Temporomandibular Joint (TMJ) disorder is a condition that affects the
jaw joint and muscles controlling jaw movement. It often manifests as jaw pain,
difficulty chewing, and a clicking or locking of the jaw. Anxiety is a
significant factor that can exacerbate TMJ symptoms, and in many cases, anxiety
itself can be a direct cause of TMJ. From the viewpoint of Traditional Chinese
Medicine (TCM), the connection between anxiety and TMJ is profound, and
understanding this link can be crucial for effective treatment.
Anxiety and TMJ: The Connection
Anxiety can significantly contribute to the development and worsening of
TMJ. Chronic stress and anxiety often lead to muscle tension, particularly in
the jaw, neck, and shoulders. This tension can result in habits such as teeth
grinding and jaw clenching, both of which are major contributors to TMJ
disorders. Additionally, anxiety can heighten the perception of pain, making
TMJ symptoms more pronounced.
From a TCM standpoint, anxiety and TMJ are often linked through Liver Qi
stagnation and Spleen Qi deficiency. Liver qi stagnation, often caused by
emotional stress, can lead to muscle tension and pain, including in the jaw.
Spleen qi deficiency can result in dampness and phlegm accumulation, further
exacerbating TMJ symptoms.
TCM Treatments for TMJ
- Acupuncture Points:
- ST7 (Xiaguan): Located in
front of the ear, it is effective for relieving jaw pain and tension.
- LI4 (Hegu): Found on the
hand, it helps reduce pain and stress throughout the body.
- GB20 (Fengchi): At the base of the skull, this point alleviates headaches and neck tension.
- Cupping: By applying suction cups on the jaw and neck area, cupping can improve blood flow and reduce muscle tension, thereby alleviating TMJ symptoms.
- Electro-Acupuncture: This involves
passing a small electric current between acupuncture needles. It enhances
the effects of traditional acupuncture, providing greater relief from pain
and muscle tension.
- Bleeding: A less common
but sometimes effective technique where small amounts of blood are
released from specific acupuncture points to improve circulation and
reduce stagnation.
Chinese Herbs for Treating TMJ
Chinese herbs are an integral part of Traditional Chinese Medicine (TCM) and can be highly effective in treating TMJ disorders. Commonly used herbs include
Chuan Xiong (Ligusticum wallichii), known for its ability to promote blood circulation and relieve pain;
Bai Shao (Paeonia lactiflora), which helps to relax muscle tension and nourish the liver; and
Gan Cao (Glycyrrhiza uralensis), which has anti-inflammatory properties and can soothe muscle spasms.
These herbs are often combined into customized formulas to address the specific needs of the patient, targeting both the symptoms and underlying causes of TMJ. By balancing the body’s Qi, improving blood flow, and reducing inflammation, these herbal treatments can effectively alleviate jaw pain and enhance overall well-being.
Helpful Devices and Self-Care Tips
- Change the pillow for the neck muscle - A cervical pillow https://amzn.to/3VxJPgm
- Face Braces: These devices can help align the jaw properly and reduce strain on the TMJ - https://amzn.to/4aTiau
- Mouth Guards: Wearing a mouth guard, especially at night, can prevent teeth grinding and reduce jaw stress.
- Neck & Jaw Exercises: Gentle stretching and strengthening exercises for the jaw can improve mobility and reduce pain.
- https://www.colgate.com/en-us/oral-health/temporomandibular-disorder/tmj-exercises-for-pain-relief#:~:text=Relax%20your%20jaw%2C%20then%20with,the%20left%20with%20your%20eyes.
- Stress Management: Practices such as yoga, meditation, and deep-breathing exercises can significantly reduce anxiety and, consequently, TMJ symptoms.
- Dietary Adjustments: Avoiding hard, chewy foods and opting for a soft diet can help alleviate pressure on the jaw.
The link between anxiety and TMJ is multifaceted, involving both
psychological and physiological factors. Anxiety can directly cause TMJ through
increased muscle tension and habits like teeth grinding. Traditional Chinese
Medicine offers a comprehensive approach to treating TMJ, focusing on the root
causes such as liver qi stagnation and spleen qi deficiency. Through
acupuncture, cupping, electro-acupuncture, and proper self-care, individuals
can find relief from the discomfort of TMJ and improve their overall
well-being.
For those experiencing TMJ as a side effect of antidepressants, it is
essential to discuss these symptoms with a healthcare provider. Combining TCM
treatments with conventional medical advice can lead to more effective and
holistic care.
References
- Glaros, A. G.,
& Williams, K. (2012). SSRI-Induced Bruxism: A Systematic Review of
Published Case Reports. Journal of Clinical Psychopharmacology.
Retrieved from Journal of Clinical Psychopharmacology
- Lavigne, G. J.,
Khoury, S., Abe,
S., Yamaguchi, T., & Raphael, K. (2008). Bruxism physiology and
pathology: an overview for clinicians. Journal of Oral Rehabilitation,
35(7), 476-494. doi:10.1111/j.1365-2842.2008.01881.x
- Winocur, E.,
Uziel, N., Lisha, T., Goldsmith, C., & Eli, I. (2003). Self-reported
bruxism — associations with perceived stress, motivation for control,
dental anxiety and gagging. Journal of Oral Rehabilitation, 30(6),
583-587. doi:10.1046/j.1365-2842.2003.01093.x
- Lobbezoo, F.,
Ahlberg, J., Manfredini, D., & Winocur, E. (2018). Are bruxism and the
bite causally related? Journal of Oral Rehabilitation, 45(9),
754-762. doi:10.1111/joor.12657
- Macfarlane, T.
V., Kincey, J., & Worthington, H. V. (2002). The association between
psychological factors and oro-facial pain: A community-based study. European
Journal of Pain, 6(6), 427-434. doi:10.1016/s1090-3801(02)00039-5
Combining these references with the holistic approach of Traditional
Chinese Medicine can provide a comprehensive understanding of TMJ disorders and
their link to anxiety.
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