Did you know that fibromyalgia and TMJ pain often go together? Unfortunately for many fibromyalgia patients, this is a painful reality.
Your jaw is one part of the body that you don’t think about much until it starts to hurt or malfunction. This vulnerable area of your body allows you to do so many daily activities that many people take for granted like eating, yawning, talking and drinking.
However, when you start to notice symptoms of pain, tightness, clicking, or soreness in the jaw, you may have trouble chewing, talking, finding a comfortable sleeping position or even just relaxing. You might also find yourself doing more grinding at night.
If you suffer from temporomandibular joint disorder, also known as TMJ, your jaw may cause agonizing pain as well as a list of other symptoms, including:
The pain of TMJ can extend to all areas of your face, neck, and head as well. The muscles, ligaments, and nerves that keep your chompers chomping are also responsible for functioning and sensation to all connected body parts. This is why many fibromyalgia patients report tenderness and pain in areas beyond the jaw.
One area just below the jaw (into the front neck area) that can greatly correlate with fibromyalgia is the sternocleidomastoid (trigger point area) So it could happen that your TMJ symptoms exacerbate points in the surrounding areas leading to that radiating and referring pain you might feel.
It’s estimated that about 90% of people living with fibromyalgia experience some type of jaw or facial pain. However, that doesn’t mean that all of those will have TMJ.
Some people assume that you have to experience a complete jaw lock before you’re diagnosed with TMJ, but that isn’t the case. The presence of other related symptoms when all other potential causes have been ruled out is enough for the diagnosis in some cases.
TMJ and the associated facial/ jaw pain can be an extension of fibromyalgia when a diagnosis for fibromyalgia is already in place. Others will give a secondary diagnosis of TMJ. Whether you receive both diagnoses or not, the combination of these conditions is often debilitating.
When the pain stops you from sleeping comfortably, limits range of motion for your head, and affects proper chewing, this can affect your quality of life.
A treatment plan for this condition is typically reactive to the symptoms experienced with fibromyalgia and TMJ pain. There are some general treatment options that help combat inflammation and pain in general, and then specific treatments are added as symptoms arise for each individual patient. I would recommend natural anti-inflammatories and stress relief as a first option.
There are some additional treatments that you may help relieve symptoms of TMJ:
There are also some surgeries that are occasionally used to correct severe TMJ, but that isn’t often an option for general jaw and facial pain experienced by many fibromyalgia patients. The treatments listed above are focused on relieving the pain so that the sufferer can comfortably enjoy daily life. This is the case with most fibromyalgia symptoms.
may want to talk to your dentist if you experience TMJ symptoms. In
some cases, missing teeth and other dental problems can cause these
problems. Correcting the dental issue may cure the TMJ syndrome. You
might benefit from a customized night guard.
In my case, I found that the materials used for the night guard itself can make a difference. For instance, my first night guard was made of a softer material that felt more comfortable in my mouth. The only problem was that this material was not as durable, so after a few years, I needed a new one made. My newest one was made of a harder material and it has been somewhat harder to get used to.
We also want to be sure we are addressing all of the stressors in our lives that could exacerbate this pain in the jaw. If you tend to hold stress in your jaw, neck or shoulders, it will likely continue and even worsen. Deep breathing and facial /jaw relaxation exercises can be very beneficial when done consistently.
Even a dental cleaning can exacerbate TMJ pain. Having your mouth open for a cleaning or other dental procedure can activate trigger points in the jaw area. If relaxation techniques are not quite enough, some people may need to take a muscle relaxant before dental appointments if approved by a doctor and attending dentist.
Another suggestion I use is moving the neck pillow down or removing it all together on the dental chair. We want to be sure our entire head, neck, and jaw are as comfortable as possible while in the dental chair. (I actually move the small pillow from behind my neck to under my lower back, that really helps!!)
Bring your own cervical pillow if necessary and let your dentist or dental assistant know if you need to take breaks. The point is to avoid activating trigger points later even if you don't feel them in the moment.