Massage Tutorial: Myofascial release for TMJ/jaw pain

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Have clients with jaw pain or temporal headaches? They may also have clicking and locking of the TMJ... and I bet it's more than just a little annoying. Jaw dysfunction can drive you nuts, but massage (especially myofascial release) can help.
0:00 Introduction
0:50 TMJ anatomy review
4:40 Anatomy review with a client
5:45 Initial contact, engaging the fascia
6:20 Myofascial release for the jaw, no client engagement
8:02 Relationship of TMJ dysfunction and temporal headache
10:15 Myofascial release with client engagement
12:15 Relationship between high muscle tone and TMJD
14:40 Downward strokes for masseter
15:30 Outlining the zygomatic arch, mandible, and temporal fossa
16:20 Importance of the sternocleidomastoid (SCM)
17:10 Expanding the scope to the neck, upper back, and chest
17:57 Post-massage self-care instructions for clients

Related videos:
Massage Tutorial: Myofascial Release basics (sloth-style):    • Massage Tutorial: Myofascial Release ...  
Massage Tutorial: Sternocleidomastoid (SCM) myofascial release techniques:    • Massage Tutorial: Sternocleidomastoid...  

The temporomandibular joint is both a hinging and sliding joint, allowing it to do much more than just open and close. This is due to an articular disc that rests between the condyle of the mandible and the mandibular fossa of the temporal bone. With enough tension created by the muscles of mastication (as well as some direct pull by the lateral pterygoid), this disc can start to slip out of place during certain parts of jaw depression/elevation, leading to that locking/clicking sensation.

In my opinion, we don't need to attack lateral pterygoid to make things better. We just need to reduce the high-stakes situation that has developed along the lateral skull. By doing the slow myofascial release techniques demonstrated in the video, we can reduce the tone in the muscles of mastication. Over several sessions, this can make the disc start behaving, and end the cycle of pain and tightness that got the client into this situation.

Do you have techniques that you prefer? Are there any self-care instructions that you give your clients? Tell me about them in the comments! I'd also love to hear your ideas for future videos.

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