Spasm of the masticatory muscle treatment. Trismus of masticatory muscles and its treatment

BMFD- this is a dysfunction of a particular muscle, which usually occurs due to its overload and is accompanied by pain.

Etiology and pathogenesis. Currently, the role of local muscle hypertonicity in the development of painful repercussive phenomena has been established. The latter arise under the influence of afferent flows in connection with for various reasons, including pathological impulses from periarticular tissues, fascia, and prolonged muscle tension. Local muscle hypertonicity can cause short-term painful muscle spasms or persistent muscle tension. In the latter case, secondary disorders arise in the muscle: vascular, metabolic and others. These areas become constant sources of local and referred pain. The facial area is one area where BMFD occurs quite often. In addition, the face is a region where pain from BMFD can be reflected in other muscles, especially the sternocleidomastoid, trapezius, and muscles of the back of the neck. In the origin of BMFD facial area Occlusal disharmony plays a major role. In this case, on the side of premature occlusal contact of teeth, the lateral and medial pterygoid muscles are affected, and on the opposite side, the masseter and temporal muscles are affected. Other important etiological factor is emotional stress, leading to involuntary muscle tension, such as clenching the jaw or grinding teeth during anxiety and frustration. The muscles of mastication readily respond to stressful stimuli. Constant mouth breathing can also lead to tension in the muscles of mastication by maintaining the mouth open.

Clinic. BMFD is characterized by local muscle spasm, which appears on palpation in the form of dense muscle bundles; local and referred pain provoked by muscle contraction or stretching; characteristic local muscle twitching in response to irritation. General symptom BMFD of the masticatory muscles - trismus, expressed to varying degrees, S-shaped movement lower jaw when opening and closing the mouth, the lower jaw often deviates towards the affected muscle.

Local and referred pain occurs mainly when functional loads(chewing) and palpation of areas of hypertonicity. In this regard, palpation of the masticatory muscles, as well as the identification of trismus, is an important component examinations. To identify mild degrees of trismus, the three-phalanx test described above is used. Decrease vertical size mouth gap in the absence of pathology of the temporomandibular joint indicates a spasm of the masticatory muscles. we must remember that paroxysmal bilateral trismus is pathognomonic for tetanus, unilateral non-paroxysmal trismus most often develops as a result of local inflammatory processes(pulpitis, periodontitis and due to surgical complications extraction of teeth, etc.) or therapeutic (penetration of material during filling of teeth into the canal of the lower jaw. Along with this, the cause of trismus is the formation of local hypertonicity of the masticatory muscles.

BMFD masseter muscle(Fig. 1) causes referred pain in the lower jaw, molars and the corresponding part of the gum, the upper jaw, molars and the adjacent part of the gum. Less commonly, pain is reflected in the eyebrow, temple and the area of the temporomandibular joint. May occur increased sensitivity teeth to impact, to cold, to heat, pressure, which requires differential diagnosis with pulpitis and periodontitis. When the trigger point (TP) is located in the deep layer of the masticatory muscle, pain may be reflected in the ear, often in combination with noise in it, due to a reflex increase in the tone of the muscle that stretches the eardrum.

BMFD of the temporal muscle (Fig. 2) is characterized by pain in the temple area, corresponding to the eyebrow, as well as in the teeth of the upper jaw, sometimes in the jaw itself and the temporomandibular joint. Hyperesthesia of the teeth and lower jaw to cold and hot may be detected.

Lateral and medial pterygoid muscles. (Fig. 3 and 4) Local hypertonia and trigger points (TP) in the medial pterygoid muscle lead to pain, irradiation (see Fig. 4.) in posterior sections mouth (2) and pharynx (3), deep into the ear (1), sometimes into the base of the nose (5) and larynx (4). Difficulty swallowing and baroacusis are possible, since increased tone of the medial pterygoid muscle can block the action of the tensor muscle. soft palate at the base auditory tube. The lateral pterygoid muscle in the origin of myofascial pain of the face has special meaning, since its spasm is often the cause of painful dysfunction of the temporomandibular joint (6 - see Fig. 4). This is because it is specifically attached to the disc of the temporomandibular joint and can be called the protruder of the articular disc, which is known to move when the mouth is opened and closed. The long-term existence of TP in the lateral pterygoid muscle leads to spasm, shortening and, as a result, a change in the bite. Pain in addition to the temporomandibular joint may also radiate to upper jaw, accompanied by hypersecretion of the mucous glands maxillary sinus, which usually leads to an erroneous diagnosis of inflammation. As a rule, the range of movements of the lower jaw is limited not only when opening the mouth, but also in the opposite direction.

MFBD observed digastric muscle(Fig. 5) and orbicularis oculi muscle(Fig. 6). With TP in the anterior belly of the digastric muscle, patients complain of neck pain, and with TP in the posterior abdomen, pain when swallowing. Muscle overload can occur due to constant tension during mouth breathing, bruxism, or mechanical irritation of the muscle by an abnormally elongated styloid process. In the latter case, the pain is felt mainly behind the angle of the lower jaw, and the styloid process and the ossified stylohyoid ligament can be felt from inside the mouth. Overstrain of the posterior belly of the digastric muscle contributes to the displacement of the lower jaw in front in its direction; the pain sometimes intensifies with forced opening of the mouth. Localization of hypertonicity in the orbicularis oculi muscle can cause mild ptosis and narrowing of the palpebral fissure. Pain twitching in the orbit, radiating to the forehead and perinasally. The cause may be uncorrectable myopia (the patient constantly squints), but more often TP of the orbicularis oculi muscle occurs secondary to the influence of TP in the sternocleidomastoid muscle.

Treatment primarily aimed at the cause of BMFD - normalization of bite, occlusion, dental prosthetics, etc.; it is necessary to eliminate the stress factor, take benzodiazepines, antidepressants, etc. It is necessary to use post-isometric relaxation (PIR - three-stage resistance exercises. The mouth is wide open, for 10 seconds the patient tries to smoothly close it, while the hand of the doctor or himself the patient holds it wide open. Then the patient relaxes simultaneously with a decrease in the resistance of the hand and then tries to freely open the mouth wide, helping with the hand and increasing the range of movements. At the end of the procedure, the hand prevents the patient from actively opening the mouth, which causes reciprocal inhibition of the masticatory muscle. the exercises are repeated three times, after which the patient can usually freely open and close his mouth to the maximum possible extent. After this, exercises are performed for passive self-stretching of the lower jaw: grabbing it with the 2nd and 3rd fingers from the inside and the 1st finger from the outside under the chin, slowly moving it forward and then down. maintaining this position for 10 seconds and phasing out stretching. The procedure is repeated several times. TPs are subject to inactivation. In addition to post-isometric relaxation, their blockade with anesthetics or puncture with a dry needle is used. Nonsteroidal anti-inflammatory drugs and antispastic drugs are used: sirdalud, baclofen, mydocalm, etc. In case of BMFD of the digastric muscle, due to the elongated stylomastoid process and ossification of the stylohyoid ligament, they are resected and removed.

© Laesus De Liro

Trismus of the jaw is a special spasm of the masticatory muscles, which is accompanied by limitation of movement. similar condition is a persistent irritation trigeminal nerve arising as a result of the development of certain diseases of the oral cavity, fracture of the lower jaw, improper surgical treatment teeth. Trismus of the jaw is considered early sign rabies, tetanus, epilepsy, meningitis (certain types), and can also be observed at the time of severe emotional excitement- for example, with hysteria. In some cases, this condition occurs as a result of cerebral hemorrhage, when the patient requires immediate medical care.

The main symptom of lockjaw is strong tension in the area of the temporal and masticatory muscles. At this moment, the teeth are usually clenched, making it impossible to open the mouth, speak fully and eat food. In some cases, after the onset of trismus, a slight opening of the mouth is possible.

Trismus of the jaw requires mandatory medical intervention, V in rare cases- surgical. Diagnostics this state quite simple. One glance at the patient’s face is enough for a specialist to make a diagnosis. accurate diagnosis. If the cause of such a spasm is unknown, the doctor tries to establish it as quickly as possible, since his further actions. For example, started epileptic seizure, accompanied by trismus of the jaw, requires the introduction of an antiepileptic drug into the patient’s body. If rabies is suspected, it is carried out urgent hospitalization patient. The main ones appear a few days after infection (after the bite of a sick animal). These include: insomnia, increased anxiety, anxiety, dry mouth, muscle pain. On last stage In its development, the disease is manifested by an increase in temperature to +42 degrees, paralysis of the limbs, the occurrence of convulsions and lockjaw. There is no treatment for rabies; its outcome is always fatal.

In the event that trismus of the jaw occurs due to the development of inflammation in oral cavity, physiotherapy and antibiotic treatment are prescribed. If the patient has hysteria, severe stress, depression, the basis of treatment is sedatives (sedatives).

Long course Trisma requires mandatory hospitalization of the patient. Within the walls medical institution are carried out necessary measures to maintain normal condition his body: organized artificial feeding, subcutaneous administration required quantity maintenance fluids water balance. In some cases, the patient is given a Botox injection into the jaw, which allows him in a normal way eat food. At the same time, specialists have the opportunity to examine his condition and take measures to eliminate trismus.

Often a spasm of the masticatory muscle accompanies a dislocation of the jaw, the treatment of which consists of realigning the joint to its usual location. This procedure must be carried out by a specialist. If a dislocation is detected, you should call " ambulance“and before the doctor arrives, fix the dislocated area by bandaging it with a neckerchief. After the jaw is set, a special immobilizing bandage is applied to it, which limits all movements of the dislocation site. If the jaw joint hurts, pain-relieving injections may be prescribed. Then, for two weeks, the victim eats exclusively pureed soups and cereals. The reduction procedure is carried out under local or general anesthesia. The outcome of treatment is favorable in most cases.

Despite many years of research, the etiology of painful jaw reduction syndrome is still not fully understood in medicine.

The genesis of the disease finds diagnostic confirmation in the field of mental disorders, neuralgia, ENT pathology (temporomandibular joint).

Trismus of masticatory muscles - This is an involuntary spasm that results in the teeth clenching together, restriction or complete absence mobility of the lower jaw.

When a spasm occurs, a person is unable to fully open his mouth. As a result, difficulties arise with speech, eating and drinking, and respiratory functions are impaired.

This condition affects the psyche and the functioning of the gastrointestinal tract ( gastrointestinal tract). At the first signs of tonic spasms of the lower jaw, you should see a doctor.

A neglected process can bring the human body to complete mental and physical exhaustion.

Reasons for development

Triggers that cause muscle spasm, are divided into two types - general and local.

Common reasons why trismus occurs:

neoplasm or tumor of the brain;
intracranial hemorrhage;
diseases - pseudobulbar palsy, stroke, epilepsy, cerebrospinal meningitis;
in dentistry - consequences of anesthesia or treatment, malocclusion;
anatomical features - spinal defects, uneven leg lengths;
psychosomatic disorders - neurosis, stress, depressive states.

Local factors provoking spasm:

injuries - fractures (or subluxation of the jaw);
cellulitis or abscesses in the facial area;
, bone or soft tissues, for example, osteomyelitis or pericoronitis, formed due to the removal or growth of a wisdom tooth;
chronic bruxism (clenching or grinding of teeth during sleep);
infectious processes;
inflammatory foci - trigeminal nerve, arthrosis (arthritis), advanced pulpitis or caries.

Practicing doctors believe that the main triggers of muscle spasm are the following factors:

incorrectly installed orthodontic structures, unsuccessful prosthetics;
diseases of a neurotic nature;
chronic psycho-emotional stress - often occurs in people who have professions associated with increased responsibility and risk.

In addition to all of the above, lockjaw is typical for people whose activities are related to professional sports- scuba divers or divers squeezing a mouthpiece in their mouth, or weightlifters experiencing extreme muscle tension in a snatch.

Also, muscle hypertonicity sometimes occurs when taking contrast shower or dousing cold water. This may be a sign of developing rabies or tetanus. To avoid the occurrence of a source of infection, such diseases must be vaccinated in advance.

Symptoms and stages

Spasm of the masticatory muscles has one priority sign - closure (squeezing) of the mandibular joints.

Other severe symptoms:

compaction, hardness, swelling of muscles;
feeling of sharp pain when opening the mouth;
pain on palpation;
difficulty speaking, breathing, difficulty chewing and eating in general;
sometimes there is facial asymmetry and increased temperature.

Localization of pathology is of two types:

unilateral - right or left, usually formed due to injury or inflammation;
bilateral - manifests itself symmetrically on both sides in various diseases.

Difference in stage of development, determined by the distance between the incisors:

light - mouth opening is possible up to 40 mm;
medium - mouth opening no more than 20 mm;
heavy - the jaw is tightly clenched, you can unclench it by a maximum of 10 mm.

How is the treatment carried out?

Trismus of the masticatory muscles has similar characteristics to some diseases. Only a specialist can differentiate a spasm from inflammatory processes of odontological origin, maxillofacial fractures, arthrosis, or arthritis of the TMJ.

When diagnosing, it is important to distinguish the disease from others, to reliably understand the problem, and most importantly, to identify the root cause of the pathology.

Treatment for trismus is selected based on the diagnosis, based on the doctor’s opinion. First, a Botox injection is given into the affected area.

Complex therapy includes the following algorithm of actions:

strong pain syndrome the trigger zone is stopped using an anesthetic blockade;
with spasms on nervous soil prescribe antidepressants, sedatives, sedatives(Persen, Dormiplant, Novo-Passit);
inflammatory processes, the source of infection are eliminated by opening the abscess, removing the tooth, medications(antibiotics, NSAIDs, sulfonamides);
after CLT ( maxillofacial trauma) - an operation is required to reconstruct the shape or reduce the dislocation;
muscle hypertonicity relieves postisometric manual therapy(relaxation), physiotherapy, acupuncture, massage;
compaction, swelling, hardness will help remove the compress with dimexide on the temporal and chewing muscles;
at dental problems it is necessary to correct occlusion, prosthetic errors, apply a new filling, treat carious lesions, and restore enamel.

Severe forms of trismus are treated inpatiently, as artificial replenishment of the body with fluid and food is required (subcutaneously and through a probe).

How dangerous is this?

Jaw lockjaw causes clenching and jamming. The person cannot eat, speak, or even breathe normally.

First of all, the human psyche suffers from this. The situation may result in a severe disorder of the central nervous system (central nervous system), the recovery of which is very difficult to treat.

In addition, spasm of the masticatory muscles can cause serious problems Gastrointestinal tract and literally bring the patient to dystrophy.

Dysfunction respiratory system may cause hypoxia ( oxygen starvation). This dangerous pathology, which will entail cephalalgia, a lot of problems with blood circulation, heart, blood condition, brain vessels, etc.

Separately, it is worth highlighting the condition of muscle hypertonicity, which appears against the background of infection (meningitis, tetanus or rabies).

No less dangerous this pathology caused by oncology or diseases cardiovascular system. Particularly dangerous long-term course illness requiring inpatient treatment under the supervision of specialists.

If mild stage can be cured in 1-3 weeks, then systemic diseases give much less chance of full recovery. And rabies, in the vast majority of cases, ends tragically.

Prevention

Preventing spasms of the masticatory muscles includes the whole complex events, including preventive measures to prevent tetanus, rabies, and infection of the body.

Simple rules that will help avoid the appearance of trismus:

Conducting daily hygiene procedures- brushing your teeth, rinsing and flossing after each meal.
Visit your dentist regularly to have your teeth and mouth examined.
Do not delay treatment of caries, filling teeth, correcting bite or prosthetic errors.
Wash your hands and fruit before eating to avoid infection.
Try to avoid injury that violates the integrity of the skin.
Even small scratches should be immediately treated with any antiseptic.
After an animal bite, a burn of any origin, or frostbite, you must go to the emergency room.
Get vaccinated on time against tetanus, rabies and other diseases recommended for vaccination.
Control the amplitude of mouth opening, for example, when yawning, so as not to cause muscle spasm.
Eliminate hard foods from your diet; do not try to crack a nut or open anything with your teeth. An awkward movement can provoke a severe spasm.
Stop being nervous about and without it, avoid stressful situations. Pessimists tend to be tense and are more likely to experience muscle spasms.

Doctors call prolonged tonic involuntary spasms of the masticatory muscles trismus. This pronounced muscle tension without relaxation cramps the jaws and limits motor function temporomandibular joint.

The spasm affects all muscles involved in the chewing process. Normal chewing of food becomes impossible. In addition, the masticatory muscles are involved in speech production and in the process of swallowing, and jaw spasms lead to disruption of these functions.

When palpating the affected area, a compaction is characteristic muscle tissue, increasing its volumes. Any touch causes sharp facial pain.

Tonic spasm of the masticatory muscles occurs as a result of direct (reflex) irritating effect on the motor part of the trigeminal nerve that innervates them, or due to internal diseases.

The trigeminal nerve, when damaged, provokes trismus

There are different types of seizures

Trismus of the masticatory muscles is of two types - unilateral and bilateral, which is also called bilateral. The name indicates spasm of the masticatory muscles on one or both sides of the facial part of the head.

Bilateral trismus is especially dangerous. It is a manifestation of some infectious and neurological diseases. In this case, the teeth and jaws are closed so tightly due to the lack of movement in the temporomandibular joint that there is absolutely no speech and the ability to naturally, eat and drink.

Unilateral spasm is expressed on one side of the face. The lower jaw is pulled up to the tense muscles so that it becomes distorted, which intensifies when the mouth is opened.

Bilateral trismus is more often diagnosed; unilateral trismus occurs against the background of injuries, inflammatory and deformational diseases in the temporomandibular joint and in the presence of inflammation in the oral cavity.

Main provocateurs

Reasons causing trismus of the jaw is divided into general and local.

To general causal factors, provoking manifestations of trismus include a number of internal diseases of neurological or infectious origin (origin):

malignant and benign;
intracranial;
mental health disorders (depression, hysteria);
tetanus;

Some local factors are called maxillofacial diseases and injuries:

osteomyelitis of the lower jaw (inflammation of bone tissue);
abscesses and phlegmon in the lower jaw;
pericoronitis on the lower jaw (inflammation in soft tissues around the wisdom tooth);
periostitis of the lower jaw (inflammation in the periosteum);
consequences of mandibular (mandibular) conduction anesthesia in dentistry;
fractures, cracks, dislocations in the lower jaw;
damage by arthritis or arthrosis of the temporomandibular joint.

Untreated inflammatory processes in the mouth can also lead to trismus of the masticatory muscles. It can be caused by one swipe in the jaw, dousing ice water and more.

Symptomatic manifestations and severity

The main sign of tonic spasm of the masticatory muscles is a complete or partial restriction of movements in the temporomandibular joint, and, accordingly, in opening and closing the oral cavity.

Also with trismus, other symptoms are expressed:

thickening of muscles to hardness;
increase in muscle volume (bloating);
painful biting, chewing and swallowing food or the inability to perform these processes;
pain with any impact on the muscles;
speech reproduction is impaired;
clenched teeth with bilateral spasm;
distortion of the face with unilateral spasm.

Symptoms of breathing problems and nervous tension may be observed. Prolonged spasm leads to sudden weight loss, problems with digestion and the functioning of the gastrointestinal tract due to lack of adequate nutrition.

In the development of trismus, three degrees of progress of the disorder are noted, which are determined by the distance between the upper and lower central incisor when opening the oral cavity:

Lightweight. Mouth opening reaches 4 cm.
Average. Mouth opening - no more than 2 cm.
Heavy. The mouth opens slightly to 1 cm or less.

Treatment methods

Treatment of tonic spasm of the masticatory muscles begins after diagnosing and establishing the causes that caused it. Mild trismus not associated with inflammation and injury can be treated at home.

Experts, in such cases, recommend a light and gentle massage of the masticatory muscles. In this case, stroking movements should prevail. Rubbing and kneading should be such that it does not cause pain. The purpose of the procedure is to relax the muscles.

Apply alternating cold and warm compresses that will help remove painful sensations. Meditation and relaxation techniques will also be helpful.

Trismus caused by local reasons, treated by dentists - therapists and surgeons, injuries of the lower jaw - by a traumatologist.

If there is a dislocation in the temporomandibular joint, it is reduced, fixed, rest and physiotherapy are prescribed. Electrophoresis, heat, UHF may be prescribed.

Before reduction, anesthesia is administered. For this, Botox or Novocaine is used. Not all doctors use Botox; there are those who oppose its use in this case.

If there are purulent foci in the area of the lower jaw, surgeons and dentists open them, clean them, drain them, and apply intensive antibacterial treatment using drugs from the Penicillin group, antibiotics - cephalosporins, Metronidazole, sulfonamides. Treatment of these problems leads to the disappearance of trismus.

If the cause of the spasm is damage to the temporomandibular joint by arthritis or arthrosis, then non-hormonal anti-inflammatory drugs are prescribed. This could be Ibuprofen or Naproxen. They also have a good pain relieving effect. To reduce pain during tonic muscle spasm, use Acetaminophen and Paracetamol.

During the treatment of trismus, drugs of central and peripheral action that reduce muscle spasm (Mydocalm, Flexeril, Pancuronium, Ditilin and others). These medications are successful in reducing muscle tension.

Infectious and neurological diseases, manifested by trismus, are treated comprehensively and necessarily in a hospital setting by doctors according to referrals.

Method emergency assistance at the first suspicion of tetanus, administration antitetanus serum, and rabies vaccines - in case of suspected infection with the disease virus.

Stress, depression and hysteria, leading to spasms of the masticatory muscles, are treated with Valerian and bromine preparations - Sodium Bromide and Potassium Bromide. In addition to sedative properties, these drugs also have an anticonvulsant effect. In severe cases, stronger agents are used.

Successful treatment of internal diseases leads to a gradual decrease and complete disappearance of spasm of the masticatory muscles. In this case, the patient is prescribed special exercises to restore mobility of the lower jaw.

Such patients are fed with a tube and intravenous administration special drugs to support the body.

During treatment, you must remember that you should not try to open your closed jaws on your own.

Prognosis for recovery and prevention

Trismus of the masticatory muscles of local origin has good prognosis for a full recovery. Correctly selected and timely treatment pathology relieves muscle tension and restores motor function of the temporomandibular joint in a period of 1 to 3 weeks.

At internal diseases recovery is more difficult to predict. Infection with the rabies virus in humans most often ends fatal. There is also a risk of mortality with tetanus.

Prevention of spasm of the masticatory muscles will be timely treatment of inflammatory processes in the oral cavity.

Vaccination against rabies and tetanus will not only prevent trismus, but also help save the patient’s life.

Must be protected mental health, avoid injuries to the lower jaw.

Dehydration also contributes to the occurrence of trismus, so you should drink at least 1.5 liters of water daily.

Proper nutrition will provide the body with normal nutrients, vitamins and microelements. Healthy image life, physical education and sports will help strengthen muscles and prevent tonic spasm of the masticatory muscles.

If your jaw is cramping, then it is extremely important to find out the causes of muscle spasm and what to do in such a situation in the near future to avoid complications.

This happens suddenly and disappears on its own, but whether there is a threat to health is difficult to answer right away. If symptoms recur frequently and cause you pain, get tested to find out the cause.

Why does my jaw cramp?

Women may experience single or multiple symptoms of jaw spasms during pregnancy; they can be short-term or long-lasting. They occur in the following cases:

when yawning;
if you suffer from bruxism ();
at nervous tension;
for osteochondrosis and other lesions cervical spine spine;
with muscle strain;
for some dental problems.

Reasons for appearance discomfort on the right or left in the jaw in a child and in an adult can be associated with injury. What causes jaw cramps and how to cope with this condition – a specialist will tell you.

Lower jaw only

If you have cramps in the lower jaw, this may indicate a lesion responsible for the innervation of the face. Therefore, such pain radiates to the teeth and to one half of the face, they are different average duration from 10 to 20 minutes.

Must be excluded oncological diseases head, muscles, nasopharynx and oral cavity. If you suspect oncology, contact your surgeon, he will adjust your examination and prescribe treatment.

Jaw and cheekbones

The jaws can move even when the following diseases, How:

arthrosis;
arthritis;
joint dysfunction.

The same symptoms are observed in vascular diseases, when they are insufficiently supplied with blood. It is enough to start treatment on time and you can avoid surgical intervention. Contact vascular surgeon and apply latest technologies to treat an illness.

Jaw muscle spasm when yawning

Convulsive muscle contractions during yawning or at the end of the process occur frequently. A dentist, neurologist or surgeon will help you find out the cause of the disease. There may have been an injury, but now only a spasm when yawning or appearance of mild swelling. In this case, cooling compresses can help.

Try changing your diet and switching to soft foods, because chewing hard foods causes severe muscle tension. When you yawn, some muscles lose their tone, and then become hypertonic at the end if they were tense before.

Jaw cramps and headache

There are many reasons for the appearance of pain in the temples or throughout the head when there is a contracted jaw. It could be:

fatigue;
long sedentary work;
migraine;
nervous tension;
consequences of injuries to the spine and jaw;
working on a computer;
lack of fresh air.

Try to eliminate the causes or simply take a break from work when your temples are pressing, light massage And cold compress on the head if the back of the head hurts.

Tightens jaw and stuffy ears

With such symptoms, consultation with an otolaryngologist is necessary. The cause may range from tonsillitis and damage to the larynx, to tumors in this area. Neuralgia can also provoke spasm and congestion in the ears.

Get rid of the habit of propping your head up and talking on the phone, holding it between your ear and neck. Massage under the ear and apply heat to relax the muscles.

Bruxism

It is easy to identify this disease: if your jaw is clenched tightly in a dream, there is grinding of your teeth. As a result, after waking up, a person is disturbed severe pain in the jaw and in the head. Teeth lose part of their enamel, crowns wear off, the position of the teeth is unstable, they become loose.

It is impossible to notice bruxism on your own, but if someone from the outside hears teeth grinding in a dream, then its presence will be obvious.

Jaw spasm from nerves

The nervous system always reacts to any changes in our body, and this can manifest itself as discomfort in the jaw and spasms. Psychosomatics explains the presence of such symptoms by saying that nerve lesions It may not be, but muscles that are under constant tension result in spasm.

If there is no tone, we panic because of numbness and weakness in a certain place. With nervous tension, the jaw may clench in sleep. Then it is necessary to take mild sedatives and consult a neurologist. Nervous stress does not go away without leaving a trace if you experience following symptoms like muscle cramps or pain, you have experienced:

Intense fear.
Anger.

Try to distract yourself and relax by massaging your jaw yourself. Cramps in the jaw may indicate neuralgia, inflammation of the nerves, or the presence of mental illness.

While eating while chewing

Spasms may occur when minor damage or joint injury. It can occur when chewing hard food.

If you have had it, even a minor one, then muscle tension while eating leads to involuntary muscle contraction.

Pay attention to when and in what place you experience cramps and what causes them. A visit to the doctor is necessary if:

spasms in one part, there is a rise in temperature,
swelling;
severe pain;
cramps in the lower part of the face and pain radiates to the eye;
constant, lingering pain;
throbbing pain with spasm.

Take the load off your jaw: don't talk too much, don't eat solid food, do not open your mouth wide. If the pain can be tolerated, do not take analgesics until examined by a doctor, so as not to blur the symptoms of the disease. Take an X-ray of the jaw to rule out dislocation or bone damage.

Video: how to relax your jaw muscles?