Unlocking Relief: TMJ Dysfunction with Dry Needling

For individuals affected by Temporomandibular Joint Dysfunction (TMD), the search for relief from the discomfort can seem never-ending. TMD is the 2nd most common musculoskeletal pain, with low back pain being the first. About 33% of the population has at least one TMD symptom, and 3.6 to 7.0% of the population has TMD with sufficient severity that they desire treatment.^1-2 As physical therapists, chiropractors, and athletic trainers, we always seek efficient, research-based treatments to relieve our patients’ pain. Dry needling has become a prominent intervention technique used to alleviate pain and increase function in patients suffering from TMD.^3-7

Comprehending TMJ Dysfunction: A Complicated Enigma

TMJ dysfunction is a complex disorder. This condition includes pain, limited range of motion, and sometimes jaw locking or clicking.² TMD is a complex disorder; the underlying reasons for the disorder might consist of everything from bad posture or bruxism (tooth grinding) to arthritis and trauma.^1-2 These elements may result in myofascial pain and dysfunction, which are associated with pain in the jaw, face, and even neck, as well as hyperactivity and stiffness in the masticatory muscles.⁷

TMJ dysfunction is complicated, so treating it requires a multifaceted strategy that considers both the neurological and muscular aspects of the condition. Dry needling provides a focused, effective remedy here.^3,4,6

The Mechanism: TMJ Dysfunction Treatment with Dry Needling

Dry needling isolates hyperirritable areas and myofascial trigger points in a taut band of muscle.⁸ In cases of TMJ dysfunction, the masseter, temporalis, and lateral pterygoid muscles are typically involved. Dry needling can help reduce muscle tension, break pain cycles, and accelerate tissue recovery by focusing on these particular muscles.^9-10

However, dry needling has ramifications beyond mechanical effects on the tension of these muscles. Additionally, the needle’s entry triggers a series of neurochemical reactions. It triggers the release of serotonin, endorphins, and other analgesics, all of which help to modify the perception of pain.¹¹ Furthermore, the needle’s microtrauma can stimulate the body’s natural healing mechanisms by boosting blood flow and lowering inflammation in the affected tissues.¹²

Clinical Application: Techniques and Considerations

Precision is crucial when dry needling the TMJ. Due to the region’s intricate and sensitive anatomical structures, practitioners must thoroughly understand the local anatomy. Professionals who want to advance their expertise should take courses specializing in dry needling, especially those that address TMJ and craniofacial problems, specifically Structure and Function Education’s® Comprehensive Approach to Craniofacial and Upper Quarter Dysfunction course.

Courses usually cover the safe and efficient needling of essential muscles like the masseter and temporalis. These muscles are easily accessible for dry needling and are frequently associated with dysfunction of the TMJ. More complex courses, however, might also cover the lateral pterygoid. This muscle, which is deeply located and plays a vital function in jaw movement, is infamously difficult to reach. Acquiring proficiency in these methods guarantees patient safety and comfort while improving clinical results.

Integration with Other Therapies: A Holistic Approach

Despite its strength, dry needling works best in a more comprehensive treatment strategy. For those with TMJ problems, this may entail manual treatment, remedial exercises, and patient education regarding posture and ergonomics. In certain circumstances, coordination with dentists or orthodontists may be necessary to address underlying oral abnormalities leading to TMJ dysfunction.

Advancing Your Practice: The Value of a Dry Needling Course

Clinicians wishing to include dry needling into their practice would benefit significantly from a dry needling course. These courses provide the technical abilities required for the procedure and a thorough understanding of the underlying mechanics and therapeutic applications. Those interested in treating TMJ issues will benefit significantly from specialist courses focusing on the craniofacial region. Structure and Function Education’s® Foundations in Dry Needling for Orthopedic Rehab & Sports Performance and the Comprehensive Approach to Craniofacial and Upper Quarter Dysfunction course.

Additionally, finishing a dry needling course can lead to new opportunities for patient care, enabling medical professionals to treat a wider variety of musculoskeletal issues. Including dry needling in your therapy toolkit can significantly improve patient outcomes and satisfaction, especially in light of the growing desire for drug-free pain management choices.

Conclusion: Dry Needling Intervention for Complex TMD Cases

Dry needling is a precise, effective treatment for TMJ dysfunction, a condition that can be equally frustrating for therapists as it is for patients. Physical therapists, athletic trainers, and chiropractors can bring their patients much-needed relief from this crippling ailment by discovering the underlying processes and perfecting the treatments through specialized courses. As we continue to develop our expertise and learn more, dry needling will be vital to treating TMJ dysfunction.

If you’re struggling with TMD, consider consulting a Structure and Function Education® trained clinician to explore how these treatments can help you find relief. Structure & Function Education® has several curricular offerings to help you better treat headache pain. If you’re interested in learning how Structure & Function Education’s® Pentamodal Method of dry needling can help you treat your patients with headaches, enroll today in Foundations in Dry Needling for Orthopedic Rehab & Sports Performance and the Comprehensive Approach to Craniofacial and Upper Quarter Dysfunction course.

If you are interested in hands-on, manipulative therapies to treat TMD, we also have courses for you. Structure & Function Education’s®: Foundations of Joint Manipulation by Fix Medical Group (JMN1) and the Fascial Manipulation® Method by Stecco (FM) course program at structureandfunction.net.