From training to treatments: Chelsea's new insights for TMJ - Physiotherapist Brisbane City, Physio Therapy

Hello everyone! I’m Chelsea from North West Physio in Eatons Hill, and I’m excited to share some valuable insights I gained from a recent Continuing Education course focused on Temporomandibular Joint (TMJ) treatment. This topic is crucial for anyone dealing with jaw pain or discomfort, and I hope to shed light on some key aspects that can improve patient care and outcomes.

Chelsea’s TMJ treatment expertise

The course aimed to deepen physiotherapists’ understanding of the TMJ and its role in various clinical presentations. We explored the intricate structure and function of the TMJ, as well as its connections to the cervical and thoracic spines. Additionally, we learned about a validated classification system that aids in diagnosing different subsets of temporomandibular disorders (TMD). This course provided a solid foundation for implementing evidence-based clinical tests to differentiate TMD and develop a comprehensive management approach.

TMJ and TMD common misconceptions and symptoms

During my training, one significant misconception I encountered was the interchangeable use of TMJ and TMD. While TMJ refers to the joint connecting the jaw to the skull, TMD encompasses the various disorders affecting that joint, leading to pain, inflammation, and other symptoms throughout the jaw, neck, and shoulders.

Another prevalent misunderstanding is that jaw pain is the only symptom of TMD. While it is indeed a common sign, TMD can also manifest through:

Pain radiating to the face or neck
Headaches
Jaw stiffness
Limited movement or locking of the jaw
Clicking, popping, or grating sounds during jaw movement
Ear-related issues such as ringing, hearing loss, or dizziness
Changes in the alignment of the upper and lower teeth

TMJ physio: evidence-based techniques

During the course, I learned about several effective, evidence-based physiotherapy techniques for treating TMJ disorders, including:

1. Manual therapy:

Techniques like joint mobilisation and soft tissue massage can enhance mobility, relieve muscle tension, and decrease pain. Gentle mobilisations of the TMJ and surrounding muscles are often beneficial.

2. Therapeutic exercises:

Targeted exercises can strengthen jaw muscles, enhance range of motion, and improve coordination. This may include both stretching and strengthening activities for the jaw and neck.

3. Postural training:

Addressing overall posture can alleviate tension in the jaw and neck areas. I focus on aligning the head, neck, and shoulders to reduce strain on the TMJ.

4. Modalities:

Techniques such as therapeutic ultrasound or heat/cold therapy can assist in managing pain and inflammation associated with TMD.

5. Education and self-management:

I believe in empowering patients with knowledge about jaw anatomy, the effects of stress and teeth grinding, and practical strategies for symptom management.

6. Behavioural techniques:

Stress management strategies, including relaxation exercises and identifying triggers, can be particularly beneficial for those with TMD related to stress or bruxism.

For more info on what to expect in a treatment session and advice, please read Physiotherapists: leading the way in TMJ management techniques.

TMJ disorder: patient education

I focus on clear communication to educate my patients about TMJ treatments. I encourage an open dialogue where I explain the anatomy of the TMJ, discuss their specific symptoms, outline treatment options, and invite any questions they might have. This approach helps ensure that patients are well-informed and actively involved in their care.

TMJ physiotherapy: integrating techniques

I am eager to integrate the new techniques from my training into the treatment plans I offer at North West Physio. This includes advancing my patients’ exercise programs with newly learned exercises and regularly applying the manual therapy techniques I’ve mastered.

TMJ treatments and collaborations

Physiotherapists play a vital role in a multidisciplinary approach to treating TMJ disorders. My collaboration with dentists and orthodontists enhances treatment effectiveness.

By working together, we can develop integrated treatment plans that address both musculoskeletal issues and dental alignment concerns. For instance, while I focus on managing pain and mobility through physiotherapy, dental professionals can address bite alignment or bruxism through appropriate interventions.