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TMJ and Chiropractic

Temperomandibular JointYou may have heard or experienced a condition called TMJ which is a condition of clicking or pain in the Temperomandibular Joint (TMJ) or jaw. It is more correctly termed TMD which stands for Temperomandibualr Disorder (TMD). These occur as a result of problems with the jaw, jaw joint, and surrounding facial muscles that control chewing and moving the jaw.

Causes include:

  • Injury to the jaw, Temperomandibular joint, or muscles of the head and neck (such as from a heavy blow or whiplash)
  • Grinding or clenching the teeth, putting great pressure through the TMJ
  • Stress, which can lead to clenching teeth, and/or tight facial and jaw muscles
  • Arthritis in the TMJ
  • Disrelationship of the complex jaw joint

Common symptoms of TMD include:

  • Decreased ability to open the mouth wide
  • A locked or stuck jaw either in an opened or closed position
  • Clicking, popping or grating sounds in the jaw joint on jaw movement
  • Pain or tenderness in the face, jaw joint, neck, shoulders and/or ear, including headaches and earaches
  • A tired feeling in the face
  • A change in the bite, as the teeth are not aligned

Intra-oral Cranials is a technique that your Chiropractor may use that is extremely effective in improving the movement of the jaw joint and hence reducing the symptoms relating to TMD. This Cranial technique addresses the bones of the skull and jaw to normalise the relationship of the skull with the jaw and the neck, and allow the jaw to move smoothly and freely and with its normal range.

Fractures, Sprains and Chiropractic

chiropractic sprains fracturesCan Chiropractic help with a fracture (the medical term for any broken bone)? No, of course not! But Chiropractic can help if you’ve had a fracture, it has healed, but it still just doesn’t feel right.

Obviously the first thing you need to do if you suspect a fracture is go to the hospital and have it treated. Once it has healed and you are able to use it again, you may notice that it is can be painful or uncomfortable at times, or it just doesn’t feel right. If it doesn’t improve then thats when seeing a Chiropractor can be helpful.

When you have a fractured bone it is usually due to a fall. So when you fall and land with enough force to break your bone, it is obviously quite a large force. It is not only the bone that will be injured by this degree of force, there would be a number of surrounding joints and ligaments, tendons and muscles affected by the impact.

These muscles and tendons will very likely be strained, while the joints can be jarred, inflamed and possibly in slight misalignment. This will result in the joints in the area not moving freely, so when moving that part of your body, it will feel tight and restricted, and even painful. The muscles would also feel sore and possibly spasmed.

Similarly, spraining a joint can impact on surrounding joints, muscles and ligaments. Seeing a Chiropractor soon after having such an injury is important as it can improve the rate of healing, as well as reduce the level of pain. A sprain is essentially due to overstretching of a joint and hence the ligament crossing that joint will be strained, sprained or in extreme cases, torn. This overstretching of the joint will impact the alignment of that joint, and then this misalignment will continue to put some strain on the ligament. This ongoing strain can reduce the ability of the ligament to heal.

The misalignment of the joint can also produce pain, so treating the misalignment will reduce the pain, and improve the overall function. This is particularly the case when its an ankle that has been sprained (which is very common) as there are so many bones around the ankle there is potential for many joints to become affected. Then as a secondary problem, if there is some changes in the alignment of the foot joints, then the body will be compensating because of pain and also poor biomechanics, which can result in pain and inflammation in the knees or back.

Chiropractic care can be very effective in correcting these joint misalignments and so it makes sense to have some Chiropractic care at some stage after an injury such as a fracture or sprain to improve healing, decrease pain and improve overall function.

Frozen Shoulder (Adhesive Capsulitis)

Health In The Bay Frozen ShoulderSigns/Symptoms

  • Frozen shoulder is characterised by stiffness and restriction of movement leading to a high degree of shoulder joint immobilisation (passive and active movements).
  • In most cases there is also some localised pain that can also cause secondary pain in the neck and trapezius muscle.
  • Patients are generally unable to raise their arm above 45 degrees and often any movement that involves external shoulder rotation inhibits pain.
  • Pain at night is often more severe, and a secondary side effect of frozen shoulder is insomnia.
  • It is most common over the age of 40 and more prevalent in woman.
  • Symptoms can often last from 5 months to 3 years, but healing time can be reduced with appropriate therapy, stretching and preventative techniques.

 

Causes

  • It is most commonly caused by thickening and contraction of the joint capsule – the connective tissue around the bony structures of the shoulder joint. There can also be a lack of synovial fluid in the joint
  • Can be caused by injury, however, it may also be a secondary symptom of thyroid, metabolic disease, stroke and auto-immune disease. Higher incidence in smokers. In many cases, there is no recognisable cause.
  • In Eastern medicine – deficient cases, there is a lack of nourishment (Ying Qi), leading to tendon/muscular weakness. In excess cases, wind/cold/damp/injury penetrates the shoulder joint causing local Qi/Blood stagnation in the channels (often Colon/Small Intestine channels). Can also include Gall Bladder, Lung, Triple Heater and Pericardium channels.

 

Treatment

  • Aims to reduce pain, increase recovery time, increase range of movement and prevent worsening of symptoms.
  • Western medicine treatment aims to reduce pain and inflammation with anti-inflammatory drugs, and if particularly severe, steroid injections are used. Chronic painful issues are sometimes treated with surgery.
  • The most effective method of recovery is to continue a full range of movement within the joint to prevent further joint stiffness and muscle loss/weakness. Therefore, physical therapy generally involves range-of-motion exercises. Functional exercises should include moving the diseased shoulder in abduction, adduction, internal rotation and external rotation – morning and night.
  • Other therapies that can be effective are massage, acupuncture, herbal linaments and stretching. Common acupuncture points include SI9,10, LI4, 11, 14, 15.