OMT Minute  |   June 2019
Osteopathic Manipulative Treatment for Temporomandibular Disorders
Author Notes
  • From the Touro University College of Osteopathic Medicine-CA in Vallejo. 
  • Financial Disclosures: None reported. 
  • Support: This video was produced by Touro University College of Osteopathic Medicine-CA. 
  •  Address correspondence to Jordan Keys, DO, 1310 Club Dr, Mare Island, Vallejo, CA 94592-1187. Email: jordan.keys@tu.edu
     
Article Information
OMT Minute   |   June 2019
Osteopathic Manipulative Treatment for Temporomandibular Disorders
The Journal of the American Osteopathic Association, June 2019, Vol. 119, e29-e30. doi:https://doi.org/10.7556/jaoa.2019.071
The Journal of the American Osteopathic Association, June 2019, Vol. 119, e29-e30. doi:https://doi.org/10.7556/jaoa.2019.071
Temporomandibular disorder (TMD) is subclassified as a secondary headache disorder that affects more than 25% of the general population, and 85% to 95% of the population will exhibit at least 1 TMD symptom in their lifetime.1,2 Chronic cases may lead to depression, poor sleep quality, and low energy and can negatively affect social activity and employment.3 While the causes of TMD are multifactorial, including psychological factors, most symptoms are due to hyperactive and dysfunctional musculature.4 Thus, addressing the musculature through manipulative techniques may improve TMD. 
The muscles of mastication include the masseter, lateral and medial pterygoid, and temporalis, as well as the temporomandibular joint (TMJ) capsule and articular disk, which are crucial players of TMD's most common myofascial etiology.4 These muscular and ligamentous dysfunctions can cause abnormal mandibular tracking, clicking, and jaw locking, ultimately leading to pain and disability. Conservative treatment should be attempted before considering invasive options such as orthodontics or surgery. 

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