Knobble II is the perfect complement for TMJ problem - A Short guide to Self Treatment
When treating the muscles assoicated with TMJ, neck pain and headache, it is important to treat all the muscles of mastication in all surroundig area. The Temporalis is a very large muscle that attaches at the top of the mandible and fans out on both sides of the head along the side of the skull. The Temporalis muscle exerts an upward force on the mandible and also helps to stabilise the TMJ while keeping the mandible in the rest position.
When one clenches the teeth, the temporalis is activated, and all parts of the muscle are involved. Bruxism, or grinding teeth, causes increased muscle strain to the temporalis, as does anxiety or stress induced muscle tension. The temporalis muscle works in conjunction with, and is affected by the other muscles of mastication, also known as the chewing muscles. Therefore, it is important that we also treat any tenderness or trigger point involvement in the temporalis along with the other chewing muscles.
Common symptoms of trigger points int he temporalis are head pain, toothache and tension type headache behind the eyes. Poor posture, clenching teeth, and stress can all perpetuate trigger points in the temporalis which is the primary cause of tension type headache. There is also strong correlation between neck and shoulder muscles with the temporalis, so all surrounding muscles must be considered and treated for both active and latent trigger point (TrP) infestation. Active TrPs cause an active pain complaint. Latent TrPs while still in the muscle don't cause an active pain complaint but need to be treated to prevent pain symptoms from becoming active down the road. Latent TrPs will also be tender when pressure is applied so that's why we recommend searching the muscle thoroughly and treating all tender areas.
Trigger point massage tools area very helpful to inactivate trigger points within the muscles. Each muscle group, both inside and outside of the mouth, need different sizes and shapes to provide the best therapeutic effect. During my search for the perfect tool to treat temporalis muscle, I cam across the Knobble II which is a small hand held massage tool that is round and fits perfectly in the palm of your hand wiht a small knob that imitates a thumb. Using the tip didn't have the effect i was looking for... so I found that lying down on the Knobble II sideways (using the large round part) was the most effective way to really get in there, locate TrPs and treat. Locate this muscle by starting across the top of your cheek bone by the ear and look for areas of tenderness and trigger points. Massage all around the temples and when you locate the very tender areas apply diret, sustained pressure to release trigger point, taut bands, and any tenderness You can also open and close your mouth while applying pressure to tense contracted muscles which will help release the tenderness. Don't be afraid to experiment and find out what works best for you.