What is the Connection Between Stress and Jaw Pain?

The relationship between stress and physical discomfort is well-documented, but the specific connection between stress and jaw pain merits closer examination in the context of how we handle stress physically. Stress can manifest in numerous ways throughout the body, from headaches and stomach aches to muscle tension and sleep disturbances. However, one less commonly recognized symptom is when it manifests as jaw pain. This is frequently stress-induced and can have significant implications for dental and overall health.

The reason for this is because stress often leads to subconscious behaviors that exacerbate physical symptoms, such as the clenching or grinding of teeth. This habitual activity often goes unnoticed by the individual and increases pressure on the temporomandibular joints which are key components in the mechanics of the jaw. Over time, this chronic pressure can disrupt the normal functioning of the muscles responsible for opening and closing the mouth. If this issue remains unaddressed, it can cause the brain to lose its precise control over jaw movement which can lead to chronic jaw and TMJ dysfunction. This problem is compounded by stress’s impact on posture and the tension in the neck and shoulders which creates a perfect storm for jaw discomfort and dysfunction. Recognizing and managing these symptoms through targeted treatments and stress reduction strategies is essential for alleviating pain and restoring function.

What is TMJ Disorder?

TMJ disorders encompass a variety of issues affecting the joints that connect your jawbone to your skull. These critical joints are located on each side of your head, just in front of your ears. You can identify them by placing a finger in front of each ear and opening your mouth which lets you feel the joint’s movement. TMJ disorder is a broad term that refers to any disruption in the normal operation of these joints. Symptoms can manifest during common activities such as opening the mouth or chewing and lead to significant discomfort and impairment in daily functions.

Signs and Symptoms of TMJ Disfunction

Identifying the signs and symptoms of TMJ dysfunction is crucial because early recognition can prevent the condition from worsening and affecting overall quality of life. Many individuals suffering from facial pain might not immediately recognize that their discomfort is rooted in TMJ disorder. This lack of awareness often leads to prolonged suffering because the symptoms are either dismissed or merely endured without seeking proper medical advice. By the time patients seek help, they have often been dealing with these symptoms for an extended period.

Some of the most common symptoms of TMJ related problems include:

  • Clicking noises when opening and closing the mouth, which might be painless or uncomfortable.
  • Locked jaw, where the jaw becomes stuck or ‘locked’ in a position which makes it difficult to open or close the mouth.
  • Painful chewing, especially when eating harder or chewy foods like apples or nuts.
  • Difficulty opening the mouth wide, which affects everyday activities like yawning and eating.

Additional symptoms that might accompany TMJ dysfunction include:

  • Neck pain that can stem from the strain of compensatory movements due to jaw discomfort.
  • Ear pain which is often confused with an ear infection but is actually related to TMJ issues.
  • Frequent headaches which can be a result of the tension and misalignment in the jaw and neck area.
  • Changes in eating habits and weight loss as a result of the pain and difficulty involved in consuming certain types of food.

Recognizing these symptoms is key to addressing TMJ dysfunction before it progresses to more severe stages.

Bruxism is the Primary Cause of Stress Related Jaw Pain and TMJ Disfunction

Bruxism is commonly known as teeth grinding and is a primary cause of stress-related jaw pain and TMJ dysfunction. Individuals that grind their teeth subconsciously when feeling stressed or anxious can inadvertently put unnecessary strain on their TMJ joints. This habit can continue involuntarily during sleep which exacerbates the problem further. The continuous grinding and clenching not only puts undue stress on the jaw joints and muscles but can also lead to significant dental damage over time. Without being aware of these nocturnal habits, many individuals do not seek treatment until they experience persistent discomfort or other tell-tale symptoms of TMJ disorders like jaw pain, headaches, or facial muscle fatigue.

Tips to Help Reduce Stress Causing Stress Related TMJ Pain

Managing stress is crucial for alleviating stress related TMJ pain because chronic stress can significantly exacerbate jaw tension and dysfunction. Here are some practical tips to help reduce stress and its impact on TMJ pain:

  1. Identify Stressors – Track the times of day or specific activities that elevate your stress levels. Recognizing these can help you prepare strategies to cope or avoid them altogether.
  2. Plan and Prioritize – Stress often accumulates when time is scarce, and bandwidth is stretched thin. Prepare in advance for known stressors, set realistic goals and priorities, and learn to distinguish between what must be done and what can wait. Recognize your achievements and don’t hesitate to say “No” to avoid overloading yourself. Asking for help when needed can also alleviate stress.
  3. Modify Your Response – If avoiding a stressor isn’t possible, try altering how you react to it. Instead of reacting impulsively, it may help to pause, take a deep breath, and find a moment of calm to choose an alternate response.
  4. Accept the Uncontrollable – Some situations are beyond your control. Instead of getting frustrated or angry, focus on letting go and moving forward. Make a list of things you’re grateful for to shift your mindset toward positivity.
  5. Adopt a Healthy Lifestyle – Regular physical activity can greatly reduce stress. Engaging in moderate exercise, like walking for 30 minutes three to five times a week, can boost endorphins and improve your mood. Also, strive for a consistent sleep schedule with eight hours of sleep because adequate rest is essential for stress management.
  6. Engage in Relaxation Practices – Balance unavoidable stress with relaxation techniques that help calm your mind. Activities like listening to music, meditating, practicing yoga, or engaging in hobbies can significantly reduce physical tension and refocus your thoughts on more peaceful matters.

Implementing these strategies can not only reduce stress but also diminish its physical manifestations like TMJ pain.

Ways to Help Reduce Stress Induced TMJ Dysfunction

Stress-induced TMJ dysfunction can be significantly alleviated through a combination of practical strategies designed to reduce jaw tension and enhance overall jaw function. Using mouth guards to prevent teeth grinding, optimizing sleep position to maintain proper jaw alignment, and engaging in targeted jaw exercises can all help mitigate the symptoms of TMJ caused by stress.

Mouth Guards to Prevent Stress Related Bruxism

Wearing a mouth guard while sleeping can prevent direct contact between the teeth and provide a cushioning layer that helps reduce the pressure on the jaw joints and muscles. Available in both custom-fitted and standard sizes, mouth guards are a cost-effective intervention that can significantly reduce jaw pain and improve sleep quality by lessening the impact of stress-induced clenching. By using a mouth guard or custom dental orthotic, individuals can prevent the progression of TMJ dysfunction and its associated discomfort.

Proper Sleep Position to Help with Nighttime Bruxism

Adopting a proper sleep position is crucial for managing nighttime bruxism and reducing its detrimental effects on jaw health. Sleeping in a relaxed, non-stressed posture helps prevent overnight teeth grinding. Specialized pillows designed to maintain the head and neck in a neutral alignment play a significant role in this preventive strategy. By ensuring that the jaw is not under undue stress while sleeping, these pillows can help alleviate the pressure on the jaw joints and minimize TMJ pain and discomfort.

Simple Exercises to Relieve TMJ Tension

Simple exercises can be an effective method for relieving TMJ tension and promoting better jaw function. One highly beneficial yet straightforward technique involves gentle jaw exercises that can be performed discreetly at any location, whether at home or in the office. These exercises aim to retrain the muscles controlling the jaw and gradually restore the brain’s recognition of the jaw’s correct position and movement. The best types of exercises to improve TMJ dysfunction include resisted opening exercises and resisted closing exercises. As their names suggest, these exercises require resistance by applying pressure upward against the jaw when trying to open the mouth or applying pressure downward against the chin while trying to close the mouth. Other less strenuous activities include TMJ stretches like vertical jaw stretch and lateral jaw stretches which are designed to loosen facial muscles and improve jaw range of movement. Such simple exercises not only help in reducing discomfort but also contribute to long-term improvements in jaw mobility and pain management.

Botox for Nighttime Bruxism

Botox is widely known for its cosmetic applications, but it is gaining recognition as an effective treatment for nighttime bruxism. It offers a promising alternative by targeting the underlying muscle activity responsible for these symptoms. The therapeutic use of Botox for bruxism involves injecting small amounts of botulinum toxin into the masseter muscle, which plays a key role in jaw movement. This toxin temporarily paralyzes the muscle which reduces its activity and alleviates the associated pain and tension. Studies published in Neurology and Pain Research and Management have demonstrated that Botox can effectively reduce jaw clenching and teeth grinding, providing relief for three to six months before the effects gradually diminish. This treatment not only helps with the physical symptoms of bruxism but also improves the overall quality of life for sufferers by addressing the excessive muscle activity at its source.

Contact Dr Omrani if You Are Dealing with Stress Related TMJ Pain

If you are experiencing symptoms of TMJ pain, remember that you don’t have to suffer in silence. Effective treatments and support are available to help you manage your condition and improve your quality of life. Dr. Omrani at the Headache TMJ Los Angeles Pain Clinic is an expert in diagnosing and treating TMJ disorders and providing personalized care tailored to your specific needs. Don’t let TMJ pain control your life. Contact Dr. Omrani today to schedule a consultation and take the first step towards relief and recovery. Your health is worth it, and with the right professional guidance, you can achieve significant improvements.

Jaw Pain Due to Stress FAQs

Can stress cause pain in your jaw?

Stress can indeed cause pain in your jaw. This often occurs through mechanisms like teeth grinding (bruxism) and clenching which are common stress responses. These habits increase tension in the jaw muscles and can lead to temporomandibular joint (TMJ) disorders that manifest as pain and discomfort in the jaw area.

When should I be worried about jaw pain?

You should be worried about jaw pain if it persists for more than a few days, worsens, or is accompanied by other symptoms such as difficulty opening your mouth, clicking sounds, or severe discomfort when chewing. Persistent or severe jaw pain can indicate underlying issues such as TMJ disorders or infections that may require professional evaluation and treatment. If you experience these symptoms, it is advisable to consult a healthcare provider to determine the cause and appropriate treatment.

How do you relax your jaw muscles?

To relax your jaw muscles, you can perform gentle jaw exercises such as slowly opening and closing your mouth and moving your jaw side to side. Another effective method is applying a warm compress to the jaw area to help ease muscle tension. Additionally, practicing relaxation techniques like deep breathing or mindfulness can also help reduce overall tension in the jaw muscles.

About the Author

Picture of Dr. Katayoun Omrani

Dr. Katayoun Omrani

Dr. Katayoun Omrani is a Diplomate of the American Board of Orofacial Pain. She is the former co-director of Orofacial Pain mini-residency at UCLA. Her research focus is in headache and neuropathic pain and has lectured extensively on these topics. As a lecturer and clinical professor at UCLA in the Department of Oral Medicine and Orofacial Pain, she is responsible for training residents. She is also a board certified attending doctor at Cedars-Sinai and an active member in several organizations in her field of practice including:

• The American Academy of Orofacial Pain
• American Board of Orofacial Pain
• American Academy of Dental Sleep Medicine
• Headache Cooperative of the Pacific
• American Headache Society

At the Headache TMJ – Los Angeles Pain Clinic, Dr. Katayoun Omrani has a unique and conservative approach to patient care that consists of a comprehensive examination and an individualized treatment program. Dr. Katayoun Omrani is committed to medical excellence and provides state-of-art diagnosis and treatment for chronic painful conditions in the head, face, neck and temporomandibular joint with an evidence-based approach and the use of current scientific knowledge and information supported by appropriate studies and research.

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