What to know when seeking manual therapy for jaw tension and pain

Update, September 17, 2020: I stopped doing intraoral manual therapy in March 2020 due to COVID. I’m resuming my in-person bodywork practice in Austin, Texas, one day a week on Tuesdays. I’m offering TMJ Relief sessions but not working in people’s mouths until COVID no longer poses a threat.

I’ve spent a lot of time and effort pivoting to teaching online. It’s risky to work in people’s mouths, and yet the need is even greater. The stresses of the pandemic and the recession (and all the related adjustments) have people clenching and grinding even more.

I’m offering a course, Self-Care for Jaw Pain, on Zoom. The next series of classes are slated for February 2021.

Check out my website, maryannreynolds.com. If understanding causes and finding remedies for your jaw pain appeals to you, please sign up for my class. Space is limited.

So far, since I began doing intraoral work for jaw issues in 2013, I’ve had several clients come in for TMJ relief sessions who had previously seen multiple practitioners who worked inside their mouths to try to relieve their TMJ symptoms.

They had seen chiropractors, chiropractic neurologists, Rolfers, dentists trained by the Las Vegas Institute (LVI), and/or other massage therapists.

These clients told me, “No one has ever touched me there,” after I worked on their lateral pterygoids.

These are small, sensitive, hard to access muscles, and they may be key muscles to soften to release jaw tension. It takes patience to reach them and gently influence them to soften and lengthen.

You can see in the image below that there are two heads to the lateral pterygoid muscle. The superior head attaches to the articulate disc between the mandibular fossa of the temporal bone and the condole of the mandible. Tension in this superior head pulling the disc anteriorly may create clicking or popping sounds on opening and/or closing the jaw.

It is important to address this early on to prevent irreparable damage. Even when there is damage to the disc or the tissue behind the joint, intraoral manual therapy can relieve tension.

It’s not that the other jaw muscles don’t contribute. The medial pterygoids are also major internal pain-causing culprits, and the external jaw muscles — the masseters and temporalises — also play important roles in jaw tension and pain (they can have trigger points and taut bands within the muscle, and also be in a long-term state of contraction due to clenching and grinding).

I’ve learned through trial and error that one 75-minute session provides relief (sometimes tremendous relief, as in experiencing a pain-free and spacious feeling around the TMJs), but it will probably not last.

That’s often the issue with bodywork: the soft tissues tend to revert toward their previous tension until we change that muscle tension pattern through timely repetition.

For longer-lasting relief, 5 sessions in 4-6 weeks with support for habit change and self-care homework can retrain the jaw muscles to lengthen and relax.

If jaw tension or pain resulting from jaw tension is your major complaint, and you’d like a sense of spaciousness in your TMJs (if you can even imagine how great that would feel), please seek a practitioner that works intraorally on the pterygoid muscles.

Click here to book a free 30-minute consultation. (My practice is in Austin, Texas, but we can meet on Zoom.)

Things that distinguish my work:

  • I work as gently as possible. Sometimes people feel therapeutic pain, as in “this hurts a little but it’s exactly what I need to relieve this tension”.
  • I never make any sudden moves.
  • My sessions start with full body alignment and end with deeply relaxing craniosacral therapy to help your system integrate the changes.
  • My referral partners include dentists, chiropractors, doctors, a Rolfer, acupuncturists, craniosacral therapists, Ayurveda practitioner, Somatic Experiencing practitioner, and many massage therapists.

I started a Facebook group, Word of Mouth: Resources for Jaw Pain/Dysfunction, for people who want to work on their jaw issues. You can ask questions and learn more there.

I hope this information helps you ask informed questions when choosing a practitioner to relieve your jaw tension and pain. 

My advanced integrative bodywork practice

I make my living doing advanced integrative bodywork in Austin, Texas. I use four main techniques: craniosacral therapy, biodynamics, Zero Balancing, and orthopedic massage. As standalone treatments or integrated as needed, depending on my clients’ needs and preferences, these techniques can accomplish the following:

  • reduce stress and deepen relaxation
  • release muscle tension
  • reduce pain
  • improve the flow of fluids
  • align your structure and ease your movement
  • free the flow of energy
  • facilitate healing from injuries
  • harmonize your body’s systems
  • strengthen your body’s innate healing abilities
  • deepen your resilience
  • help you feel expanded and confident

Click here to view my business website.

TMJ Relief

Since 2013, I’ve been developing my skills and expertise in offering relief from jaw tension, pain, and dysfunction. I’ve studied with Ryan Hallford, craniosacral therapist and teacher from Southlake, TX, completed multiple craniosacral courses from the Upledger Institute, and studied with John W. Corry of London, Ontario, long-time massage therapist and teacher specializing in jaw and vocal issues.

My intent when working on jaw issues is to create as little discomfort as possible. This means that any pain experienced should only be productive “hurts-so-good” pain. I check in frequently, and my sessions end with deep relaxation. I can also help you start changing the habits that contribute to jaw discomfort.

I offer several ways to be of service to people with jaw issues:

  • You can join my Facebook group, called Word of Mouth: Resources for Relieving Jaw Pain/Dysfunction, which offers educational units as well as connection with others working on their jaw issues.
  • You may schedule a free 30-minute consultation so I can learn about your jaw issues, do an evaluation, and discover if we’re a good match for successful treatment.
  • You may alternatively schedule a free 15-minute phone consultation to answer your questions.
  • You may schedule a 75-minute TMJ Relief session, which can be right after the in-office consultation if that time slot is available on my online scheduling program.
  • You may decide to join my TMJ Relief Program, designed to create long-lasting relief by offering 5 sessions in 4-5 weeks, along with education, exercises, supplement recommendations, links to videos, and more. Many patients try one session and then decide to do the program.

You need to be in Austin to receive a session, unless you arrange my travel elsewhere — please call to discuss if interested. The Facebook group is open to people anywhere who are seeking to address their jaw issues. The educational units (click Units on left panel to view) available for the group include teaching relaxed resting mouth position, jaw exercises, self-massage, relaxation techniques, terminology, sleep positioning, and more.

If you’re interested in joining the group, click this link, answer the three questions, and you’re in!

Subjective measures of relaxation: what would you add?

How do you know you’re relaxed? I have a hunch that most people think they relax sometimes, but compared to people who’ve explored relaxation, they are not. Relaxing with a beer, with friends, in nature, on vacation, etc. is what comes to mind for a lot of people when they think of relaxation.

Yes, it’s different from working or feeling stressed, and yet the depth of relaxation can be so much more. It’s not about what you do, it’s what you experience in your body, and in your mind.  Continue reading

Treating TMJ issues: a series of posts

I’ve been writing about TMJ pain and dysfunction on my Facebook business page and on my Austin, Texas, USA, private-practice website’s blog. Now I’m sharing an index of these posts here on my “big blog”.

If you have TMJ disorder and want to read any of those posts, here are the links.

I view TMJ issues as not just biomechanics, although it plays a role. This issue has social, emotional, historical, biological, cognitive, and spiritual aspects. I am very aware that some people, especially in the mainstream medical and dental fields, may believe it’s unnecessary or even laughable to provide information on so-called “woo-woo” or “fluffy” topics like essential oils, yoga, and the throat chakra for people who are suffering from jaw pain and dysfunction.

So let me share how I came to write this series of posts. Instead of just going to experts (and I have done that), I also asked women who suffer from this problem what helps, and they told me. And I believe them!

Since nine times more women than men experience severe, chronic TMJ issues, this is super valuable information to share.

I want the world to know that TMJ treatment is available beyond night guards, pain meds, and surgery, and there are so many options for self-care: massage, exercises, training yourself in new habits, reducing stress, improving posture, acupressure, nutrition, stretching, journaling, meditating, and more. I’m working on designing programs to evaluate and treat specific TMJ-related issues. More later!

If you bump into this limited and limiting attitude, please share this post, and please share in the comments your experiences and any other resources you have found helpful.

Gravity Pal, a low angle inversion table, makes a difference in a minute a day

I just had the pleasure of taking Zero Balancing II training in my pursuit of skill and finesse in my bodywork practice. Jamie Carmody was an excellent teacher, her lovely San Antonio studio well located, and my fellow students a delight to learn with, practice with, and get to know.

For more about Zero Balancing, go here. I’m getting ready to send out a newsletter with some sweet special offers, including one for Zero Balancing that will be impossible to resist for wellness-seekers in the Austin area. If you’d like to subscribe and get in on this time-limited offer, please send your email address to me at mareynolds27 at gmail dot com.

If you haven’t yet encountered it, you’re probably wondering what Zero Balancing is. My description is that it lets you feel like you’d feel without habitual tension patterns or the constant pressure of gravity pulling you down. Younger? Taller? Lighter? Buzzing with healthy energy? Can you even imagine feeling like this? I invite you to come get a session, or two or three, and find out how it affects your body.

Continue reading

If you could experience enlightenment every day, would you?

Note: There are just a few spaces left in this workshop, which is limited to 30 people.

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I am going to be attending a workshop September 28-29 in Austin, and I’d love for it to fill up. This workshop is for people who are interested in enlightenment (or maybe just deeper well-being), Neuro-Linguistic Programming (NLP), or both. No NLP experience is required.

Connirae AndreasThe teacher is Connirae Andreas. She’s got her own Wikipedia page here. If you haven’t heard of her, she’s a psychotherapist, writer, and trainer in the field of NLP whose impeccable and compassionate work has helped many thousands of people suffer less and enjoy life more.

She and her sister Tamara Andreas created, developed, and trained people in a process called Core Transformation (described in the book Core Transformation: Reaching the Wellspring Within) that can take you from a problem state to a state of expansion and resourcefulness. Many experience their spiritual core in this process.

I’ve enjoyed taking people through this process so much, I offer it for free. Contact me if you would like a Core Transformation session in Austin.  

Connirae has been working on a process for personal growth that she calls “the Wholeness Process,” after studying various spiritual teachings on enlightenment, translating them into a precise method that people can adopt into a daily practice, and then working weekly with a small group in Boulder (her hometown) to refine the method.

She’s presenting the workshop to teach this practice in Austin September 28-29. Click the link for details. Keep in mind that the class is limited to 30 people, so if you’re interested, reserve your space sooner than later. She may not be teaching this again, so this is an opportunity to learn in person from the source.

The practice reportedly has benefits such as:

  • resetting the stressed nervous system, inducing deep relaxation
  • increasing one’s sense of well-being
  • helping one relate to others with more ease
  • melting away issues that before seemed like problems
  • accessing natural wisdom more easily
  • increasing creativity
  • feeling more whole and congruent
  • healing difficult, raw emotions
  • becoming more adaptable and resilient

She’s also learned that the practice has been found to relieve insomnia. It can also be used to dissipate pre-migraine auras and help people deal with their emotional hot buttons.

She found that once learned, the practice can take as little as 5 minutes a day.

Connirae wisely doesn’t promise enlightenment, but she does say this:

…if you use the process, you will experience a natural shifting in the direction that we might call enlightenment. The class is practical and experiential, and no beliefs regarding spirituality or philosophy are needed or offered. However the experiences people have at times resonate with many mystical writings and understandings.

Part of “evolving” in this way, is getting more comfortable and “at home” with our vulnerabilities and “weaknesses,” which become increasingly a part of a felt love and acceptance.

I hope to see you there.

Massage outcalls

I do outcalls only for established clients with whom I feel comfortable who have a massage table set up in their homes. There’s a fee for my travel time, usually $25 in the Austin area.

Having a massage therapist come to your home is a great luxury. You can really savor the refreshment and relaxation after your massage without having to deal with the stress of driving. You can relax in your own home, prolonging the benefit.

One great way to take advantage of this service is to schedule 2-4 people (household members, friends, relations) to receive consecutive massages, splitting the travel fee.

At this time, I am only offering integrative massage on outcalls.

If you’re interested but don’t yet have a table, you can buy massage tables in person at the Morningstar Trading Company in Austin or online from many places.

To return to the home page for The Well Ashiatsu Barefoot Massage Austin, click here.

What clients say about integrative massage

One recipient of an integrative massage (which combines Swedish massage, Lauterstein deep massage, acupressure points, foot reflexology, body mobilization techniques, muscle testing, stretching, trigger point therapy, and craniosacral work, as needed and desired) wrote afterwards:

Just a note to say I really enjoyed our conversation and my massage. The massage you gave me has allowed me to sleep soundly two nights in a row. My stress level also feels much lower than usual. Thank you for enhancing my life with your friendship and magical/healing massages! Sending happiness & blessings & love your way.

Here’s a testimonial for an integrative massage I gave to a dear friend suffering from insomnia.

I sit here at my computer after the best night’s sleep I’ve had in weeks. I am so deeply grateful for your loving energy yesterday. Your integrity, touch, and presence were exactly what I needed to break open the clogged dam of emotions that’s been keeping me from sleep.

All throughout the massage, I could feel and take in your love and healing energy which is abundantly transferred through your hands. When you said ‘How you feel matters,’ my soul got the message that you cared enough to hear, see, and touch me.

When you did the cranial-sacral hold, I felt like I was being cradled by my mother.

You had asked the question, “What happened three weeks ago?” … My insomnia has been “waking me up” to the fact of unfinished business….

Your work allowed me to dive through the opening and swim the turbulent waters on top of a still well. I’m not quite at the still well yet, but I have faith that I’ll get there.

Another client wrote to say:

MaryAnn has a special gift to connect with you and gently nurture your entire being. She is unique in that she offers unconditional love so freely. I highly recommend her massage therapy. ❤

For more about The Well Ashiatsu Barefoot Massage Austin, see my home page.

Now relax, dammit, and get more done!

Great op-ed piece in the New York Times (if you’re able to get past the paywall) by Tony Schwartz about how stressful it is for most people with jobs. Relax! You’ll Be More Productive mentions the “doing less” strategy:

Paradoxically, the best way to get more done may be to spend more time doing less. A new and growing body of multidisciplinary research shows that strategic renewal — including daytime workouts, short afternoon naps, longer sleep hours, more time away from the office and longer, more frequent vacations — boosts productivity, job performance and, of course, health.

The idea is that time is not renewable, but energy is. It may seem counterintuitive to take time off and get more done, but if it refreshes your energy, it is a good trade-off.

An aside: Recently I heard a teacher of biodynamic craniosacral therapy talk about the body’s biosphere — the energy field that contains the physical body and extends 6 to 18 inches out from it.

He said that in his experience, the two biggest influences on the size (and therefore health) of anyone’s biosphere were (1) getting a good night’s sleep and (2) the health of the autonomic nervous system (i.e., the sympathetic fight/flight/freeze nervous system and the parasympathetic rest/relax/digest nervous system and the body’s ability to pendulate as needed between them).

Human beings aren’t designed to expend energy continuously. Rather, we’re meant to pulse between spending and recovering energy.

The article notes that we experience cycles of approximately 90 minutes in which we move from alertness to fatigue in waking life and from deeper to lighter sleep. Researchers have found that elite performers take advantage of this, practicing uninterruptedly for about 90 minutes at a time, taking breaks to recuperate, and working no more than about 4.5 hours per day.

This can apply to ordinary people too — people who want to break out of dis-stress and make more of a contribution.

It’s not how long we work, it’s how well.

The goal is to recover from intense workouts and avoid exhaustion. Developing skill at relaxing quickly and deeply pays off.

So what can you do to take advantage of your natural cycles?

Here’s what I’m doing: When I am feeling productive and am working on a project, I set a timer for 90 minutes. When the timer goes off, I stop.

When I’m taking a break, I set the timer for 90 minutes. I might make tea and call a friend. Or I might do some light housework: wash the dishes, fold laundry, or sweep. I could take a walk, or listen to music, or take a nap. The point is to do something different with my energy that renews me.

And don’t be surprised if great ideas pop into your mind during your break time.

Here’s what Schwartz says his business does:

The power of renewal was so compelling to me that I’ve created a business around it that helps a range of companies including Google, Coca-Cola, Green Mountain Coffee, the Los Angeles Police Department, Cleveland Clinic and Genentech.

Our own offices are a laboratory for the principles we teach. Renewal is central to how we work. We dedicated space to a “renewal” room in which employees can nap, meditate or relax. We have a spacious lounge where employees hang out together and snack on healthy foods we provide. We encourage workers to take renewal breaks throughout the day, and to leave the office for lunch, which we often do together. We allow people to work from home several days a week, in part so they can avoid debilitating rush-hour commutes. Our workdays end at 6 p.m. and we don’t expect anyone to answer e-mail in the evenings or on the weekends. Employees receive four weeks of vacation from their first year.

Our basic idea is that the energy employees bring to their jobs is far more important in terms of the value of their work than is the number of hours they work. By managing energy more skillfully, it’s possible to get more done, in less time, more sustainably. In a decade, no one has ever chosen to leave the company. Our secret is simple — and generally applicable. When we’re renewing, we’re truly renewing, so when we’re working, we can really work.

New Year blessings for you from The Well

May you breathe fully and easily.

May you fully inhabit your body with your awareness.

May you discern the difference between stress and relaxation.

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May you experience more and deeper relaxation.

May you experience just enough stress to keep you aware and safe.

May you delight in exploring how good you can feel.

 

May the relation between your diet and well-being become clear.

May the relation between your conscious and unconscious minds become clear.

May you soften to yourself and others.

 

May you seek help when needed.

May you feel gratitude for all the resources you have.

May you move toward happiness.

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May you notice shine, wherever it appears.

May inspiration find you frequently.

May you have compassion for yourself and others.

 

May you set boundaries and manage conflicts with love.

May you experience breakthroughs in maturity and insight.

May you be present in every possible moment.