In this video we will talk about temporomandibular pain and we will see some of the best exercises to unlock this joint and remove the pain. #PhysiotherapyMind #TempromandibularDisorder =========================================================== also visit my website: https://www.fisioterapia-biella.it ================================================================ Have you ever had pain in your jaw, in your ear or in front of your ear? In the last 30 days have you ever had a headache that included the temple area? In the last few days have you heard noises when you moved or used your jaw? Have you ever been stuck or stuck with your mouth closed or open or have you ever had the sensation that your mouth does not open completely? Just answer YES to just one of these questions to be able to recommend a more in-depth temporomandibular evaluation. Temporomandibular disorder is a pathology that affects women and men in a ratio of 8 to 1, and therefore is a predominantly female problem. A TMD (or temporomandibular disorder) may report: Headaches, noises, clicking or popping of the jaw, widespread pain in the face, neck pain, dizziness or tinnitus. The causes are multifactorial, a TMD can be caused by a trauma or an accident, it can be attributed to a repeated trauma and among the triggering causes there can also be factors such as: Genetic, Hormonal, Anatomical, Occlusal, Postural And psychological: 50% of TMDs have an onset from 1 stressful life event such as bereavement, job loss or a move: anything that breaks through the BIOLOGICAL TOLERANCE LIMIT of a person. In these pathological conditions it can happen that over time postural, musculoskeletal or occlusal causes lead to condylar-meniscal incoordination. In this way the head of the condyle can end up finding itself in a more posterior position and with a consequent anterior slippage of the meniscus. And so we will have 3 main problematic situations: • That when we open our mouth part of the path of the ATM will happen without the disc following us, and then we will hear a click when the latter is recaptured. While when we close our mouth we might also hear another click, that is the moment we lose it again. • When instead the opening of the mouth is limited and instead of clicks we hear cracks or crepitus (or sand-like), most likely we will instead have a situation of advanced joint degeneration in which the disc is too far forward and can no longer be recaptured. • When you remain stuck with your mouth open it can happen instead that in the attempt to recapture the disc, the latter remains too far back and the condyle of the mandible is dislocated forward. Here a precise maneuver will be needed to reduce the dislocation. Depending on the type of problem there will therefore be appropriate techniques to perform and different exercises to learn, but generally the goal will be to relax the tense muscles that prevent the joint from moving freely, create space in the joint subjected to compressive forces and re-educate the correct movement of the jaw so that the discs improve the sliding mechanics. Another topic to begin to address in this video and which we will then continue in the next is POSTURE: QUESTION: Can incorrect posture cause temporomandibular problems? The answer is YES: posture influences the ATM. Let's try to think about the most frequent problem since we have been using computers and smartphones: the posture of the head leaning forward, the latter directly results in a significant alteration of the biomechanical functionality of the cranio-cervical-mandibular complex: The muscles in front of the neck will be subject to significant tensions that will cause the jaw itself to move back and create a bone conflict posterior to the ATM. The dental arches will therefore support incorrectly with consequent discomfort and pain. The pain will trigger muscle spasms that have the purpose of protecting us from further damage but that will inevitably cause an imbalance in movement and, as in a vicious circle, will overload the joint components. The tissues (retrodiscal), such as the disc, the capsule, the ligaments, and the blood vessels will undergo serious suffering, evolving into a progressive degeneration. Thus we will see the onset of a Temporomandibular Disorder (TMD) with the most classic symptoms of this suffering which are myofascial pain, headache/migraine, cervicalgia, mandibular clicking, popping, tinnitus and blocks.