Treating TMJ issues: asymmetries in the rest of the body

Jaw pain is rarely entirely in the jaw!

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.

Here’s a link to view the screening movements. Find a trainer on your own.

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
  • qi gong
  • tai chi
  • Gyrokinesis
  • martial arts
  • 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.

Treating TMJ issues: what various professions do to help

I’m going to write about what various healing professions do to treat TMJ issues to help you be good consumers and know what to expect in terms of results. I am a massage therapist who specializes in TMJ work, including intra-oral (inside the mouth) work, in which I’ve had special training.

I want to say up front that most massage therapists do not work inside the mouth, which is where the jaw muscles most likely to be causing TMJ pain are located. Most massage therapists have the skills to release tension in the external jaw and neck muscles. Maybe that’s all you need, if your jaw pain isn’t severe and it comes and goes. You will feel better after such sessions.

But if you are really suffering from chronic or severe jaw pain and dysfunction, you probably want a lot more than that. You will greatly benefit from intra-oral work, which takes special training and experience to do effectively.

Do not hesitate to ask whether a therapist you are considering working with is trained in releasing tension in the internal jaw muscles and uses gloves or finger cots.

Whole-body work can also help, when the TMJ pain is related to your posture (for instance, head forward posture).

These are the major results that help with TMJ symptoms, along with the professional training that can provide them:

  • reducing stress (massage therapist, acupuncturist, yoga teacher, meditation teacher)
  • reducing tension in your external jaw muscles (massage therapist)
  • releasing trigger points in your external jaw muscles (any kind of therapist with trigger point release training)
  • releasing your neck tension (massage therapist, physical therapist, chiropractor)
  • getting your pelvis aligned and balanced (massage therapist, physical therapist, chiropractor)
  • preventing your teeth from cracking due to bruxism (dentist)
  • reducing tension in your internal jaw muscles (massage therapist with special training, physical therapist with special training, Rolfer)
  • getting craniosacral therapy to restore alignment in the external cranial bones (craniosacral therapist)
  • getting craniosacral therapy to restore alignment in the internal cranial bones (craniosacral therapist)
  • repairing a torn or perforated articular disk (oral surgeon — get reviews first)
  • getting whole-body therapy to help with alignment and release strain patterns (craniosacral therapist, Rolfer, Zero Balancer, yoga teacher, yoga therapist)

This is a brief and imperfect overview to help you get the results you want, and there are many fine points not mentioned here.

 

What people say after a Zero Balancing session

I just finished my fourth class in Zero Balancing, and so I am eligible to apply for certification.

The part I love most about giving my clients a Zero Balancing session comes after the fully-clothed bodywork has concluded, when the receiver slowly moves from supine on my massage table to sidelying to seated to standing, taking a pause after each movement, and finally takes a few steps around my office.

I ask, “What are you noticing?”

People pay exquisite attention to their own sensations, and I collect their descriptions, eagerly anticipating what they will say. Often they tell me with a sense of revelation that they feel:

Taller.

Lighter.

In less pain.

Less stress.

Having better posture.

Having better movement.

Expanded.

More aligned.

Looser in the tight places.

Stretched.

Their depression has gone to neutral.

More solid on the ground.

Less timid.

Not stuck.

More in their body.

More grounded.

Breathing in their back too.

In touch with their heaviness.

Zero Balancing works on both structure and energy, and you can definitely see that in these descriptions. Of course, structure and energy affect each other.

Zero Balancing is the most transformative type of bodywork I’ve received or given for the amount of time spent on the table, which is usually 30-45 minutes. The changes are simply not on the same level as, “Oh, my shoulders don’t feel so tight” or “My low back pain is gone.”

Those things happen, and ZB recipients experience themselves differently, more as whole-body energetic free beings. Many people rarely experience themselves as such. Working with the deepest layer, the bones, frees up so much.

It’s the modality that helps people experience complete embodiment in a positive way, as if they are healthy and well, and the universe is a kind and friendly place to be. No wonder it’s becoming a sought-after experience!

Maybe it’s more spiritual for one person and more grounding for another. It seems to be a little bit different for everyone, and different each time. And that makes sense because our needs and awareness all vary.

Who would not want to live deeply in and from their body when it feels like this?