8 doctors weighed in:

Temporomandibular joint syndrome (tmj) without pain but lots of tightness--what to use besides guard?

8 doctors weighed in
Dr. James Bates
Surgery - Oral & Maxillofacial
5 doctors agree

In brief: Several Things...

You're very fortunate if you are pain free.
I generally prescribe muscle relaxants like cyclobenzaprine (flexeril) for muscle tightness. You can also apply moist heat (much better than ice) to your facial or jaw muscles to relax them. Also, over-the-counter non-steroidal anti-inflammatory drugs such as Ibuprofen (advil) or Naproxen (aleve) may be beneficial.

In brief: Several Things...

You're very fortunate if you are pain free.
I generally prescribe muscle relaxants like cyclobenzaprine (flexeril) for muscle tightness. You can also apply moist heat (much better than ice) to your facial or jaw muscles to relax them. Also, over-the-counter non-steroidal anti-inflammatory drugs such as Ibuprofen (advil) or Naproxen (aleve) may be beneficial.
Dr. James Bates
Dr. James Bates
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1 comment
Dr. John Van der Werff
if that dies not help a physical therapist trained in TMD may be helpful.
Dr. Gary Alder
Dentistry
3 doctors agree

In brief: Stretching

Cold and heat compresses along with stretching the mouth open can help regain a full range of motion and stretch and relax the muscles.

In brief: Stretching

Cold and heat compresses along with stretching the mouth open can help regain a full range of motion and stretch and relax the muscles.
Dr. Gary Alder
Dr. Gary Alder
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Dr. Paul Grin
Pain Management

In brief: See a TMJ specialist

TMJ disorder is a complex medical condition, therefore, it's a good idea to see a TMJ specialist for proper diagnosis and treatment if needed.

In brief: See a TMJ specialist

TMJ disorder is a complex medical condition, therefore, it's a good idea to see a TMJ specialist for proper diagnosis and treatment if needed.
Dr. Paul Grin
Dr. Paul Grin
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Dr. Louis Gallia
Surgery - Oral & Maxillofacial

In brief: A few things.

Self treat with soft diet, jaw exercises, massage, heat/cold, OTC pain meds.
Physical therapy would be next. Occasionally muscle relaxants, biofeedback. Xrays are done for diagnosis. Surgery usually reserved for serious symptoms not responsive to other treatments.

In brief: A few things.

Self treat with soft diet, jaw exercises, massage, heat/cold, OTC pain meds.
Physical therapy would be next. Occasionally muscle relaxants, biofeedback. Xrays are done for diagnosis. Surgery usually reserved for serious symptoms not responsive to other treatments.
Dr. Louis Gallia
Dr. Louis Gallia
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In brief: Depends

If you have no pain, you may be on the borderline of the pain starting.
You may still have a displaced disc and other issues that need to be addressed- grinding, clenching, headaches, etc. Do you wear a mouthpiece? If you have not seen a dentist or specialist, you should do so to avoid potential pain.

In brief: Depends

If you have no pain, you may be on the borderline of the pain starting.
You may still have a displaced disc and other issues that need to be addressed- grinding, clenching, headaches, etc. Do you wear a mouthpiece? If you have not seen a dentist or specialist, you should do so to avoid potential pain.
Dr. Jeffrey Bassman
Dr. Jeffrey Bassman
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