{"id":459,"date":"2023-10-31T10:35:13","date_gmt":"2023-10-31T10:35:13","guid":{"rendered":"https:\/\/wordpress.goigi.biz\/mhnpc\/?p=459"},"modified":"2025-12-16T10:41:29","modified_gmt":"2025-12-16T10:41:29","slug":"non-surgical-tmj-treatments","status":"publish","type":"post","link":"https:\/\/wordpress.goigi.biz\/mhnpc\/2023\/10\/31\/non-surgical-tmj-treatments\/","title":{"rendered":"Non-Surgical TMJ Treatments"},"content":{"rendered":"<h3 id=\"non-surgical-tmj-treatments-are-the-new-standard\"><strong>Non-Surgical TMJ Treatments are the New Standard<\/strong><\/h3>\n<p><strong>By Dr. James Fricton<\/strong><\/p>\n<p><strong>The first treatment of choice for temporomandibular joint (TMJ) problems should avoid irreversible surgical treatments.<\/strong><\/p>\n<p>People suffering from temporomandibular joint (TMJ) issues often go through a tremendous amount of jaw, ear, head, and neck pain. They deserve not only early and proper diagnosis but a compassionate approach to\u00a0<strong><a title=\"non-surgical TMJ treatments and pain management\" href=\"https:\/\/mhnpc.com\/2021\/09\/30\/can-tmj-be-fixed-without-surgery\/\">non-surgical TMJ treatments and pain management<\/a><\/strong>.<\/p>\n<h3>Table of Contents<\/h3>\n<ul class=\"content-list\">\n<li><a href=\"https:\/\/mhnpc.com\/2023\/10\/31\/non-surgical-tmj-treatments\/#non-surgical-tmj-treatments-are-the-new-standard\">Non-Surgical TMJ Treatments are the New Standard<\/a><\/li>\n<li><a href=\"https:\/\/mhnpc.com\/2023\/10\/31\/non-surgical-tmj-treatments\/#conservative-and-non-invasive-approach-to-tmj-treatment\">Conservative and Non-invasive Approach to TMJ Treatment<\/a>\n<ul>\n<li><a href=\"https:\/\/mhnpc.com\/2023\/10\/31\/non-surgical-tmj-treatments\/#tmj-treatments-that-pose-little-risk-to-patients\">TMJ treatments that pose little risk to patients<\/a><\/li>\n<li><a href=\"https:\/\/mhnpc.com\/2023\/10\/31\/non-surgical-tmj-treatments\/#non-invasive-tmj-treatments-may-include\">What non-invasive TMJ treatments may include<\/a><\/li>\n<li><a href=\"https:\/\/mhnpc.com\/2023\/10\/31\/non-surgical-tmj-treatments\/#non-invasive-tmj-therapy-insurance-coverage-questions\">Non-invasive TMJ therapy \u2013 insurance coverage questions<\/a><\/li>\n<\/ul>\n<\/li>\n<li><a href=\"https:\/\/mhnpc.com\/2023\/10\/31\/non-surgical-tmj-treatments\/#common-non-surgical-tmj-treatments\">Common Non-Surgical TMJ Treatments<\/a><\/li>\n<li><a href=\"https:\/\/mhnpc.com\/2023\/10\/31\/non-surgical-tmj-treatments\/#conservative-care-for-individuals-with-tmj\">CONCLUSION: Conservative Care for Individuals with TMJ<\/a><\/li>\n<\/ul>\n<p>Temporomandibular disorders (TMD) is a collective medical term for over 30 different conditions that affect the\u00a0<strong><a title=\"TMJ and connected soft tissue\" href=\"https:\/\/mhnpc.com\/2023\/08\/31\/myofascial-release-for-tmj-pain\/\">TMJ and connected soft tissue<\/a><\/strong>. To add to its unique complexity, it involves two joints on one or both sides of your face and the dental occlusion that all need to function together. The joints and occlusion involve coordinated muscle movements to function properly.<\/p>\n<h3 id=\"conservative-and-non-invasive-approach-to-tmj-treatment\"><strong>Conservative and Non-invasive Approach to TMJ Treatment<\/strong><\/h3>\n<p>Many oral and facial activities normally occur without thought. This means that they carry out various movements and a considerable range of combined functions. TMJ facial pain and dysfunction may disrupt normal functioning during chewing, smiling, yawning, speaking, and other activities.<\/p>\n<p>Previously, we\u2019ve covered suggested\u00a0<strong><a title=\"causes of TMJ pain\" href=\"https:\/\/mhnpc.com\/about\/disorders-we-treat\/tmj\/\">causes of TMJ pain<\/a><\/strong>. What can be frustrating is that your treatment depends on the root cause \u2014 which can be difficult to identify. Commonly, it is recognized due to jaw strain or trauma, such as clenching or grinding the teeth,\u00a0<strong><a title=\"sports injury to the face\" href=\"https:\/\/mhnpc.com\/2023\/06\/30\/sports-related-injuries-and-tmj\/\">sports injury to the face<\/a><\/strong>, or opening wide during dental visits.<\/p>\n<p>Your\u00a0<strong><a title=\"TMJ specialist will assess your pain severity\" href=\"https:\/\/mhnpc.com\/2024\/02\/08\/tmj-pain-severity\/\">TMJ specialist will assess your pain\u00a0severity\u00a0<\/a><\/strong>. Common signs on physical examination of TMJ patients include tenderness of the pterygoid muscles, temporomandibular joints, temporalis muscles, and malocclusion of a person\u2019s jaw and crepitus. (Crepitus is a popping, clicking or crackling sound in the TMJ joint.)<sup>[1]<\/sup><\/p>\n<p>The bigger mystery is when symptoms surface without an obvious reason. Signs of TMJ may even be triggered by the surrounding muscles and ligaments instead of the TMJ itself. Careful diagnosis and starting with simple treatments are best. Then we can come up with your\u00a0<strong><a title=\"custom plan to help manage jaw clenching\" href=\"https:\/\/mhnpc.com\/2024\/04\/26\/how-to-help-manage-jaw-clenching\/\">custom plan to help manage jaw clenching<\/a><\/strong>\u00a0and related symptoms.<\/p>\n<h3 id=\"tmj-treatments-that-pose-little-risk-to-patients\"><strong>TMJ treatments that pose little risk to patients<\/strong><\/h3>\n<blockquote><p>\u201cIn light of these significant challenges, it is paramount to adopt a treatment approach that is effective and cost-efficient and poses minimal risk to patients. While surgical approaches are hindered by certain complications conservative and non-invasive therapies possess all these characteristics, and for this reason, now represent the first line of treatment for TMDs.<\/p>\n<p>The conservative and non-invasive approach to TMD treatment is generally characterized by its emphasis on risk minimization and patient education. Rather than opting immediately for invasive procedures, the first line of therapy focuses on empowering patients by providing knowledge about their condition and equipping them with tools to effectively manage their symptoms.\u201d \u2013\u00a0<em><a title=\"Temporomandibular Joint Disorders: Functional and Conservative Treatment\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC10381711\/\" target=\"_blank\" rel=\"noopener noreferrer\">Temporomandibular Joint Disorders: Functional and Conservative Treatment<\/a><\/em>, NIH, July 2023<\/p><\/blockquote>\n<p>The study also reports that \u201cdynamic splint therapy was more effective than stabilization splint therapy in increasing maximum jaw opening, reducing pain, and improving functional movements in patients with acute anterior disc displacement without reduction.\u201d<\/p>\n<p>At the\u00a0<strong><a title=\"Minnesota Head and Neck Pain Clinics\" href=\"https:\/\/mhnpc.com\/\">Minnesota Head &amp; Neck Pain Clinics<\/a><\/strong>, each provider comes with experience and shared common best practices. The following treatments are more frequently recommended.<\/p>\n<h3 id=\"non-invasive-tmj-treatments-may-include\"><strong>Non-invasive TMJ treatments may include:<\/strong><\/h3>\n<ul>\n<li>Resting the jaw may be the best initial treatment. This gives the jaw joint a chance to heal and regain stability.<\/li>\n<li><a title=\"Heat or ice therapy for jaw pain\" href=\"https:\/\/mhnpc.com\/2022\/06\/15\/is-heat-or-ice-better-for-jaw-pain\/\">Heat or ice therapy for jaw pain<\/a>.<\/li>\n<li>Self-management training in how to reduce stressors and strain to the jaw, head, and neck, such as relaxation, stretching, diet, and\u00a0<strong><a title=\"TMJ-related sleep improvement activities\" href=\"https:\/\/mhnpc.com\/2023\/09\/30\/link-between-tmj-pain-and-sleep-apnea\/\">TMJ-related sleep improvement activities<\/a><\/strong>.<\/li>\n<li>Manual physical therapy and jaw exercises to enhance jaw mobility and strengthen jaw muscles.<\/li>\n<li>Ultrasound or electrical stimulation.<\/li>\n<li>Dry needling.<\/li>\n<li><strong><a title=\"Trigger point injections\" href=\"https:\/\/mhnpc.com\/2023\/02\/20\/trigger-point-injections\/\">Trigger point injections<\/a><\/strong>\u00a0that relax taunt jaw muscles.<\/li>\n<li><strong><a title=\"Intra-oral orthopedic TMJ splints\" href=\"https:\/\/mhnpc.com\/2022\/01\/06\/effective-oral-appliances-for-treating-sleep-apnea\/\">Intra-oral orthopedic TMJ splints<\/a><\/strong><\/li>\n<li>Behavioral therapies meant to assist TMJ patients with pain coping skills to reduce stressors known to intensify issues.<\/li>\n<li><strong><a title=\"Pharmacological treatments as part of a conservative approach to TMJ treatment\" href=\"https:\/\/mhnpc.com\/2023\/03\/31\/ssris-and-teeth-grinding-can-trigger-bruxism\/\">Pharmacological treatments as part of a conservative approach to TMJ treatment<\/a><\/strong>, providing they are closely supervised and used cautiously.<\/li>\n<\/ul>\n<h3 id=\"non-invasive-tmj-therapy-insurance-coverage-questions\"><strong>Non-invasive TMJ therapy \u2013 insurance coverage questions<\/strong><\/h3>\n<p><strong>You can comfortably prevent future TMJ flare-ups and dental problems once you are ready to proceed.<\/strong><\/p>\n<p>There is no standard for costs for TMJ treatments. Costs vary by provider, policy, and location. \u201cInsurance reimbursement for TMJ treatments can be complex and difficult to navigate. Insurance coverage varies from state to state, company to company, and policy to policy. Some policies have specific exclusion clauses for TMJ treatment and some have limitations on the dollar amount or type of coverage available,\u201d according to the TMJ Association\u00a0<sup>[2]<\/sup>.<\/p>\n<p>For individuals taking insurance coverage into consideration, United Healthcare provided a new list as of October 2023, for Individual Exchange benefit plans. (Only Colorado residents are exempt). It states that the following i.e. TMJ treatment coverage.<\/p>\n<p><strong><a title=\"non-surgical TMJ services\" href=\"https:\/\/www.uhcprovider.com\/content\/dam\/provider\/docs\/public\/policies\/comm-medical-drug\/temporomandibular-joint-disorders.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Non-surgical TMJ services<\/a>\u00a0that are \u201cproven and medically necessary\u201d:<\/strong><\/p>\n<ul>\n<li>Biofeedback.<\/li>\n<li>Craniosacral manipulation\/therapy.<\/li>\n<li>Passive rehabilitation therapy.<\/li>\n<li>Low-load prolonged-duration stretch (LLPS) devices.<\/li>\n<li>Multiple occlusal splints (i.e., daytime, and nighttime splints, maxillary, and mandibular splints).<\/li>\n<\/ul>\n<p>Patients often find it difficult to interpret these terms. We recommendd always talking to your insurance provider ahead of your office visit to avoid surprises.<\/p>\n<h3 id=\"common-non-surgical-tmj-treatments\"><strong>Common Non-Surgical TMJ Treatments<\/strong><\/h3>\n<ul>\n<li>Arthrocentesis \u2013 (NOTE: TMJ arthrocentesis procedure bridges the gap between surgical and nonsurgical treatment).<\/li>\n<li>Trigger point injections.<\/li>\n<li>Cognitive-behavioral therapies.<\/li>\n<\/ul>\n<p><strong>The following comments may be helpful and assist in aligning with your non-invasive TMJ treatment at our clinics.<\/strong><\/p>\n<p>Physical therapy may fall under \u201cBiofeedback\u201d in the context of teaching patients\u2019 self-control, such as in breathing patterns. \u201cIntra-articular injections of corticosteroids\u201d can be described as \u201cCraniosacral manipulation\/therapy.\u201d (LLPS) devices have been used by some providers to help set the level of tension in jaw muscles. Under \u201cMultiple occlusal splints,\u201d we find Occlusal splints (stabilization and repositioning splints) are effective.<\/p>\n<p>We\u2019ll wrap with additional quotes that helps answer \u201cWhat is arthrocentesis in TMJ?\u201d<\/p>\n<blockquote><p>\u201cIt appears reasonable to conclude that TMJ arthrocentesis is a simple, less invasive, inexpensive, and highly effective procedure. It is a method with a minimum number of complications and significant clinical benefits. These features make arthrocentesis a valid treatment option for patients with TMJ disorders not responding to (other) nonsurgical therapies.\u201d \u2013 Arthrocentesis of Temporomandibular Joint- Bridging the Gap Between Non-Surgical and Surgical Treatment\u00a0<sup>[3]<\/sup><\/p><\/blockquote>\n<blockquote><p>\u201cOcclusal splints are removable artificial occlusal surfaces that affect the relationship of the mandible to the maxilla and are used for diagnosis or therapy. The mechanisms of action as a treatment involve restoring the vertical dimension of occlusion, occlusal disengagement, joint unloading, masticatory muscle relaxation, or TMJ repositioning.<\/p>\n<p>Arthrocentesis occurs in three steps: forcing apart the joint constituents, washing away inflammation and degradable products, and eliminating intra-articular effusion to decrease intra-articular pressure, control pain, and improve function. High success rates have been reported for internal derangements (ID) and closed lock.\u201d \u2013\u00a0<a title=\"Non-invasive different modalities of treatment for temporomandibular disorders\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5932270\/\" target=\"_blank\" rel=\"noopener\">Non-invasive different modalities of treatment for temporomandibular disorders<\/a>, NIH, April 25, 2018,<\/p><\/blockquote>\n<p>This above article by Amira Mokhtar Abouelhuda for the National Institute of Health concludes as we do, that TMJ care should begin with conservative, nonsurgical therapies, with surgery left as the last resort. If diagnosis and treatment are delayed, a person may face increased levels of clicking, facial pain, limited mandibular movements, and even masticatory difficulties.\u00a0<sup>[4]<\/sup><\/p>\n<h3 id=\"conservative-care-for-individuals-with-tmj\"><strong>CONCLUSION: Conservative Care for Individuals with TMJ<\/strong><\/h3>\n<p>If your symptoms persist, your pain provider may recommend a variety of temporomandibular joint pain treatment options. Often, multiple non-surgical methods are done simultaneously.<\/p>\n<p><strong>Schedule your TMJ office visit today:<\/strong><\/p>\n<p>Plymouth: (763) 577-2484<\/p>\n<p>St. Paul: (651) 332-7474<\/p>\n<p>Burnsville: (952) 892-6222<\/p>\n<p>St. Cloud: 763-233-7252<\/p>\n<h3>About the Author<\/h3>\n<p><strong><a title=\"James Fricton DDS, MS\" href=\"https:\/\/mhnpc.com\/team\/james-fricton\/\">James Fricton DDS, MS<\/a><\/strong>\u00a0is a leading pain and\u00a0<strong><a title=\"TMJ Disorder specialist\" href=\"https:\/\/mhnpc.com\/pain-relief\/tmj-disorders\/\">TMJ Disorder specialist<\/a><\/strong>\u00a0at the Minnesota Head and Neck Pain Clinic, Chair of the Specialty Committee for the AAOP, and University of Minnesota Professor Emeritus<\/p>\n<h3><strong>References:<\/strong><\/h3>\n<p>[1] Eric M. Matheson, et al, \u201cTemporomandibular Disorders: Rapid Evidence Review\u201d, 2023, https:\/\/www.aafp.org\/pubs\/afp\/issues\/2023\/0100\/temporomandibular-disorders.html<\/p>\n<p>[2] \u201cWhat Do TMJ Treatments Cost?\u201d, current, https:\/\/tmj.org\/living-with-tmj\/treatments\/costs\/<\/p>\n<p>[3] Abhishek Soni, \u201cArthrocentesis of Temporomandibular Joint- Bridging the Gap Between Non-Surgical and Surgical Treatment,\u201d January 2019, https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6585213\/<\/p>\n<p>[4] Qiuhao Wang, et al, \u201cA Bibliometric Analysis of Research on Temporomandibular Joint Disc Displacement from 1992 to 2022,\u201d July 2023, https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC10379638\/<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Non-Surgical TMJ Treatments are the New Standard By Dr. James Fricton The first treatment of choice for temporomandibular joint (TMJ) problems should avoid irreversible surgical treatments. People suffering from temporomandibular joint (TMJ) issues often go through a tremendous amount of jaw, ear, head, and neck pain. They deserve not only early and proper diagnosis but [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":462,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-459","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Non-Surgical TMJ Treatments - Minnesota Neck and Pain Clinic<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/wordpress.goigi.biz\/mhnpc\/2023\/10\/31\/non-surgical-tmj-treatments\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Non-Surgical TMJ Treatments - Minnesota Neck and Pain Clinic\" \/>\n<meta property=\"og:description\" content=\"Non-Surgical TMJ Treatments are the New Standard By Dr. James Fricton The first treatment of choice for temporomandibular joint (TMJ) problems should avoid irreversible surgical treatments. 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