Treating TMJ issues: reducing night grinding

A reader asked about grinding the teeth during sleep (night bruxism). Sleep labs have begun to investigate this.

They found that about 1 in 4 people with sleep apnea also grind their teeth while sleeping. When the apnea is treated, the bruxism goes away. So..if you grind, consider going to a sleep lab.

Most people do a little bit of clenching or grinding while asleep.

When is it a problem? When you wake up with jaw or facial pain, earache, headache, or experience difficulty chewing (TMJ disorder). Or perhaps your dentist sees wear and tear on your teeth. Severe bruxism can crack teeth and require expensive dental work.

Why do people grind their teeth at night more than just a little bit? Stress is the main cause and well worth examining. Reducing stress during the day is likely to result in less grinding at night — but no studies have been done on this that I know of.

However, one of the few people I know who stopped grinding their teeth in their sleep said that when they started a regular, daily meditation practice, their night bruxism gradually stopped. 

If you have personal experience, please share. We need these stories! 

Body mechanics can also play a role. Posture both while awake and asleep influences your nervous system and can produce or relieve stress and tension. Just as with athletic training, learning and practicing good posture may require special training. The Alexander Technique, the Feldenkrais Method, alignment-based hatha yoga (Iyengar and Anusara), and structural integration bodywork (i.e., Rolfing) may all be of help.

A special pillow that keeps your head and spine aligned can be helpful. The Therapeutica Sleeping Pillow comes in different sizes based on the distance from your neck to outer shoulder for side sleepers.

Probably the simplest thing you can try is changing your sleep position. If you have night grinding and sleep on your side, try sleeping on your back. It may take some getting used to but may bring you some relief.

Night bruxism may be an attempt to realign your cranial bones. Several sessions of craniosacral therapy may help.

If you have night bruxism, what has helped you?


Post-concussion self-care

I’m getting referrals for craniosacral therapy for people who have had concussions, and I want to help these folks recover. Not knowing what a doctor may have told them but knowing how busy most doctors are, I am providing information here that may help injured brains recover more quickly. If your doctor tells you something different, listen.

People who’ve had concussions may report experiencing pain, dizziness or vertigo, balance issues, vision changes, speech problems, confusion, lack of focus, forgetfulness, nausea, sleepiness, emotional problems, and perhaps other symptoms.

To be clear on the language, concussions are also called mild traumatic brain injuries (TBIs).

To simplify, imagine your brain is like jello inside a closed container (cranium) cushioned by a thin layer of water (cerebrospinal fluid), with substantial membranes separating the major parts (hemispheres, cerebrum and cerebellum). A major impact slams the brain around inside the cranium, damaging brain tissue. Some research points to the corpus callosum, which connects the two hemispheres, receiving the most damage from concussions. Continue reading “Post-concussion self-care” →