TMJ Home Exercise Program

Normal range of mandibular motion is between 40-50 mm.  To achieve the initial 25mm of opening, rotation occurs between the mandibular condyle and the disk.  The last 15-25 mm is the result of anterior translation between the disk and the temporal bone.

TMJ is characterized by hypermobility of the joint as a result of early or excessive anterior translation.  This excessive movement results in laxity of the surounding capsule and ligaments.  This may also contribute to disc degeneration.

Signs of TMJ Hypermobility Include:

• Clicking, popping, or cracking with mandibular depression or elevation
• closed or open locking
• pain
• lateral deviation of the mandible during depression or elevation
• tinnitus or ear stuffed sensation

Treatment includes physical therapy, splint therapy, and stress management

Restoration of normal resting position of the head, neck, jaw, and shoulder girdle is accomplished through the initial exercise:  RTTPB which is an acronym for:

1. Relaxation - allow tension in your body to be released
2. Teeth apart-  say the word "Emma".  Let your jaw and mouth drop open slightly and remain in this position
3. Tongue on palate- hold your tongue in the "clucking" position
4. Posture
5. Breathing - use diaphragmatic breathing.