TMJ Self-Care Guide: Jaw Exercises at Home and Changing Daily Habits
TMJ self-care is the key to preserving the effect of dental treatment and reducing recurrence. The Korea Disease Control and Prevention Agency (KDCA, 질병관리청) advises doing six basic exercises, namely resting tongue position, jaw rotation exercise, neck extension, resting position of the neck joints, neck exercise and shoulder posture, each in sets of 6 repetitions, 6 sets a day, with each movement within 1 minute, as prescribed. Alongside the exercises, you need to keep up behavior therapy that reduces habits such as clenching, gum chewing and resting the chin on a hand and helps you notice stress.
Key facts
| Types of basic exercise | Resting tongue position, jaw rotation exercise, neck extension, resting position of the neck joints, neck exercise, shoulder posture (source: Korea Disease Control and Prevention Agency (KDCA)) |
|---|---|
| Number of repetitions | 6 repetitions of each exercise make 1 set, 6 sets a day (source: Korea Disease Control and Prevention Agency (KDCA)) |
| Exercise time | One exercise does not exceed 1 minute; no restriction on where to do it (source: Korea Disease Control and Prevention Agency (KDCA)) |
| Habits to reduce | Grinding and clenching, gum chewing, biting nails or lips, resting the chin on a hand, irregular meals, too much caffeine (source: KDCA and National Health Insurance Service (NHIS, 국민건강보험공단)) |
| Behavior therapy | Awareness of jaw and tongue posture, correcting oral habits, recognizing and easing stress (source: Korea Disease Control and Prevention Agency (KDCA)) |
Why is TMJ self-care important?
TMJ disorders often arise from several overlapping contributing factors in daily life, so even if you receive an appliance or physical therapy at the dentist, symptoms easily come back if the same habits continue at home. The KDCA stresses that it is important for the patient to be psychologically stable and to cooperate with treatment on their own.
TMJ self-care has the advantage that it can be done at home and at work without special tools. However, during a period of severe pain, overdoing exercise can actually become a burden, so the rule is to follow the method and intensity prescribed at your visit.
What are the basic jaw exercises to do at home?
The KDCA introduces the six exercises below as the basics. Each exercise is done in sets of 6 repetitions, 6 sets a day, with one exercise not exceeding 1 minute, and there is no restriction on where to do them.
Even when the exercise names are the same, the range and speed of movement may be prescribed differently for each person. At first, it is good to learn the movements with the clinician at the dental office, and then continue at home while checking in a mirror that the jaw does not deviate to one side.
- Resting tongue position
- Jaw rotation exercise
- Neck extension
- Resting position of the neck joints
- Neck exercise
- Shoulder posture
How should you change daily habits for the jaw joint?
The first thing to do is to notice your own habits. If you jot down the moments in a day when you hold your teeth together or rest your chin on your hand, you often find they repeat more than you thought.
- Cut back on foods you chew for a long time, such as gum, dried squid and tough meat
- Cut food small and chew on both sides
- Lightly support the jaw with a hand when yawning
- Avoid resting your chin on your hand, sleeping face down and cradling a phone on your shoulder
- Eat regularly and cut back on caffeinated drinks
- Set the monitor at eye level so the head does not drift forward
What should you do at home on days when the jaw hurts a lot?
On days when pain is severe, resting the jaw comes first. Eat foods that do not need much chewing, such as porridge or soft side dishes, and avoid foods that need a wide opening or hard snacks.
If you imitate the cold and heat used in physical therapy at home, have the dentist confirm at a visit which one suits your current symptoms. Take medicine prescribed for jaw pain as directed, and if pain does not lessen after several days or the mouth opens less and less, contact the clinic without waiting for the next appointment.
When is self-care alone not enough?
If pain continues even after changing habits and keeping up exercise, or if chewing and speaking are affected, it is good to receive a splint, physical therapy and medication together. As the NHIS guidance says, when conservative treatment is not effective enough, discuss the next step with an oral and maxillofacial surgeon who specializes in TMJ conditions.
If stress, anxiety or depression is severe and it is hard to control habits, getting psychological counseling alongside is also part of treatment. The KDCA explains that such emotional factors can raise muscle tension and lower participation in treatment. Writing the day's stress level along with pain in a self-care diary helps in finding the link.
Common myths and facts
Myth: The more jaw exercises you do, the faster you recover.
The KDCA advises doing each exercise as prescribed, 6 repetitions a set, 6 sets a day, each movement within 1 minute. Increasing them excessively can make pain worse.
Myth: When your jaw hurts, you should open your mouth as wide as possible to stretch.
Opening the mouth too wide is named as a habit that strains the jaw joint. Do exercises slowly within the range where there is no pain.
Frequently asked questions
When is the best time to do jaw exercises?
There is no restriction on where to do them, so you can fill the 6 sets by spreading them across the day, such as on the commute, at lunch or before bed. Doing them at the same times like a habit makes them easy not to miss.
My jaw makes sounds when I exercise.
Even with sounds, if you can do it without pain, continue within the prescribed range, but if pain appears, stop and tell the clinic at your visit. You can learn again how to move within a range that makes no sound.
Is there a good pillow or sleeping position for the jaw joint?
Sleeping face down tends to put body weight on one side of the jaw, so it is better to avoid. For the jaw joint, the general recommendation is to lie on your back with a pillow at a height that does not bend the neck.
How long should self-care continue?
Even after jaw symptoms improve, continuing habit management helps reduce recurrence. Discuss with the clinic when to reduce or stop the number of exercises.
Do I have to give up coffee?
The KDCA names excessive caffeine intake as a contributing factor. Rather than quitting completely, cut back the number of cups a day and record how jaw muscle tension and sleep change after cutting back.
Related topics
- Temporomandibular Joint (TMJ)
- Temporomandibular Joint (TMJ)
- TMJ Physical Therapy
- Teeth Grinding and Clenching
- TMJ Disorder Causes
References
- Korea Disease Control and Prevention Agency, National Health Information Portal: temporomandibular disorders
- National Health Insurance Service non-covered information portal, health information by disease: temporomandibular disorders
- Ministry of Health and Welfare: press release on health insurance treatment of temporomandibular disorders (2016)