OSTEOPATHY BLOG

Temporomandibular dysfunction and bruxism (AKA Jaw pain and clunching)

Over my ten-year career as an osteopath, I've encountered numerous patients who initially present with complaints of headaches or sinus congestion, only to discover that they are experiencing Temporomandibular Joint (TMJ) congestion and muscle spasms, often indicative of teeth clenching or grinding, known as bruxism.

Bruxism, defined as the habitual grinding or clenching of the TMJ joint, is a common condition that can occur during both waking hours and sleep, with nocturnal bruxism being particularly prevalent.

Pain at the back of the head or sinuses may not trigger many to think that there could be issues with the jaw, which is why our diagnosis is often different to the one the patient may expect. The presenting symptoms can often be complex, extending to stiffness in the neck and shoulders, with minimal involvement of the face or neck.

Many patients are unaware of their clenching habits, often assuming it to be a commonplace occurrence.

As osteopaths, we focus on understanding the interrelationship between the body's structure and function. In addressing conditions like bruxism, we use manual techniques to diagnose and treat patients. Our approach typically involves:

Assessment and Diagnosis: We evaluate the musculoskeletal system, including the jaw, to identify any structural imbalances or dysfunctions contributing to bruxism.

Treatment: Osteopathic techniques such as soft tissue manipulation, stretching, and mobilisation help alleviate muscle tension and correct biomechanical issues associated with bruxism.

Stress Reduction: Techniques are employed to reduce stress and promote relaxation, as stress commonly triggers bruxism episodes.

Education and Prevention: Patients are educated about lifestyle modifications and ergonomic adjustments to prevent bruxism episodes.

It's crucial to emphasize that while osteopathy can address the muscular causes of bruxism, it's often advisable to also consult with a dentist. Dentists may need to monitor the health of the teeth surfaces and can recommend interventions such as mouthguards, which can also be beneficial in managing bruxism.

Written by Dilly Prytherch - Osteopath

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