Treating TMJ issues: de-stress quickly with these breathing techniques

Learning how to de-stress yourself is huge. Everyone experiences stress. It’s just part of life.

Stress becomes an issue when there’s too much of it, and your system has trouble rebounding resiliently to a calm, alert state.

How is this relevant to TMJ issues? So much TMJ misery is related to chronic and acute stress. It’s one of the major contributors to TMJ issues. People clench and grind due to stress, and stress is always accompanied by muscle tension, which causes a lot of jaw issues. 

Staying stressed for too long is bad for your well-being. It affects your digestion (including absorption of nutrients and detoxification) and creates unnecessary wear and tear on your vital organs.

I’m talking about bad stress as opposed to good stress, such as the anxiety before a performance that makes you a better performer, or the adrenaline you feel when a bad driver nearly hits you that helps you react quickly and successfully avoid being hit.

In my opinion, bad stress includes most news about politics (just donate money and volunteer for candidates you like) and traumatic events (there’s always something awful happening in the world).

Also, the desire to control others’ behavior can bring about bad stress. Better to focus on accepting them as they are and work on a healthy path for yourself.

Maybe they’ll witness you and want to change themselves.

You can still care and have a constructive strategy to manage stressors.

You can do these things from a calm, alert state. Imagine that.

The beauty of using a little breathwork to get yourself out of an unhelpful state of stress (any stressor that does not require immediate action) is that breathwork bypasses your mind.

Has “you need to calm down” ever helped anyone to actually calm down, whether it’s yourself or someone else telling you this?

Breathwork is also quick. You can simply do a little breathwork when stressed, and your system starts shifting into parasympathetic mode.

A note to the chronically stressed: here’s how to tell when you’re in a parasympathetic state. Your whole body starts to feel a softness and relaxation because you have let your guard down. You notice your that breathing has changed, to becoming slower, deeper, with longer pauses. 

If this is hard, because maybe you’ve been carrying the guarding that often occurs after a trauma, try this: Imagine yourself in a completely safe environment where you don’t have to be guarded against anything. Maybe you are surrounded by softness, or floating in body-temperature water. You may have any objects (real or imaginary) that bring you comfort. 

Let go of your thoughts and just be. 

The more you practice breathwork and conscious relaxation, even when not stressed, the more it gets wired into your neurology.

The physiological sigh

The physiological sigh is breathwork technique that’s getting a lot of attention now. It’s been recognized for 80 years as a behavior people do automatically when claustrophobic and in other stressful situations.

Now you can put it to work for yourself when you need to de-stress yourself.

I learned about it from Dr. Andrew Huberman, a Stanford University professor who runs a neurobiology lab and has a podcast.

In brief, it’s two inhalations through the nose, and one longer exhalation through the mouth. (I think of it as the “sniff sniff ahhhhh” breath.)

Here’s a video demonstrating technique.

Dr. Huberman says sometimes people fall asleep if they do it 15 times in a row, but just three of these physiological sighs are enough to start slowing your heartbeat down in 20-30 seconds.

I nearly always yawn when I start doing physiological sighs.

4-7-8 breathing

Another fairly quick breathwork technique for reducing stress is the 4-7-8 breathing (the Relaxing Breath). Dr. Andrew Weil, who has been practicing and writing about holistic health and integrative medicine for 30 years, came up with it.

Dr. Weil recommends doing four of these breath cycles at least twice a day for two months to get the benefits. This wires it into your neurology.

He recommends slowing the cycle down, with the limiting factor being how long you can comfortably hold your breath.

It can also help with cravings and falling asleep.

In essense, you are retraining your nervous system to be more relaxed.

You may become less stressed from using either or both of these techniques and still benefit from receiving a TMJ Relief session to retrain your jaw muscles into relaxation. The breathwork will help your body retrain itself more quickly and prevent relapses.

If you’re ready to have that conversation with me, please connect. I’d love to hear from you.


Treating TMJ issues: releasing trigger points in your jaw muscles

You have nine jaw muscles: two pairs of large ones on the outside of your head (the masseters and temporalises), four small ones inside your mouth (two medial pterygoids and two lateral pterygoids), and one in the floor of your mouth (digastric).

Any of them can get trigger points.

What is a trigger point? It’s unhealthy muscle tissue that causes pain that can occur locally to the trigger point or at some distance — referred pain.

Healthy muscle tissue is made of bundles of fibers that run in the same direction. This tissue is pliable. It contains fluid. It stretches or contracts when you move.

Screen Shot 2018-07-12 at 8.36.04 AMA trigger point is a spot where the muscle tissue has lost its pliability. A massage therapist may feel that some tissue in a particular spot feels hard, creating a small nodule that’s hard and stiff. The tissue feels dense and often rolls under the fingers when compared to healthy muscle tissue.

Trigger points cause that band of muscle fibers within a muscle to shorten and tighten, restricting full range of movement of the entire muscle.

Trigger points feel tender when you apply pressure to them.

Where several of them occur in an area, they form “constellations.” If one of those trigger points in the constellation is the primary one and the rest are satellites, it takes trial and error to locate and treat the primary one — and until that happens, the satellites keep reoccurring.

This makes them the tricksters of the nervous system, and it’s why specialists in trigger point therapy are rare and sought after.

You can work on your own trigger points to release them. It helps if you’ve received trigger point work from an experienced massage therapist, but you can learn to do it yourself. Even then, you may prefer to have a massage therapist work on them, especially if you have a lot of them.

Even with an experienced therapist working on your trigger points, sometimes the body clearly says “no more today,” a signal to move on to another technique and schedule another session.

Screen Shot 2018-07-12 at 8.08.14 AMMy favorite reference book for working with trigger points is The Trigger Point Therapy Workbook, third edition, by Clair Davies and Amber Davies.

It is written for laypeople to release their own trigger points, but many massage therapists use it as a reference book in their offices. I got my copy spiral-bound for ease of use.

When I am working on TMJ issues, I sometimes notice that people have trigger points in their masseters, the big external jaw muscles on the sides of your face that run from your cheekbone to the bottom of your jawbone.

Here’s how to find trigger points in your own jaw: using a bit of pressure, drag your fingers slowly down the masseter muscle on both sides of your face. Do this several times, experimenting with adding pressure, and notice if there are tender spots or small dense spots that roll under your fingers. Repeat on the other masseter.

If you don’t have masseter trigger points, this usually feels pretty good.

Screen Shot 2018-07-12 at 8.41.19 AM
Left: trigger point locations in the left masseter. Right: areas of associated pain. Source: The Trigger Point Therapy Workbook. 

If you find trigger points in your masseters (and you can have other TMJ issues without them), there are several ways of treating them.

Some therapists apply a huge amount of pressure. I don’t recommend this because if you have TMJ issues, your jaw is probably already out of alignment, and applying lots of pressure could make it worse.

A better way, in my opinion, is to use less pressure. Yes, you can gently release trigger points!

I learned to do this from a local (Austin) massage therapist, Rose of Sharon, who is very experienced with trigger point release. She’s worked on me and released many trigger points, teaching me how to do this in the process.

If you have a lot of trigger points, I highly recommend seeing her. She’s amazing at discovering patterns if you have “constellations” of trigger points.

If you are interested in having her work on you, you can reach her by phone or text at 512-282-1672. Please leave a message with your name and number so she can contact you.


Treating TMJ issues: music and meditation to heal the throat chakra

Previously I shared two links to YouTube recordings of music to heal the throat chakra in this post, in case you missed it.

Today, I want to share more about this.

Keep in mind that the throat chakra includes the throat, jaw, chin, mouth, lips, cheeks, nose, and ears — basically from the clavicles to the eyes. 

Sound penetrates our bodies. We’ve probably all felt the vibration in our bodies when we’ve been near a large bell being rung or a gong being struck or loud music coming through a speaker.

Since sound travels in waves, and we are made of waves as well as particles, of course it enters our tissue, fluid, and energy fields and influences us.

The human love of rhythm and music must go way back, long before writing and probably before language. Harmonic sound is pleasing, and we are immersed in natural rhythms: our heartbeats, breath, deeper rhythms within us, circadian and celestial rhythms, life cycles. 

I believe sound can harmonize our bodies at a cellular level, creating higher coherence, which means our various systems coordinate with each other better.

Can sound cure cancer? I haven’t heard of that, but I believe it’s possible.

In my experience, sound can definitely create a sense of inner peace.

Insight Timer

I use the free smart phone app Insight Timer for meditation. It has a timer for silent meditation, chanting, and breathing among other practices, and thousands of guided meditations and music for meditation.

In the app, you can do a search on “throat” to find guided meditations and music for the throat chakra. There are many! 

I found seven musical meditations, ranging from 4 to 35 minutes in length. The one I’ve listened to most is Throat Chakra Singing Bowls, by Sonic Yogi (29 minutes).

(If you don’t want to use the app, that meditation is also available on Bandcamp here.)

Self-Healing

Healing takes place when we are relaxed, when our parasympathetic nervous systems (rest and digest) are dominant.

If music can help get us there, our bodies can work on healing.

To take your self-healing further, while you listen, visualize sky blue or turquoise light surrounding your neck and jaws.

Imagine a sense of spaciousness.

Deliberately relax the tight muscles with each exhalation.

If you are suffering from TMJ pain and discomfort, I hope you will find some relief from listening to music designed to clear and heal the throat chakra.


Treating TMJ issues: the role of the sphenoid bone

The sphenoid bone is one of the most fascinating bones in the body. If you were looking at someone and could see their bones, the sphenoid would be behind their eyes and in front of their ears, with the outermost parts (the greater wings) accessible at the temples, and the lowermost parts (the pterygoid processes) being what your internal jaw muscles attach to behind your upper back teeth.

The word sphenoid comes from the Greek for wedge-shaped. Its shape has been likened to a moth, a bat, a butterfly, and a wasp. It definitely has wings! 

Here’s a picture of it, as viewed from the front.

Screen Shot 2018-07-10 at 8.53.53 AM

It’s a central cranial bone that does many important things:

  • it connects to your internal jaw muscles
  • muscles involved in swallowing are attached to it
  • it helps form the orbits of your eyes
  • your optic nerves meet, cross, and pass through it
  • your pituitary (master gland) sits on top of it (in the “sella Turcica” — Turkish saddle!)
  • it contains two air sinuses, the sphenoidal sinuses, which open into the nasal cavity through the ethmoid bone
  • it has openings for major blood vessels and nerves of the head and neck
  • the tentorium cerebelli, part of the membranous system surrounding the central nervous system, attaches to it

The sphenoid has been called the keystone bone of the skull. It touches 12 other cranial bones: the two parietals, two temporals, two zygomas, two palatines, and the frontal, occipital, ethmoid, and vomer.

The occiput is considered the base of the cranium. The place where the sphenoid and occiput meet is called the sphenobasilar joint (SBJ).

You can see the SBJ in the middle of the image below where the orange and yellow bones meet.

Screen Shot 2018-07-10 at 8.58.35 AM

The alignment of this joint is important. William Sutherland, DO, father of cranial osteopathy, believed that the alignment of the entire skeletal system is influenced by the SBJ.

Misalignment of the SBJ obviously affects other cranial bones, which fit closely together, something like a spherical jigsaw puzzle.

If the SBJ is out of alignment, it affects the temporal bones, the upper bones of the temporomandibular joints (TMJs), colored reddish-pink in the image above.

Your internal jaw muscles attach to your sphenoid. In my TMJ Relief sessions, the clinical intraoral work relieves tension in these muscles, helping to release tension affecting the sphenoid and SBJ.

If the bones of the joints are not aligned well, it can also affect the endocrine, nervous, and cardiovascular systems.

Alignment of the SBJ is also a consideration in migraines, headaches, sinus problems, head/neck/back pain, scoliosis, eye movement, and problems with behavior, personality, learning, coordination, hormones, and emotions.

Craniosacral therapists pay a lot of attention to it and can gently help it find better alignment.

Getting this bone and joint properly aligned creates an often-subtle shift that ripples out into more ease and better health.


Treating TMJ issues: acupressure points for self-care

Recently I wrote about how acupuncture can help relieve jaw pain and the stress that often accompanies it. Today’s post is about doing acupressure on yourself for TMJ issues.

Keep in mind that if you see an acupuncturist, they will do an evaluation that may show other issues that they can address, with a focus on getting your whole system in balance.

Screen Shot 2018-07-06 at 8.53.21 AM
Image source: acupressure.com

But acupressure can help. The leading expert on using acupressure, Michael Reed Gach, Ph.D., has a page on pressure points for sinus problems, jaw, TMJ, and bruxism and includes a 4:07 video (go to 1:18 for the jaw points).

He recommends holding them for a couple of minutes 2-3 times a day for a few weeks or months for best results if your jaw pain is chronic. Sinus, Jaw, TMJ and Bruxism Acupressure is 4:08.

Heather Wibbel’s video (3:43) shows four points to apply pressure.

This site has good images of four points, two of which Heather covers (SI 19 and ST6), with two other points on the cranium (ST7 and GB12) that can help.

(Note: If you Google this topic, be aware that not all the results are credible. I found one that pictured ST36 on the leg while describing a point on the face!)