If you were building a tower, and one of the floors wasn’t level, it would affect the floors above it — unless you somehow compensated.
The Leaning Tower of Pisa is kind of like that, only it’s because it settled unevenly on the ground beneath it. As they built it over the years, it would sink, stabilize, sink more…
The structure of the body is like that too — even when standing on level solid ground.
Because the jaw is near the top of the skeleton, imbalances below can affect the alignment and functionality of the temporomandibular joints (TMJs).
The primary cause of most jaw pain is asymmetrical hypertonicity. Thanks, TMJ Mastery teacher John Corry! That means that some of the muscles that affect the jaw are tighter than others.
I include a basic structural evaluation in my free TMJ consultations. It’s pretty cursory. I’m just looking for asymmetries. Here’s how I do it.
The patient stands with their shoes off.
I feel the space under theIr arches and check whether their feet (or one foot) are pronating or supinating.
Checking the points on the tops of the hips to see if they’re level comes next.
I ask about scoliosis if it’s not already apparent. Same with pelvic floor issues.
Then I check their shoulders to see if they’re level.
I look at the patient from each side to see if they have a pelvic tilt toward the front or the back and view their spinal curves.
When they are lying on my massage table, I can check for a leg length discrepancy with their legs flat, and then with feet flat/knees bent. I can also see whether their feet point up symmetrically.
I place the pads of my fingers over their TMJs right in front of their ears and ask them to open and close repeatedly.
Usually one side moves first.
Often one side feels closer to the ear than the other.
Sometimes one side sticks out more than the other.
Try it yourself. What do you notice?
None of this is super precise. I’m just getting a basic read on asymmetries in the structure of the patient that may affect the jaw.
Have you noticed that you have a dominant side? A side that feels stronger than the other?
Have you ever had a foot, ankle, leg, or hip injury? Can you still tell the difference between the injured side and the uninjured one?
Does your physical activity work your body evenly, left and right sides, front and back, upper, lower?
Do you have a full range of movement in your joints?
How’s your posture?
How about your sleep posture?
It’s not my main business to start correcting these asymmetries (except in the upper body/jaw when I can). Becoming more symmetrical can take a while, years in some cases, so I consider it a long-term project for people with jaw pain to find relief, as well as more ease and functionality in their bodies.
Symmetry is also an ideal, like perfection. Most of us are doing the best we can. There’s probably always going to be some asymmetry in the body, but we can definitely address the most dysfunctional areas.
The functional movement screen is a set of 7 movements you do with a trainer, who scores you and can prescribe workouts that strengthen your weaknesses. FMS was developed to identify athletes who were prone to injury before they got injured. It can work for ordinary people too.
Practices of non-linear movement can help if done regularly over a long period. These movements work both sides of the body. They increase flexibility and balance and fluidity. And they are fun! Examples:
yoga, especially if it’s alignment-oriented like Iyengar and Anusara
dance, especially free-form dancing like ecstatic dance
The type of bodywork that addresses asymmetries is called structural bodywork. There are two main schools of training: Rolfing Structural Integration and Anatomy Trains Structural Integration. Neuromuscular therapy also assesses posture and gait pattern and can address imbalances.
There are a lot of tools that you can use on yourself to improve posture and sleep posture, release muscle tension, help remove strain from the neck and the sacrum. Some of them are included in this post on self-care tools.
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 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.