Treating TMJ issues: restless legs and sleep bruxism

A new clue about bruxism.

A neurology practice noted that of its patients who had restless legs syndrome (RLS), 60% also had bruxism (grinding teeth during sleep). They found that 52% had RLS, bruxism, and migraines.

Do you relate?

The lead neurologist for this study speculated there is a gene that links these conditions.

It gets more interesting. Both restless legs syndrome and bruxism are involuntary movements occurring during sleep. Is bruxism “restless jaw syndrome?”

I’m always happy to see more research about TMJ-related issues, especially because there are so many factors that play a role in jaw dysfunction and pain.

More about bruxism.

Bruxism includes clenching and grinding the teeth. Some distinguish these as “waking bruxism” and “sleep bruxism”.

They may have different causes, in my opinion.

Sleep bruxism, in contrast to daytime clenching, is hard to treat because it occurs when unaware of your behavior and unable to change it.

Waking bruxism is a habit that can change with awareness and practice. I’ve helped many clenchers learn how to relax their mouth position.

Some things I’ve noted about bruxism in my manual therapy practice:

  • Many people don’t know they grind during sleep until a dentist tells them they have damaged teeth.
  • Bruxism often requires expensive dental work: mouthguards or splints to prevent further damage, and crowns to fortify cracked or broken teeth.
  • Sometimes the noise of grinding during sleep is loud enough to wake up family members, and that’s how people learn they have sleep bruxism.
  • People who grind at night often wake up with jaw, face, or neck pain, earaches, and/or headaches.
  • Over time, bruxism can damage the temporomandibular joints, possibly requiring surgery.

Dentists and jaw issues.

Many people expect dentists to be experts on jaw issues, yet their domain is treating the teeth and gums.

Learning about TMJ disorders is not required in dental school.

General practice dentists can prevent further tooth damage with appliances like mouthguards and splints. They can repair existing tooth damage.

Some dentists may try to adjust the positioning of the TMJs, and a few dentists also address airway issues (like sleep apnea, which also may accompany sleep bruxism) in their work.

Dentists do not address stress or tension in the jaw muscles, which contribute so much to jaw pain.

Some dentists and hygienists in the Austin area refer people with jaw pain or issues opening wide to me. (New alternative to manual therapy during the COVID pandemic: my upcoming online course, Self-Help for Jaw Pain.)

Solutions to try.

If you grind your teeth during sleep, it is possible to stop by using hypnotherapy and EFT.

I often recommend a recorded hypnotherapy session for bruxism that’s available on YouTube to listen to before sleep.

I don’t know if it works for everyone, but it’s soothing — I always fall asleep before it ends. Less stress is always desirable.

As mentioned above, dopamine agonists are prescribed for low dopamine levels.

Dopamine is released when your brain is expecting a reward — when you anticipate a pleasurable activity such as eating a delicious meal, spending time with someone you love, or receiving a big check.

It’s sometimes called “the happy hormone” because it affects your enthusiasm, motivation, and focus.

If you suffer from bruxism, before going the pharmaceutical route with dopamine agonist drugs, you may want to consider nutrition — consuming foods or taking supplements that raise your dopamine levels.

In particular the amino acid tyrosine increases dopamine.

I found a few links that may be helpful:

Treating TMJ issues: portrait of a typical patient

Based on patients I’ve seen for jaw pain since 2013, I created this portrait of a typical patient.

She’s female and first experienced jaw pain in her teen years.

She’s suffered for at least a decade.

She clenches and/or grinds her teeth.

A dentist has prescribed an appliance to prevent damage to her teeth. The chances are 50/50 that she uses it as prescribed.

Woman with jaw pain

Her pain level fluctuates, increasing with stress, and she hasn’t gone more than 6 months free from jaw pain since onset.

Her neck and shoulders are tight. Sometimes she has headaches.

She has sought help from physical therapy, chiropractic, acupuncture, and/or massage therapy, and it helped some, but the results didn’t last.

She wonders if over time, it will get worse.

She is mostly resigned to suffering from jaw pain.

Still, she keeps hoping and searching.

If you can relate to at least some of this, please consider joining my Facebook group, Word of Mouth: Resources for Relieving Jaw Pain/Dysfunction and taking my Self-Help for Jaw Pain course (soon to be announced).

You have better things to do than suffer.

Update from MaryAnn, 5.1.2020

I can see that my posts about TMJ issues are getting a lot of views. I’ve even gotten a few phone calls.

I am not able to offer any bodywork sessions at this time, by Texas law. I can only offer distance energy healing sessions on a sliding scale basis. Both the recipients of those sessions and I have experienced success with this way of working. It can be even more powerful than doing sessions in person.

I encourage you, if these weird times are bringing up your stuff, to set up an appointment.

Even when it becomes legal to work again, I am holding off until I feel comfortable that it’s safe for you, me, the person who comes in after you, and my officemates and their clients.

I would prefer more testing.

I would prefer more knowledge about antibodies.

I would prefer more knowledge about prevention. (Some not-yet-peer-reviewed research says that those with high Vitamin D levels in their blood had the mildest cases, so please, supplement and get some safe sun. If you’d like to order this and whatever other supplements you need online, you get 30% off using my Wellevate practitioner account: https://wellevate.me/mary-ann-reynolds.)

My safety concerns especially apply to my TMJ Relief sessions, which include working inside the mouth. It will take longer for me to safely bring those back.

If you have TMJ issues, please search for and join my Facebook group Word of Mouth: Resources for TMJ Issues/Dysfunction, if you haven’t already. It includes educational units about TMJ issues, including self-massage, exercises, yoga, and hypnosis that can be done at home.

Wishing you wellness.

Educating dental office staff about treating jaw issues

Last year, I took a some classes about making presentations, and I focused on educating dental office staff about what I do in my TMJ Relief work.

Last week, I participated in a lunch-and-learn at the office of my wonderful dentist, Dr. Elizabeth Rayne. I talked about what I do and got to ask them some questions about what they do.

For instance, when people grind their teeth during sleep, they may not be aware of it. However, the dental office staff sees the results of grinding.

The staff then has to tell the patient that their sleep habit is damaging their teeth. Not good news to hear, especially when it means they need crowns.

Since my specialty as a massage therapist is in relieving muscle tension, after taking some advanced courses, I can help relieve tension in the jaw muscles and the pain it causes.

As someone who’s also trained in behavioral change (NLP), I can help people learn habit change.

Learning the techniques I use, getting advanced training, tweaking my protocol, and working on person after person since 2013 make up the manual therapy part of my work.

I’ve worked on people who have suffered for most of their lives, for twenty, thirty, even forty years.

That’s a lot of suffering. Being able to make a difference is hugely rewarding.

My work mission has broadened to include educating professionals and the public about manual therapy for jaw issues. At least half of my TMJ patients had never received manual therapy for jaw pain before they learned about me, through word of mouth. They didn’t know it existed.

I can relieve jaw pain, help people open wider, and help get their jaws aligned for better appliance fit. How would that affect a dental practice?

Readers, I f you know of any dental offices in the Austin area interested having me do a lunch-and-learn with staff, please connect. I will follow up.

Speaking about my work…

Today I have the good fortune to be interviewed on Mind Body Radio at 10-10:15 am CST. You can listen on the Internet live or find my interview afterwards. Here’s the link: https://mindbodyradio.com.

Sunday I hosted a brown bag education session on craniosacral therapy for 10 of my fellow members of the Austin Wellness Collaborative. I spoke for about an hour about how I got into CST, its evolution and branches, and answered questions. Then I did a demo, talking about what I was doing and sensing, on a fellow AWC member, who also commented on what she was noticing. Success!

Coming up, on January 29 I will be talking to the staff at the office of Dr. Elizabeth Raine, DDS (my own dentist) about what I do and asking questions about what they notice and how they work with TMJ issues. This will be my first talk with a dental office.

It feels good to be doing more educational work, continuing to get the word out that skilled manual therapy can relieve TMJ symptoms.

If you know of an opportunity to educate, please keep me in mind.