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:

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.

Coming attraction: yoga for the jaw

I’m announcing now that I intend to create a “yoga for the jaw” class by the end of this year. There’s a sweet overlap of demographics: women of child-bearing age are nine times more likely than men to have severe or chronic TMJ issues, and this group also tends to take yoga (and Pilates) classes.

My plan is in the seedling stage right now. I have so much to learn and discern.

It feels good to get back into teaching yoga. I completed teacher training 10 years ago and taught restorative classes for a while. I’ve been practicing since 1982 and have been especially devoted since 1996 after a car wreck. I’m drawn to alignment-oriented classes and teachers, both for my own issues and as a bodyworker.

To this end, I will be taking a workshop from a highly-regarded yoga teacher in Dallas in late September. Embodied Dharma: Yoga, Connective Tissue, and Inter-Being is being offered at the Dallas Yoga Center by Tias Little, who created and teaches Prajna yoga.

Learning from Tias has been on my bucket list for a decade, and I’m finally doing it! Prajna means wisdom in Sanskrit, and Prajna yoga is more comprehensive than most yoga, including more of the eight limbs of Patanjali’s yoga into practice, as well as anatomy and somatic awareness. Tias includes aspects of Buddhism and craniosacral therapy — interests we share — into his teachings.

I am especially looking forward to learning more about yoga for the cranium, jaw, and ear from him.

Thank you, Anna Gieselman, a Prajna teacher at Castle Hill Fitness in Austin, for letting me know about this workshop!

If you’re interested, Anna is teaching a free Prajna yoga class on Labor Day, Free Day of Yoga, at Castle Hill’s downtown location. You can reserve your spot here.

TMJ Relief: Some medications cause jaw clenching

I have recently become aware that some widely used pharmaceutical medications cause jaw clenching and grinding as side effects.

The best known are in a class called SSRIs, selective serotonin reuptake inhibitors, commonly prescribed for depression. I’m sure you’ve heard of Prozac (fluoxetine). Here are some other SSRIs:

  • Zoloft (sertraline)
  • Celexa (citalopram)
  • Lexapro (escitalopram)
  • Paxil and Pexeva (paroxetine and paroxetine CR)
  • Viibryd (vilazodone)
  • Luvox (fluvoxamine and fluvoxamine CR)

In addition, antipsychotics like Haldol are said to cause bruxism. Symbyax, which is Prozac plus the antipsychotic Zyprexa (fluoxetine + olanzapine), is also on the list.

In general, if you take any medications in these categories and you are clenching or grinding your teeth, talk to your doctor about alternatives: psychotropics, dopamine agonists, antihistaminergics, and psychostimulants.

Cigarette smoking, caffeine, alcohol, and recreational drugs all may increase the risk of bruxism, studies have found. 

I recently learned that there’s an alternative to pharmaceuticals for treating depression and other mental disorders. It’s called TMS (transcranial magnetic stimulation) and it works with your brain waves (rather than the chemical approach using particles).

I know one integrative MD in Austin who offers it, and your insurance may cover it for depression. To learn more, please connect with Oak Hill Wellness Center. They even offer a free TMS consultation.

It’s been approved by the FDA to treat depression and migraines, and it’s also being used to treat anxiety, OCD, PTSD, Asperger syndrome, TBI, ADHD, and more.

One more bit of info: I had a new TMJ Relief patient who was taking an SSRI for depression. I treated her and gave her the info above, but unlike others I’ve treated, she didn’t notice a difference at the end of the session.

However, she emailed me the next day to tell me that for the first time in a while, she woke up without severe jaw pain and headache.

So even if you are taking an SSRI and have jaw pain, one of my TMJ Relief sessions (or even better, the 5-sessions-in-4-weeks program) can help, and meanwhile you can be investigating alternatives.

Coming soon! A class for dental offices

I have been taking a fantastic class called NLP+Presentations. The first part was this past weekend, and the second part will be in mid-February.

I’m working on a presentation for dental offices. It will be an hour max, so it could be a lunch-and-learn or a training offered to staff early or late in the workday.

I probably don’t need to tell you that some people complain of jaw pain after receiving dental work.

Dental professionals need to accommodate them by offering frequent breaks from wide-open mouth position — some even use devices to keep the mouth cranked wide open.

Dental offices also experience cancellations when someone’s jaw pain has flared up and they can’t even imagine holding their mouth open for dental treatment.

In fact, dental professionals are often the first health care professionals to let someone know that their clenching and/or grinding habit is damaging their teeth.

Although they offer orthotic devices to protect teeth and/or try to realign the TMJs, and they can usually repair the tooth damage they encounter, they don’t work on the biggest cause of jaw pain — myofascial tension. In fact, most dentists receive little or no training in the jaw — their domain is teeth and gums.

As a massage therapist, my domain is the myofascial realm of muscles and soft tissues. I work on postural issues, shoulder and neck tension, decompression of cranial bones, and do intra-oral work on all four internal jaw muscles — as gently as possible.

I can help dental offices help their patients, and I believe we can work well together.

If you think your dentist might be interested in this free training, please connect us. I’ll be offering trainings starting in late February.