Many thanks for this informative video. I have an obvious clicking jaw for a long time that didn’t bother me until my mother became terminally ill, I had terrible TMJ symptoms (without obvious pain in the jaw) neck soreness, ear fullness, tinnitus, sinus congestion symptoms, stiff jaw in the mornings, vertigo, sore eyes, I could go on.. I developed health anxiety at one point.. my symptoms reduced by 80% when my mum passed and I got a night guard. I’m now concentrating on posture of my jaw. I notice when I hold it forward it doesn’t click so much. The Days I drink more coffee or alcohol my symptoms worsen. My symptoms are definitely triggered more so by stress. Thanks for your work.
@@MSKNeurology With the superior head of infraspinatus should it be trained if it is not hurting? Also how can I help flat feet? I am responding to this comment because it is recent.
@@MSKNeurology I understand, but this is your most recent comment. That is how I wanted to get your attention. I asked question on the video topic page as well.
Thank you very much for this video.My recovery has progressed tremendously, and while I'm still not all better, it has been life-changing just to have access to this information. It gives me a way forward. I'm probably due for another consult, but with the holidays and everything it might be a big longer.
Thank you for another great video. I totally agree with you on the tongue posture part. Do you have any articles that describes this? I’m a physiotherapist specialized in TMD, working in Copenhagen, Denmark.
In one of your articles, You showed a picture of the type of device needed to move the mandibular joint forward. What is it called and can you show a picture so that I can get one made? Thank you!
My TMJ pain started after having dizziness and headaches for 3 months. Now I have what the neurologist says it’s ‘ atypical facial pain’. Even waking causes this deep pain in my face and jaw radiating to temple area and right side of head. I’m In the Netherlands and no one yet has been able to help. Now daily pain is debilitating.
@@renu653thank you for your comment. There seems to be no problem with my teeth, my dentist has been incredibly supportive to find solutions. I’ve had ct scans/ xray/. Can’t see anything. I’ll see a gnathologist next week and praying for resolve as this has upended my entire life. I can’t even go for walks without this neurological sensation running over my right head constantly. Painkillers don’t do much for the daily horrible face pain that is always on my top back molars/ sinus area. I’ve been to an ENT doctor who didn’t notice anything wrong with my sinuses. It all started last November when I was biking home and my ear popped and couldn’t hear for 2 hours. It came back but from then on it’s gone from vestibular headaches / sensations to now having TMD daily pain. It’s a huge mystery. 😢
I was intentionally clenching to suck in my fat under my chin. Ended up with constant neck pain and some headaches. Once I learned to relax my neck muscles and stopped clenching, the pain literally went away in 24 hours.
Try to pull the base of the tongue (the BASE, not the TONGUE) "up and forward" rather than clenching the entire complex. The chin fat is usually a combination of poor neck posture and improper tongue posture. A common mistake many make is the push the tongue itself and although this is helpful for some things, such as facial development for kids and tooth straightness, it is harmful as an early intervention for TMD patients
I recently discovered your incredibly insightful work. Thank you for sharing so much. My tinnitus started after giving birth to my daughter 25 years ago (||whiplash?!). I can make it significantly louder by sending my lower jaw out past my upper teeth (creating an underbite). Does this indicate my trigeminal nerve is involved, and if so what are the best steps to rectify? I also have hypertensive migraine and am a clencher, for sure!
I didn't keep my tongue properly and it ended with TMD. My orthodontist didn't notice that and braces made it worse of course. After I asked to remove my retainer from the bottom teeth and keeping tongue on my palate problem solved.
With SCM syndrome of the clavicular head, I am unsure of when to decrease training and focus on TP/tightness release; it more often than not causes negative effects, despite good technique. Can confirm I have had a weak clavicular SCM head and been training clavicular specifically for 2/3 months. Do you have any strength tests for the clavicular head and goal for how good you should be at performing the test?
I know in your past videos you mention muscles like the scalenes, upper trap, LS, and other cervical muscles being closely related to TMD. Do you recommend dysfunction in these muscles be addressed before targeted exercise of the lateral pterygoids? Or is it pointless to address the pteryogoids until more cervical stability is achieved? Should they be done concurrently?
Clenching is the issue, tounge on roof, breathing diaphragmatically in through the nose and out through the mouth, caffiene consumption, smoking asthma can worsen clenching to name just a few
Should the superior head of infrapsinatus be worked on during training even if it is not hurt? 5 exercises every week for rotator cuff is a little much.@@MSKNeurology
Hello, Sir. One problem I have is that my hands are a little big, and when I grab a thin pen and a thin guitar neck and phone, my shoulders get hunched to the point where the tension of my tongue and jaw skew. I followed the previous video about relaxing the suprhyoid muscle and finally got some relief, but it still happened when I tried to grab those tiny things. My personal opinion is that the hands affect the shoulder blades affect the head, and I wonder if there is an explanation for that. Thank you.
Hi I have tmj closed lock. Since the disc slipped I get pain. The pain always feels like tooth pain. Teeth have been checked and are fine. I also sometimes get burning cheeks, scalp, side of nose. Tightness around my eyebrows. Any ideas what's going on? I've spent so much and seen so many specialist and I'm getting no where. It just sucks 😕
Yes as long as the posture itself doesn't exhaust them. Posture > exercise. Some patients can start right away, and others may need months of postural work before they can tolerate it.
What’s your advice on correcting asymmetrical atrophy of these muscles ? Still engage them in a way that’s more symmetrical or get the weaker side to catch up first ? I’m struggling with the condyle¿ piecring the muscle on the right side as the left engages.
I have had tinnitus for 5 years now in right ear(it's more like radio noise) and when my neck muscles(Obliquus capitis inferior?) are activated, a rapid squeak appears in that ear. The strongest manifestation is if I lift my head up from a lying position or pull my jaw to the opposide side. Also with any other hard activity like running or jumping. If I want to open my mouth wide, I need to deviate temporomandibulár joint to the side. I think there is a high dependence on this joint and the "squeaky-noisy" muscle.
Anterior pelvic tilt is extremely rare. What most people have is SWAYBACK POSTURE. It looks like APT, but it's not even remotely the same problem. Look at my videos talking about this.
@@MSKNeurology isn't swayback posture a more broad diagnosis and apt a symptom of it? I have forward head posture, neck problems and tight hamstrings. Also thanks, I'll make sure to watch your video.
This is a bit off topic but what do you think about the Iron Neck pro 3.0? That halo disc looking device that Joe Rogan also promoted for “360 degree” neck strengthening
@@MSKNeurology but why? I seen several people ask this question and similar on your comments, I am just genuinely asking whether it’s a good idea to incorporate this for overall neck strength on top of the exercises you teach
Look if you're pain free, and an athlete (eg. MMA, boxing, or at special risk to neck injury (eg. downhill skiing) then this can play a role. It will typically be a mistake, if not major mistake for a chronic pain patient to utilize something like this. Now, there are potential caveats. Caveats that would be individual to each case and that I cannot / will not elaborate upon in this comment. @@HN-Anonymous
I’ve had a history of TMJ disorder, tinnitus for 13 years (starting at 13 years old), cannot get on an inversion table without my head feeling like it will explode and hearing my heartbeat in my ear during it, dizziness, then went onto develop Mal de Debarquement syndrome. Anytime I tried to explain the positional changes that cause pulsatile tinnitus no one could explain it to me.
Hello Kjetil, please help i have glute medius/sciatic tingling and numbness on the right side of my pelvic that only happens when i’m lying down, i’ve done several of your exercises and postural change but no relief. Any suggestions? Thanks
I seem to fit your model of having my madible in a constant state of maximum retraction. Probably due to mouth breathing up to the age of 18. I've now been protracting the mandible for around a month. I'm now experiencing a very large click on my left side which was not present before. Is this normal? I maybe had a slight click before, but now it is very pronounced.
I have met Mike actually and I have a lot of respect for the Mews' work. I think it is a great protocol for kids and adolescents with craniofacial dystrophy. Whether or not one can treat adults this way, not sure. We'll see what they publish eventually. I don't agree with everything they say but regarding TMD etiology I do largely agree with them. I don't agree that symptomatic TMD patients should Mew, however.
hey msk, been using a splint for around a month now and i can say the headaches have gone away but my neck and shoulders are still is so much pain the neck pain feels like its creeping up to my temporalis and making my headaches come around a but still idek what would you recommend
More likely that the jaw and facial symptoms have led to you relaxing your face more, which causes droopiness of the facial muscles. It's not pathology per se.
Hi, I have had throbbing tooth pain in 1 tooth for 4 weeks now. They were tingling befrore then with jaw pain and clicking and popping. Is the tooth pain a sign of tmd?
Interestingly it is my impression that anabolic steroids, although very effective in the growth of healthy muscle tissue, it does not seem to be very effective, definitely not equally effective, in healing damaged tissue.
@@MSKNeurology I have perfect tongue poster. Tongue always sits at the roof mouth. I have breathed through my nose me entire life, obviously with the expectation of when one has a cold of blocked sinuses rarely. Genetics, possible but this is something that has changed over a period of months with no change on breathing or tongue posture. Do you believe there to be any link between CCI and the Jaw?
![Kumamoto Masters Japan 2024 | Gregoria Mariska Tunjung (INA) [5] vs. Akane Yamaguchi (JPN) [2] | F](http://i.ytimg.com/vi/EIjZybhsWqA/mqdefault.jpg)
Many thanks for this informative video.
I have an obvious clicking jaw for a long time that didn’t bother me until my mother became terminally ill, I had terrible TMJ symptoms (without obvious pain in the jaw) neck soreness, ear fullness, tinnitus, sinus congestion symptoms, stiff jaw in the mornings, vertigo, sore eyes, I could go on.. I developed health anxiety at one point.. my symptoms reduced by 80% when my mum passed and I got a night guard. I’m now concentrating on posture of my jaw. I notice when I hold it forward it doesn’t click so much. The Days I drink more coffee or alcohol my symptoms worsen. My symptoms are definitely triggered more so by stress. Thanks for your work.
Continuously assess your masseter and suprahyoid muscles for clenching. Sorry about your mum.
pain since 8 years gone overnight. thank you MSK Neurology
It's usually not that simple and you may see some comeback until you've stayed course for a while. But hey, if you got lucky then I am happy for you.
What did you do, which exercises?
@@MSKNeurology With the superior head of infraspinatus should it be trained if it is not hurting? Also how can I help flat feet? I am responding to this comment because it is recent.
@@MrHumptyDumpty if you want an answer then you need to stick to the video topic
@@MSKNeurology I understand, but this is your most recent comment. That is how I wanted to get your attention. I asked question on the video topic page as well.
Thank you very much for this video.My recovery has progressed tremendously, and while I'm still not all better, it has been life-changing just to have access to this information. It gives me a way forward. I'm probably due for another consult, but with the holidays and everything it might be a big longer.
Thank you for another great video. I totally agree with you on the tongue posture part. Do you have any articles that describes this? I’m a physiotherapist specialized in TMD, working in Copenhagen, Denmark.
In one of your articles, You showed a picture of the type of device needed to move the mandibular joint forward. What is it called and can you show a picture so that I can get one made? Thank you!
My TMJ pain started after having dizziness and headaches for 3 months.
Now I have what the neurologist says it’s ‘ atypical facial pain’.
Even waking causes this deep pain in my face and jaw radiating to temple area and right side of head. I’m
In the Netherlands and no one yet has been able to help. Now daily pain is debilitating.
Any sinus or dental infections present ? May be dentist can give you TMJ splint to help meanwhile.
@@renu653thank you for your comment. There seems to be no problem with my teeth, my dentist has been incredibly supportive to find solutions. I’ve had ct scans/ xray/. Can’t see anything.
I’ll see a gnathologist next week and praying for resolve as this has upended my entire life.
I can’t even go for walks without this neurological sensation running over my right head constantly.
Painkillers don’t do much for the daily horrible face pain that is always on my top back molars/ sinus area.
I’ve been to an ENT doctor who didn’t notice anything wrong with my sinuses.
It all started last November when I was biking home and my ear popped and couldn’t hear for 2 hours. It came back but from then on it’s gone from vestibular headaches / sensations to now having TMD daily pain.
It’s a huge mystery. 😢
I was intentionally clenching to suck in my fat under my chin. Ended up with constant neck pain and some headaches. Once I learned to relax my neck muscles and stopped clenching, the pain literally went away in 24 hours.
Try to pull the base of the tongue (the BASE, not the TONGUE) "up and forward" rather than clenching the entire complex. The chin fat is usually a combination of poor neck posture and improper tongue posture. A common mistake many make is the push the tongue itself and although this is helpful for some things, such as facial development for kids and tooth straightness, it is harmful as an early intervention for TMD patients
How to relax neck myscles?
@@MSKNeurologyTHAT helped so much 💯💯💯
I recently discovered your incredibly insightful work. Thank you for sharing so much. My tinnitus started after giving birth to my daughter 25 years ago (||whiplash?!). I can make it significantly louder by sending my lower jaw out past my upper teeth (creating an underbite). Does this indicate my trigeminal nerve is involved, and if so what are the best steps to rectify? I also have hypertensive migraine and am a clencher, for sure!
I didn't keep my tongue properly and it ended with TMD. My orthodontist didn't notice that and braces made it worse of course. After I asked to remove my retainer from the bottom teeth and keeping tongue on my palate problem solved.
This might work on some cases where there is mild affliction, but is certainly not the norm. I gave my reasons in the video.
@@MSKNeurology What about jaw misalignment?
With SCM syndrome of the clavicular head, I am unsure of when to decrease training and focus on TP/tightness release; it more often than not causes negative effects, despite good technique. Can confirm I have had a weak clavicular SCM head and been training clavicular specifically for 2/3 months. Do you have any strength tests for the clavicular head and goal for how good you should be at performing the test?
I know in your past videos you mention muscles like the scalenes, upper trap, LS, and other cervical muscles being closely related to TMD.
Do you recommend dysfunction in these muscles be addressed before targeted exercise of the lateral pterygoids? Or is it pointless to address the pteryogoids until more cervical stability is achieved? Should they be done concurrently?
Your presumptions here are way off
@@MSKNeurology could you elaborate briefly
Clenching is the issue, tounge on roof, breathing diaphragmatically in through the nose and out through the mouth, caffiene consumption, smoking asthma can worsen clenching to name just a few
Should the superior head of infrapsinatus be worked on during training even if it is not hurt? 5 exercises every week for rotator cuff is a little much.@@MSKNeurology
Hello, Sir. One problem I have is that my hands are a little big, and when I grab a thin pen and a thin guitar neck and phone, my shoulders get hunched to the point where the tension of my tongue and jaw skew. I followed the previous video about relaxing the suprhyoid muscle and finally got some relief, but it still happened when I tried to grab those tiny things. My personal opinion is that the hands affect the shoulder blades affect the head, and I wonder if there is an explanation for that. Thank you.
Hi I have tmj closed lock. Since the disc slipped I get pain. The pain always feels like tooth pain. Teeth have been checked and are fine. I also sometimes get burning cheeks, scalp, side of nose. Tightness around my eyebrows. Any ideas what's going on? I've spent so much and seen so many specialist and I'm getting no where. It just sucks 😕
Would you please clarify if strengthening the pterygoids should commence along with the practice of holding jaw forward & working on the clenching?
Yes as long as the posture itself doesn't exhaust them. Posture > exercise. Some patients can start right away, and others may need months of postural work before they can tolerate it.
could you do something on chiari malformations 1 or if there are any studies
what is the exercise now??
What does it mean if I can’t shut my back teeth? Is that a TMJ issue? When I move my jaw forward this tends to make it more inflamed
Hello Larsen! Can I ask you what is your opinion on NKT? Have u found much success using this technique in your practice?
What’s your advice on correcting asymmetrical atrophy of these muscles ? Still engage them in a way that’s more symmetrical or get the weaker side to catch up first ? I’m struggling with the condyle¿ piecring the muscle on the right side as the left engages.
Hi, can you tell me the best thing to do please to stop the biting down spasms i get. ?
I have had tinnitus for 5 years now in right ear(it's more like radio noise) and when my neck muscles(Obliquus capitis inferior?)
are activated, a rapid squeak appears in that ear. The strongest manifestation is if I lift my head up from a lying position or pull my jaw to the opposide side. Also with any other hard activity like running or jumping. If I want to open my mouth wide, I need to deviate temporomandibulár joint to the side. I think there is a high dependence on this joint and the "squeaky-noisy" muscle.
Make a video on how to fix anterior pelvic tilt, would save my life 🙏
Anterior pelvic tilt is extremely rare. What most people have is SWAYBACK POSTURE. It looks like APT, but it's not even remotely the same problem. Look at my videos talking about this.
@@MSKNeurology isn't swayback posture a more broad diagnosis and apt a symptom of it? I have forward head posture, neck problems and tight hamstrings. Also thanks, I'll make sure to watch your video.
@@L.2066.v No
This is a bit off topic but what do you think about the Iron Neck pro 3.0? That halo disc looking device that Joe Rogan also promoted for “360 degree” neck strengthening
God I hate questions like these
@@MSKNeurology but why? I seen several people ask this question and similar on your comments, I am just genuinely asking whether it’s a good idea to incorporate this for overall neck strength on top of the exercises you teach
Look if you're pain free, and an athlete (eg. MMA, boxing, or at special risk to neck injury (eg. downhill skiing) then this can play a role. It will typically be a mistake, if not major mistake for a chronic pain patient to utilize something like this. Now, there are potential caveats. Caveats that would be individual to each case and that I cannot / will not elaborate upon in this comment. @@HN-Anonymous
I not see in this video how to cure tnj, what are exercises etc.... just symptoms and general talk....did i miss smth?
what to do when your neck doesnt have a natural curve anymore? is it possible to recover it
I’ve had a history of TMJ disorder, tinnitus for 13 years (starting at 13 years old), cannot get on an inversion table without my head feeling like it will explode and hearing my heartbeat in my ear during it, dizziness, then went onto develop Mal de Debarquement syndrome. Anytime I tried to explain the positional changes that cause pulsatile tinnitus no one could explain it to me.
That’s so awful. Do you have anything that helps?
Hello Kjetil, please help i have glute medius/sciatic tingling and numbness on the right side of my pelvic that only happens when i’m lying down, i’ve done several of your exercises and postural change but no relief. Any suggestions? Thanks
Is there a device that can hold the lower jaw forward?
When I do your lateral pterygoid (inferior head) exercise my jaw pops on the left side. Does this mean I am doing it wrong?
The disc is damaged on that side
I seem to fit your model of having my madible in a constant state of maximum retraction. Probably due to mouth breathing up to the age of 18. I've now been protracting the mandible for around a month. I'm now experiencing a very large click on my left side which was not present before. Is this normal? I maybe had a slight click before, but now it is very pronounced.
Should the teeth of the upper and lower jaw be in close contact? Or is it normal to have 1-5mm between them?
Gentle contact or small space; both are ok
@@MSKNeurology BIG thanks for answer!
if you have no molar contact on one side would that be indicative of tmd?
Do you accept patients that are not local?
Yes. See website
I have tmj and it’s causing hips and shoulder issues .
What opnion you have on mike and john mew way of treating people? Mostly known as mewing
I have met Mike actually and I have a lot of respect for the Mews' work. I think it is a great protocol for kids and adolescents with craniofacial dystrophy. Whether or not one can treat adults this way, not sure. We'll see what they publish eventually. I don't agree with everything they say but regarding TMD etiology I do largely agree with them. I don't agree that symptomatic TMD patients should Mew, however.
hey msk, been using a splint for around a month now and i can say the headaches have gone away but my neck and shoulders are still is so much pain the neck pain feels like its creeping up to my temporalis and making my headaches come around a but still idek what would you recommend
Book a session for case-specific advice
@@MSKNeurology how would i go about doing that thanks !
mskneurology.com@@shinyyedm
@@MSKNeurology had a hard time booking it do i just click the contact button and go from there ? cheers
Hard, how so?@@shinyyedm
Any ideas as to why trying to work on my jaw etc, leads to sunken looking and kind of glazy looking eyes? Ik it sounds weird! Thank you in advance.
More likely that the jaw and facial symptoms have led to you relaxing your face more, which causes droopiness of the facial muscles. It's not pathology per se.
Hi,
I have had throbbing tooth pain in 1 tooth for 4 weeks now. They were tingling befrore then with jaw pain and clicking and popping. Is the tooth pain a sign of tmd?
See a dentist first to rule in/out the tooth as the cause. You'll need an xray.
Thank you.
Any suggestions on how to cure open bite?
Mewing from early age. As an adult, no idea. You'd have to ask an orthodontist, it is outside of my expertise.
@@MSKNeurology thank you
Does the jaw or tmj cause lateral pelvic tilt? Msk 17:25
Lateral Pelvic tilt might cause TMJ imho
Will roids help speed up the recovery of these muscles?
Interestingly it is my impression that anabolic steroids, although very effective in the growth of healthy muscle tissue, it does not seem to be very effective, definitely not equally effective, in healing damaged tissue.
big thanks for answer, your information is priceless.
When i open my jaw it deviates to the right, any solution for that?
Usually caused by disc damage. It'll heal up in most cases as you follow the protocol appropriately.
What would cause a jaw to sink/receed?
Improper tongue posture, mouth breathing during development. Genetics also play a role
@@MSKNeurology I have perfect tongue poster. Tongue always sits at the roof mouth. I have breathed through my nose me entire life, obviously with the expectation of when one has a cold of blocked sinuses rarely. Genetics, possible but this is something that has changed over a period of months with no change on breathing or tongue posture.
Do you believe there to be any link between CCI and the Jaw?
Did you even watch the video?@@Fresh-qc3zn