April 19, 2024

Among the conditions we see more and more at Haven are tinnitus and TMJD. Tinnitus — characterized by persistent ringing or buzzing in the ears — often overlaps with Temporomandibular Joint Disorder (TMJD), which brings about pain and trouble in the jaw joint. This link indicates a shared underlying factor or the possibility of one condition aggravating the other. In recent research on the connection of two conditions, TMJ complaints were more frequently experienced by young women exhibiting somatosensory features in their tinnitus experiences. They were also more likely to attribute stress as the cause of their tinnitus, indicating a possible connection between stress and the co-occurrence of TMJ problems and tinnitus. Additionally, this subgroup reported poorer psychological well-being and quality of life, alongside a higher prevalence of symptoms such as sound intolerance, headache, vertigo, and neck pain.

In light of the findings, the study proposes that stress may play a significant role not only in the co-occurrence of TMJ disorders and tinnitus but also in the development of severe tinnitus. Consequently, the authors advocate for a holistic approach to the treatment of severe tinnitus, emphasizing the importance of incorporating dental care and stress management strategies into patient care plans.

Understanding this connection, we can utilize Craniosacral Therapy (CST) to tackle both issues at once. In most cases, CST demonstrates a notable ability to mitigate discomfort in the muscles and connective tissues surrounding the head, neck, and jaw. By gently manipulating this area to release the tension, CST facilitates an improved circulation of cerebrospinal fluid, fostering better alignment of the temporomandibular joint, and potentially aiding TMJD and tinnitus.

Here’s how it can help:

Soft Tissue Relaxation: CST involves gentle manipulation techniques aimed at releasing tension and restrictions in the connective tissue (fascia) and therefore aids muscular release. We use intra-oral techniques as well as treating the surrounding areas. This generally includes some trigger point and myofascial release in the neck (can be done with massage or acupuncture techniques). By reducing this tension in the jaw, neck and head, we generally see at least some relief for both TMJD-related pain and discomfort as well as tinnitus. This is especially true if muscle tension, stress or inflammation are part of the contributing factors to the problem. Additionally, manually breaking the tension cycle gives the body respite in this area to help things like dental appliances do their job more effectively without as much pain and tissue resistance.

Improving Jaw Alignment: CST techniques also focus on gently manipulating the bones of the skull and jaw to improve alignment and reduce strain on the temporomandibular joint. By restoring proper alignment, CST may help alleviate TMJD-related pain and dysfunction, and potentially reduce pressure on the structures surrounding the ear, which could help with tinnitus symptoms. Using intra-oral techniques (or “mouth work”), we are getting directly on to the structures of the jaw, and as close as possible to the inner ear. When using a gentle approach, we also avoid a recoil effect from being overly forceful in an area that has already been under duress.

Balancing the Autonomic Nervous System: One of the things CST does extremely well, even compared to other forms of bodywork, is to create seeks to balance the autonomic nervous system (which controls involuntary bodily functions such as muscle tension and auditory processing). Imbalances in the autonomic nervous system may contribute to both TMJD and tinnitus, and CST may help restore equilibrium, potentially reducing symptoms of both conditions. Whether our life consists of the common stress of the NYC grind, or there has been specific trauma to the area or emotionally, supporting the autonomic nervous system with CST helps break cycles of messages to overwork from our brain to body.

Self-Care: Educating clients about the way they can assist in their own care at home is part of our general mission, and with both TMJD and tinnitus, these are essential pieces of the puzzle. Self massage tools, stretches and exercises, topical or herbal formulas, as well as coaching around lifestyle changes are all a part of the long term process in alleviating these ailments.

Addressing Underlying Factors: While TMJD and tinnitus may have separate underlying causes, and there may be a cluster of them, they can share common factors and structures in the body. We see the best results when clients are using a multi-pronged approach that may include various types of physicians and holistic clinicians. Once the primary symptoms reduce, continuing a path of maintenance can also help to prevent flare-ups.