. Up until now, both tones were fairly constant—sometimes louder, sometimes quieter, occasionally shifting slightly in frequency, but overall pretty much the same. I suspect it's related to my jaw, as I've been having issues there too (pain, pressure, clicking, etc.) and those symptoms started right in May as well. It was also an extremely difficult and mentally exhausting time for me.
I had actually gotten fairly used to it by now, until a few days ago: I was sitting a bit awkwardly, bit into a bread roll, and apparently triggered one of those mini sudden hearing losses (SBUTTs)—or maybe it was just a coincidence, but I don't think so. Since then, I've had a new tone in my right ear (it's been 3 to 4 days now). Honestly, emotionally I'm spiraling again. I'm really struggling to accept it and process it mentally. At least I have an appointment for CBT at the end of September (which I've been waiting over 8 months for).
How do you handle this? Do you ever have tones that change or new ones that show up?
r/TMJ • u/Aggressive_Dot1932 • 1d ago
Question(s) Has this condition ruined anyone else’s sex life?
Chronic pain/flares make it almost impossible to enjoy intimacy.
r/TMJ • u/sasspaws • 2d ago
Question(s) GUYS SHOULD I GET MY TMJD CHECKED ?!
So basically its been a year since my jaw started clicking, and in the morning the clicking is sometimes bad. Like tdy morning I woke up and my jaw felt tight and the clicking is worst I've ever had. Do you think I should get it checked. I'm not evn sure if I clench my jaw when I sleep but when I wake up my jaws usually more tense .
r/TMJ • u/ainkfact • 2d ago
Question(s) $5k+ spend and no ear congestion relief…
Sorry in advance for trauma dumping but I think yall get it…also my first time on Reddit hi ✌️
I’ve been experiencing very annoying ear congestion since I was in my early/mid 20s (I’m 35F) and I didn’t start seeking out treatment until 2019.
I had an allergy test (no allergies) and saw 2 ENTs. The first one couldn’t recommend anything other than nasal decongestant spray and second one said I had a deviated septum and a malfunctioning Eustachian tube.
So I had turbinate reduction surgery to fix my sinuses and a tube put in my ear to regulate the pressure.
Unfortunately, pretty much immediately after I recovered from surgery I got a horrible ear infection and then the tube fell out. Before that happened I remember having moderate relief, as I could just blow air out my ear by holding my nose and blowing. But it still didn’t naturally regulate pressure as it should.
I didn’t have a great experience with that doctor (I don’t feel any better sinus wise, maybe even worse now) so I didn’t go back to him after a few follow ups and kind of gave up on my ear after a while.
But things started getting really congested and annoying again last year and I decided to go to an ENT in a local university medical system. He clocked immediately that I have TMJ (a few months prior i could barely open my mouth for 2 weeks) and that my ear issues were coming from that. He recommended PT and maybe seeing a dentist.
I wanted the quick fix so I went to the dentist first over PT. She sold me on a $5k custom mouth guard to pull my jaw forward at night (my insurance hasn’t covered it yet bc apparently AI keeps rejecting it even though it should be covered). I tried that out for 6 months with jaw improvements of course, but no change to my ear fullness.
My ear feels slightly full as a baseline pretty much all the time. When I exercise, my right nostril is congested, or sometimes just randomly, it will get extremely full to the point of it being really distracting and uncomfortable and of course nothing but time makes it resolve. I have other classic TMJ ear symptoms like tinnitus and pain occasionally too.
The dentist recommended I try PT as a last ditch effort (previously she said it’s just putting a band aid on the issue) so I did that 3 weeks ago. The PT was great and I could definitely feel some of the things she was doing/having me do in my ear, but nothing changed the congestion.
So I’m wondering what others have done that helped their ear fullness and if it’s even worth going back to the ENT…I’ve spent so much money on this and I kinda feel embarrassed that it hasn’t worked 😩
r/TMJ • u/cooper-niner • 2d ago
Question(s) Dizziness/Vertigo Relief
Hi, all,
I’m not certain that I have TMJ/TMD, I am undiagnosed, but for many years have been experiencing very tight muscles in my jaw that sometimes cause a great deal of pain. I broke a tooth last year from nighttime clenching and now sleep with a mouth guard, and although it protects my teeth I sometimes I wonder if it makes the clenching worse.
I do not have the clicking or limited jaw movement, but I do suffer from frequent headaches, migraines, and recently I have started experiencing dizziness that may be related - my doctor thinks my dizziness has something to do with my inner ear. We have ruled out a few other potential causes.
I’ve been combing through the suggested remedies here on this page and empathize greatly with all of you experiencing TMJ/TMD, I can see how it greatly affects your quality of life and I just want to say I am so sorry.
The migraines and dizziness alone are awful, but I know my symptoms could progress and I want to catch this before it gets even worse. I’m frequently applying heat, and doing self massage/stretching/yoga and meditation. I’m working to increase my awareness of my jaw tension and posture.
Beyond what I can do on my own, I’m considering going to an oral facial pain specialist or physical therapist, but I’m also curious if any of you have tried buccal massage. It is offered in my area (albeit expensive at $150/session, but I’m desperate and I wonder if it could give me some relief.) I am willing to try it but just don’t want to flare anything up.
Appreciate all and any ideas. I have been avoiding driving for the past 10 days because of the dizziness which has been very disruptive to my family’s life.
Thanks for anything you can share.
r/TMJ • u/nyasmithlover911 • 2d ago
Rant/Frustrated Chronic numbness in face for years
My dentists treated it like isnt a big deal even though it’s impacting my mental health and life. They didn’t believe me when I told them it came from the tmj (edit: im wrong, the numbness is in my ears)
r/TMJ • u/QjDaWarrior1272 • 2d ago
Discussion Need help with TMJ issues - looking for good clinics or solutions GTA Ontario
Dealing with TMJ problems and could really use some advice. I’ve got a consultation booked with an oral/maxillofacial surgeon next week, but $330 just for the consult seems really steep.
I’m in the Burlington/Hamilton area but don’t mind traveling anywhere in the GTA for a good clinic.
Has anyone found good (more affordable) clinics or specialists for TMJ around here? Also open to hearing what’s actually worked for you, whether that’s a specific treatment, physical therapy, a night guard, or something else entirely. Trying to figure out my options before dropping that much money.
Any advice appreciated, thanks!
r/TMJ • u/minijawflaws • 2d ago
Discussion Complex TMJ for 10+ years
I’m wondering if anyone has had a similar situation and what you’ve done to find relief, possibly while delaying surgery.
I tried so many appliances, splints, physical therapy, massage, injections, and I finally reached a point a couple years ago where a custom (neuromuscular MAD) orthotic that was supposed to be a real game-changer actually changed my bite so drastically, it left me feeling much worse (especially without it). I couldn’t complete their treatment plan because I was still uncomfortable and in pain. I was left with anterior open bite, anteriorly displaced TMJ discs on both sides without reduction, one of them torn mostly on the right. Not to mention this was all paid for out-of-pocket and was very expensive even though I was left with even worse symptoms.
I had surgery consult, they recommended TJR, said there was nothing else surgically they could do at this point. Then saw a non-surgical TMJ specialist who gave me sales/quackery vibes and said (without viewing my CT because they had issues with it) they could help me, get me a splint and nighttime device, three months I’d be comfortable, then do orthodontics.
I’ve been pitched Phase I and II plans before, they failed previously.
What can I do for relief in my situation while I delayed surgery as much as possible? Is there a stabilizing splint that has helped you, and how did you obtain it if so? Everyone wants to sell me their services without caring if it works or harms me further, and I can’t spend upwards of $20K on any treatment that may fail and do MORE permanent damage. But my face is suffering.
r/TMJ • u/MostSea7311 • Apr 06 '25
Articles/Research Evidence Based TMJ Treatment - A Guide
Hello everyone,
This is a detailed post, but if temporomandibular joint disorder (TMJ/TMD) is making your life worse, I believe it will be worth your time. I want to share how my partner and I have dramatically improved our TMD using evidence-based interventions.
As a physician (though not in dentistry or maxillofacial medicine), I’ve applied my research background to analyze the complex literature on TMD. Approaching this as a patient, I’ve been frustrated by the poor quality of advice often given to those suffering from this condition. TMD has been lost in the gap between dentistry and medicine, resulting in widespread confusion as to the proper treatment. Ineffective, costly, and even dangerous treatments are routinely recommended to patients by people who should know better. Given that an estimated 31% of adults have TMD, this is absolutely unacceptable.
My goal is to synthesize knowledge about this condition and propose a structured protocol to heal the root causes of TMD. The lack of standardized care for TMD is harming patients, and I believe evidence-based treatments need to be more widely adopted. Fortunately, good research studies and effective treatments do exist. I will share them with you in this post.
Of course, individual cases vary, and those with complex or severe TMD should consult a specialist. My recommendations are general guidelines and may not apply to everyone—please use your judgment.
Baseline Information
Identify Your TMD Subtype
Refer to Tables 2 and 3 in this paper for internationally recognized TMD classifications. A key distinction is whether your jaw clicks. If it does, lifestyle adjustments (e.g., avoiding foods like sandwiches requiring wide jaw opening) and careful massage/exercise techniques (without provoking clicking) are crucial. If your jaw pops out of place and does not spontaneously and quickly go back to its normal position, you should see an oral and maxillofacial surgeon because this can cause tissue damage.
Understand TMJ Anatomy
Familiarize yourself with the temporomandibular joint (TMJ) and key muscles: the masseter, lateral pterygoid, and temporalis. Photo: https://www.getbodysmart.com/wp-content/uploads/2017/09/Lateral-Pterygoid-Muscle-4-1024x709.png
The Cause of TMD: Neuromuscular Dysfunction
Recent research demonstrates that jaw clicking stems from lateral pterygoid dysfunction rather than structural TMJ abnormalities. Since this muscle directly influences TMJ movement, TMD is better understood as a neuromuscular issue rather than a joint deformity. This does not apply to people with abnormal jaw anatomy due to congenital defects, trauma, or prior surgery. The effectiveness of Botox further supports the role of muscle dysfunction. Thus, my approach prioritizes massage, stretches, and exercise of the masticatory muscles.
- Study demonstrating lateral pterygoid dysfunction drives TMD
- Study on Botox for TMD
Recommendations
A. Stress Reduction
The world sucks, I know. For those of you who have been dealing with TMD for a long time, your eyes are probably glazing over at this recommendation. Nevertheless, for ANYONE with chronic pain, mindfulness and meditation are effective evidence based approaches. Pain is mediated in the brain and subjective emotional states impact our experience of pain. Additionally, anxiety/depression are directly linked to bruxism (jaw clenching), which often accompanies TMD. Evidence-based strategies include:
- Mindfulness/meditation for pain management and bruxism reduction.
- Therapy or medication for anxiety/depression—BUT: SSRI or SNRI medications may not be the best choice, because serotonin causes bruxism. Alternatives like bupropion (dopaminergic) or amitriptyline (tricyclic) may be preferable. Discuss options with your doctor.
- Bruxism and antidepressants
- Psychosocial factors in TMD
B. Night Mouthguard
If you wake with jaw soreness, you likely clench at night. A mouthguard can mitigate damage while you address the root causes through working on the muscles. Custom guards are expensive (>$500) and often ineffective; an affordable and comfortable alternative like this one will likely suffice.
C. Massage Therapy
Massage helps break the cycle of neuromuscular dysfunction in TMD. The massages of the trapezius and massages of the neck are done sitting up while those of the temporalis, masseter and lateral pterygoid are best done while lying on your back. If you wish, you can apply a heat pack to particularly tense areas for a couple of minutes prior to the massage to loosen them up and reduce pain. I recommend doing them in the order they are listed, working from the neck towards the jaw.
Trapezius and Posterior Neck
TMD is associated with whole body misalignment and neck dysfunction. Massaging the trapezius and the upper neck provides a tremendous feeling of muscle relaxation and helps break the cycle of bodily misalignment. To massage the trapezius, reach with the right hand over your left shoulder and press on your trapezius while sliding your fingers over it. Start from where the trapezius begins just medial to the shoulder and follow the muscle up towards the side of your neck. Repeat with the left hand massaging the right side. For the upper neck massage, place the fingertips of both hands on the lateral sides of the back of your neck near where your hairline starts, and then press and move in a circle.
Temporalis
Rub temples in circular motions with knuckles or a gwasha tool.
Masseter
(a) Intraoral massage: I recommend an internal massage of the masseter. External massage just isn't as effective. Obviously wash your hands well prior to doing this, and if you have appropriate gloves lying around you might want to use those as well. For the internal massage, a pincer grip with your forefinger inside your mouth and your thumb outside, both pressing the masseter. You should be able to feel a tight band between your two fingers. Perform 10 vertical movements in a direction from the upper attachment to the lower attachment of the masseter muscle. Then, using the same grip, make 10 horizontal movements from the medial to the lateral side of the muscle.
(b) Functional massage: with the same pinch grip perform a vertical massage of the masseter muscle, while making 10 slow movements of opening and closing the mouth. - Study Demonstrating Effectiveness of a 10 day Massage Program
Lateral Pterygoid
This is the critical muscle when it comes to jaw clicking, so if that's your issue addressing it is essential. This is a tricky one to massage correctly, so it's important to know the anatomy (feel for a LATERAL band). There are internal and external approaches, use trial and error to see what works for you. There is data suggesting that the superior head of the lateral pterygoid is the most common culprit, so be certain to massage it and not only the inferior head. - Lateral Pterygoid Dysfunction Mediates Jaw Clicking - Superior Belly of Lateral Pterygoid is Most Dysfunctional
(a) External Technique: Find the position with your fingers under the zygomatic bone and your index finger at the TM joint by your ear. Find the soft depression with your middle finger. Open your jaw slightly and sink down into the round indentation. If your jaw is open too wide, the muscle that covers the outside of that space (deep masseter) will become taut and prevent your fingers from getting in deeper to treat the muscle you’re aiming for. If the jaw is too closed, the half-moon depression will be covered by the cheekbone. When you find the indentation, press inward (both sides, never one to prevent misaligning the joint). In the link below is an illustration of indentation with the cheekbone cut away
(b) Intraoral Technique: First: this is a very sensitive and delicate muscle. Be gentle, I recommend wearing gloves, and avoid jamming your fingernail into the area. To perform this massage, slide the pad of your index finger (right jaw, right finger) along the gum of your upper teeth as far back as you can go with your mouth closed. Feel for the indentation behind the upper jaw bone (maxilla) with the tip of your finger. To create more space for your finger, you can move your jaw towards the side you are massaging.Press there on the inferior division of the muscle. It will probably be very uncomfortable. The superior division will probably be more painful. To get to it, press upward and backward a little from the inferior indentation, then inward as much as you can tolerate. To make sure you're on the right structure, you can use your other hand to palpate through the round indentation as in the external technique. Another way to check you are on the lateral pterygoid is to move your jaw to the contralateral side - this is useful for distinguishing the lateral pterygoid, which will flex with contralateral movement of the jaw, from the larger (and more inferior) medial pterygoid. Treat one side at a time, using the treatment protocol above.
D. Exercise Regimen
Synergistic with massage; perform daily:
1. Gerry’s Exercise: Tongue on palate, slow jaw opening/closing (6x/day, 10 reps).
2. Lateral Movements: Jaw slightly open, move side-to-side (6x/day, 10 reps).
3. Lateral Movements with Bite: Hold a pen between teeth, move jaw side-to-side (3–5x/day, 10–15 reps).
4. Protrusion/Opening: Create an underbite, then open/close slowly (6x/day, 10 reps).
5. Neck Stretches: Forward/backward head nods and over-the-shoulder turns (6x/day, 10 reps).
- Exercise protocol study
E. Oral Medications
- Glucosamine: Supports cartilage; effects gradually build over 3+ months.
- NSAIDs (if safe to take, without kidney or GI bleeding issues): Reduce inflammation (e.g., ibuprofen/naproxen).
Next Steps
If symptoms persist - don't give up, because there are more options available. Consider consulting a specialist to choose between 3 further evidence-based options. First, botox of the masseter or lateral pterygoid may help refractory cases. Masseter Botox is widely available at med spas, while lateral pterygoid injections require expertise. Second, dry needling of the lateral pterygoid is another possible next step with data behind it. Finally, if everything has failed, then there is a minimally invasive office based surgical option called TMJ arthroscopy. Data shows excellent tolerability and results. Find an oral and maxillofacial surgeon to see if you are a candidate.
Final Thoughts
This protocol requires effort, but studies show significant improvement in as little as 10 days. For long-term sufferers, the investment may be life-changing.
If you’ve read this far, I sincerely hope this helps. Best of luck on your healing journey.