Myofascial Trigger Pain On The Occipitofrontalis Muscle

Table of Contents

Introduction

Having headaches can affect anyone at any time, and various issues (both underlying and non-underlying) can play a part in the development. Factors like stress, allergies, traumatic events, or anxiety can trigger the causes of headaches to develop and can affect a person’s day-to-day schedule. Headaches can come in various forms and be the cause or symptom of other conditions. Many complain about headaches affecting their forehead, where the occipitofrontalis muscle resides, and explain to their doctors about a dull ache affecting them. To that point, the cause of the headache could affect them differently. Today’s article examines the occipitofrontalis muscle, how myofascial trigger pain affects this muscle, and ways to manage myofascial trigger pain associated with headaches. We refer patients to certified providers who specialize in musculoskeletal treatments to aid individuals suffering from myofascial trigger pain associated with headache symptoms affecting the occipitofrontalis muscle. We also guide our patients by referring them to our associated medical providers based on their examination when appropriate. We ensure to find that education is the solution to asking our providers insightful questions. Dr. Jimenez DC observes this information as an educational service only. Disclaimer

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What Is The Occipitofrontalis Muscle?

Have you been experiencing unexplainable headaches that seem to affect your daily life? Do you feel muscle tension in your head or neck? Or do certain areas in your upper body seem tender to the touch? Many individuals suffer from headaches, and it could be due to myofascial trigger pain associated with the occipitofrontalis muscle. The occipitofrontalis muscle surprisingly plays an important part in the facial muscles. The occipitofrontalis muscle is the only muscle that can raise eyebrows, convey emotions, and provide non-verbal communication as part of its functionality to the head. The occipitofrontalis muscle has two different sections in the head that play different roles. Studies reveal that the occipital and frontal bellies have other actions but work together despite being connected to the galea aponeurotica. However, like all muscles in different body sections, various factors can affect the muscles to become tender and form multiple symptoms associated with pain.

How Does Myofascial Trigger Pain Affect The Occipitofrontalis?

When various factors begin to affect the occipitofrontalis muscle, it could potentially be at risk of developing myofascial trigger pain associated with headaches in the muscle. Studies reveal that myofascial trigger pain is a musculoskeletal disorder associated with muscle pain and tenderness that can be identified as latent or active. When the occipitofrontalis is affected by myofascial pain, it could potentially lead to tension-type headaches as a symptom. Studies reveal that headaches, especially tension headaches, are associated with trigger points in the head and neck muscles. Myofascial pain occurs when the muscles become overused and sensitive to the touch. The affected muscle then develops small nodules along the muscle fibers and can cause referred pain in a different body section. To that point, the affected muscle becomes hypersensitive due to an excess of nociceptive inputs from the peripheral nervous system, thus eliciting referred pain or muscle contraction. When this happens to the individual, they experience constant, throbbing pain in their forehead and try to find relief to diminish the pain.

Myofascial Exercises For Headaches-Video

Myofascial Exercises for Headaches & Migraines

Have you been feeling tension and pain in your neck or head? Do headaches seem to affect your daily activities? Does the slightest pressure seem to cause you pain in your muscles? Experiencing these symptoms may be a sign that you may have myofascial trigger pain associated with the head and neck that is causing headache-like pain along the occipitofrontalis muscle. The video above demonstrates various stretching exercises for headaches and migraines associated with myofascial trigger pain. Myofascial trigger pain associated with headaches can cause overlapping issues in the upper extremities of the body since myofascial trigger pain can mimic other conditions that affect the head and neck muscles. Known as referred pain, the underlying cause of pain affects a different body part than the actual location. Luckily, there are ways to manage myofascial trigger pain associated with headaches along the occipitofrontalis muscle.

How To Manage Myofascial Trigger Pain Associated With Headaches

There are many ways to manage headache symptoms associated with myofascial trigger pain along the occipitofrontalis muscle. Many people will take over-the-counter medicine to dull the pain, while others use a cold/hot pack to be placed on their forehead to relieve the tension caused by the headache. Those experiencing trigger point pain along the affected muscles that are not responding to the at-home treatments will go to a specialist that uses various techniques to manage myofascial trigger pain associated with headaches. Studies reveal that manual trigger point therapies for the head and neck may reduce the frequency, intensity, and duration of various headaches affecting the occipitofrontalis muscle. Other treatments that help manage myofascial pain associated with the occipitofrontal muscle include:

Chiropractic care: Spinal misalignment or spinal subluxation in the cervical spine can potentially lead to the development of myofascial trigger pain associated with muscle pain
Acupuncture: Dry needles are placed on the trigger points associated with the affected muscle to relieve pain
Hot/cold compress: Ice or heat packs are placed on the affected muscle to relieve tension.
Massage therapy: Deep tissue massage can relieve the inflamed area, reduce pain, and prevent trigger points from reemerging.

Utilizing these treatments can help prevent myofascial pain and manage headache symptoms associated with the muscle.

Conclusion

Headaches can affect anyone, and various issues can affect their development. Whether it is an underlying or non-underlying cause, multiple problems can trigger a headache to form and cause a dull ache in the affected muscle. One of the most common forms of headaches occurs in the occipitofrontalis muscle located in the forehead and near the base of the skull. The occipitofrontalis muscle is the only muscle that controls eyebrow movement, conveys emotions, and provides non-verbal communication as part of head functionality. However, like all muscles, the occipitofrontalis can become affected and potentially risk developing myofascial trigger pain. When this happens, the occipitofrontalis could develop tension-type headaches associated with myofascial trigger pain. Luckily available treatments are there to manage myofascial trigger pain associated with the occipitofrontalis muscle and alleviate headaches from the affected muscle.

References

Bérzin, F. “OCCIPITOFRONTALIS Muscle: Functional Analysis Revealed by Electromyography.” Electromyography and Clinical Neurophysiology, U.S. National Library of Medicine, 1989, pubmed.ncbi.nlm.nih.gov/2689156/.

Chatchawan, Uraiwan, et al. “Characteristics and Distributions of Myofascial Trigger Points in Individuals with Chronic Tension-Type Headaches.” Journal of Physical Therapy Science, The Society of Physical Therapy Science, Apr. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6451952/.

Falsiroli Maistrello, Luca, et al. “Effectiveness of Trigger Point Manual Treatment on the Frequency, Intensity, and Duration of Attacks in Primary Headaches: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.” Frontiers in Neurology, Frontiers Media S.A., 24 Apr. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC5928320/.

Moraska, Albert F, et al. “Responsiveness of Myofascial Trigger Points to Single and Multiple Trigger Point Release Massages: A Randomized, Placebo Controlled Trial.” American Journal of Physical Medicine & Rehabilitation, U.S. National Library of Medicine, Sept. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5561477/.

Pessino, Kenneth, et al. “Anatomy, Head and Neck, Frontalis Muscle – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 31 July 2021, www.ncbi.nlm.nih.gov/books/NBK557752/.

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Muscle Guarding After Strain or Injury Chiropractic Sciatica Clinic

Dr. Alex Jimenez

Woman doing exercises on simulator with rehabilitation specialist at the gym. Concept of physical therapy for strengthening and recovery. Idea of recovery after pregnancy

Individuals that have experienced a muscle strain, pull, spasm, etc., that has healed can begin to behave overly cautious, avoiding putting full weight on the area or using full motion out of fear of re-injuring it. This can and does strain other body areas because of the imbalance and awkward positioning. It also leads to anxiety, emotional distress, and decreased self-confidence in everyday movement. Adjustments, massage, and decompression therapy can maintain musculoskeletal health, and a chiropractor can help retrain individuals on healthy posture and confident movement.

Table of Contents

Muscle Guarding

Muscles can be held in a position of readiness to act, like the stress response of fight or flight. When this happens, the muscles are partially contracted in preparation for action and is a form of muscle-guarding. But once the fight or flight passes, the muscles relax into their normal position. With injury muscle guarding, the fears and stresses after recovering from an injury can cause the injured and non-injured muscles to stay in the guarded/semi-contracted position. The longer the muscle guarding continues, fatigue begins to set in, decreasing function, restricting mobility, and making the body more vulnerable to damage and injury.

The Brain

The discomfort, pain, or just the thought reinforces the need to guard the area. The brain will find a way to move without causing pain and create compensating but unhealthy movement patterns that strain the other areas of the body. The body adapts to not using the formerly injured muscles and now relies on the other muscles to perform the functions in a non-relaxed state that can become normal, causing stiffness, soreness, tenderness, tendon tension, and pain.

An example is a hip strain, pull or spasm that has been treated and has healed, but the individual is fearful of another injury or going through the painful experience again and begins walking by shifting all their weight to the other side and steps with a limp or some abnormal motion that strains and/or injures the rest of the body.

Chiropractic Treatment and Retraining

Individuals experiencing muscle guarding can find help through chiropractic to retrain their muscles to return to their normal position and regain confidence in their movements. The body will be rebalanced by releasing and relaxing the tight muscles. Then therapeutic repetitive movements, specialized exercises, stretches, and relaxation techniques will help the individual relearn to use the muscles without fear.

Protective Muscle Guarding

References

Hanlon, Shawn et al. “Examining Ankle-Joint Laxity Using 2 Knee Positions and With Simulated Muscle Guarding.” Journal of athletic training vol. 51,2 (2016): 111-7. doi:10.4085/1062-6050-51.3.06

Olugbade, Temitayo et al. “The relationship between guarding, pain, and emotion.” Pain reports vol. 4,4 e770. 22 Jul. 2019, doi:10.1097/PR9.0000000000000770

Prkachin, Kenneth M et al. “Pain behavior and the development of pain-related disability: the importance of guarding.” The Clinical journal of pain vol. 23,3 (2007): 270-7. doi:10.1097/AJP.0b013e3180308d28

Myofascial Trigger Pain On The Face

Dr. Alex Jimenez

Table of Contents

Introduction

Everyone in the world has various expressions that reflect how they are feeling. From being excited, worried, sad, angry, and disgusted, facial expressions defy people who they are, what they eat, and how they look. Each of the different muscles that make up the face has other jobs to work at the various locations of the upper extremities. The muscles on the forehead and near the eyes help people see while opening, closing, and raising their eyebrows. The muscles around the nose help take in air to breathe. The muscles located in the jaw help people chew food and speak. The neck muscles help support the head and provide mobility. All these muscles have specific jobs, and when issues affect the upper body extremities, they can potentially lead to different problems. When environmental factors like stress, anxiety, or depression begin to affect the body, it can also affect its facial features, causing unwanted symptoms to develop. Today’s article focuses on myofascial trigger pain on the face, the signs and symptoms associated with myofascial facial pain, and how to manage myofascial facial pain. We refer patients to certified providers who specialize in musculoskeletal and oral treatments to aid individuals suffering from myofascial trigger pain affecting their facial muscles. We also guide our patients by referring them to our associated medical providers based on their examination when appropriate. We ensure to find that education is the solution to asking our providers insightful questions. Dr. Jimenez DC observes this information as an educational service only. Disclaimer

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How Does Myofascial Trigger Pain Affect The Face?

Have you been experiencing pain-like symptoms in your jaw? What about feeling constant pressure around your nose or cheeks? Do you feel tenderness in certain body areas around your face? Many of these symptoms you are experiencing could potentially involve myofascial trigger pain affecting the facial muscles. Having myofascial trigger pain in the upper extremities of the body can be challenging, as studies reveal that myofascial pain syndrome is a muscular pain disorder that is often misunderstood as it involves referred pain from small, tender trigger pain within the muscle fibers causing pain in different locations of the body than the actual source. Myofascial trigger pain often mimics other chronic conditions that cause doctors to be confused when patients mention that they have been experiencing symptoms and it’s affecting their daily lives. For myofascial trigger pain affecting the face, studies reveal that facial pain associated with myofascial trigger pain can be classified in various ways that affect the nasal, orbital, and oral cavities, the temporomandibular joint, and the sinuses from underlying pathologies. Myofascial pain correlating with the face can have many trigger points that can make a person feel miserable and affect their daily lives.

Signs & Symptoms Associated Myofascial Facial Pain

Like the rest of the body, the face has numerous nerves that branched out from the brain in the central nervous system, providing sensory-motor functions to the muscles. The trigeminal nerves help give movement to the face, and when myofascial pain affects the facial regions, studies reveal that the causes can include:

Idiopathic factors
Trigeminal neuralgia
Dental problems
TMJ disorders
Cranial abnormalities
Infection
Acute muscle injury
Stress and anxiety

These signs are associated with myofascial facial pain due to common overlapping symptoms affecting each muscle around the face. Some of the symptoms related to myofascial facial pain include:

Tingling sensations
Throbbing pain
Headaches
Toothaches
Neck pain
Shoulder pain
Feeling stuffed up
Muscle tenderness

Chronic Facial Pain-Video

Have you been experiencing muscle tenderness in certain parts of your face? What about feeling stuffed up around the areas of your cheeks and nose? Or have you been feeling stiffness and pain along your jaw, neck, or shoulders? If you have been experiencing these pain symptoms, it could be facial pain associated with myofascial trigger pain. The video above overviews chronic facial pain and how it affects the head and neck. Research studies reveal that pain affecting the body for more than six months is considered chronic. Just like any other chronic pain symptoms in the body, chronic facial pain causes a neuropathic response to the central nervous system, making an injury hypersensitive and potentially involving associated symptoms from other chronic disorders. Myofascial dysfunction related to facial pain may become severe to activate trigger points along the facial muscle fibers, causing prickling sensations in the face. Luckily, there are available treatments for managing myofascial facial pain.

Management Of Myofascial Facial Pain

When managing myofascial pain associated with the face, many patients will go to their primary doctor and explain that they are experiencing pain and other symptoms that make them miserable. Doctors then examine the patient to see what is ailing them through a physical examination. Some doctors often utilize manual manipulation and other tools to diagnose that myofascial pain might be the cause. As stated earlier, myofascial pain associated with the face can be a bit complex as it can mimic other chronic conditions. Once the doctor diagnoses myofascial pain related to the face, they can refer their patients to pain specialists like chiropractors, physical therapists, physiatrists, and massage therapists to alleviate myofascial pain related to the face by examining where the causes are coming from. Pain specialists incorporate various techniques to relieve myofascial pain associated with the face:

Stretch & spray (Stretching the muscle and spraying a coolant spray to loosen tight muscles along the neck)
Putting pressure on the trigger point (This helps smooth out the affected muscle and fascia)
Gentle stretching exercises (Help strengthen the affected muscles)
Hot or cold compress (Helps relax the muscles and break up the adhesion from scar tissue)

Incorporating these treatments can help manage the symptoms associated with myofascial pain and can help alleviate muscle pain, thus preventing further issues from developing over time.

Conclusion

The facial muscles have specific jobs with different functions that help the body function properly. These jobs help various sections of the face by expressing how we feel, what we eat and taste, breath, and other jobs that define people. When issues begin to affect the upper extremities of the body, they can cause lead to different problems that affect the facial features of the face and cause unwanted symptoms to develop. This is known as myofascial pain and is often misunderstood,s since it can mimic other chronic conditions that affect the body. Different factors and symptoms associated with myofascial pain can become difficult to diagnose. Still, various techniques can help manage the symptoms over time to prevent further injuries from occurring on the face and the body.

References

Fricton, J R, et al. “Myofascial Pain Syndrome of the Head and Neck: A Review of Clinical Characteristics of 164 Patients.” Oral Surgery, Oral Medicine, and Oral Pathology, U.S. National Library of Medicine, Dec. 1985, pubmed.ncbi.nlm.nih.gov/3865133/.

Williams, Christopher G, et al. “Management of Chronic Facial Pain.” Craniomaxillofacial Trauma & Reconstruction, Thieme Medical Publishers, May 2009, www.ncbi.nlm.nih.gov/pmc/articles/PMC3052669/.

Yoon, Seung Zhoo, et al. “A Case of Facial Myofascial Pain Syndrome Presenting as Trigeminal Neuralgia.” Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics, U.S. National Library of Medicine, 25 Dec. 2008, pubmed.ncbi.nlm.nih.gov/19111486/.

Zakrzewska, J M. “Differential Diagnosis of Facial Pain and Guidelines for Management.” Define_me, July 2013, www.bjanaesthesia.org/article/S0007-0912(17)32972-0/fulltext.

Zakrzewska, Joanna M, and Troels S Jensen. “History of Facial Pain Diagnosis.” Cephalalgia : an International Journal of Headache, SAGE Publications, June 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5458869/.

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Sports Exercise Headaches Sciatica Clinic Chiropractor

Dr. Alex Jimenez

Neck exercises. Woman is in health center getting help by doctor.

Sports exercise headaches are exertion headaches that involve pain during or immediately after sports, exercise, or some physical activity. They come on quickly but can last a few minutes, hours, or days. Activities associated with exercise headaches include running, weightlifting, tennis, swimming, and rowing. Chiropractic, massage, decompression, and traction therapies can realign the body and relax the muscles allowing for optimal circulation and certain strategies to help prevent future episodes. Usually, there is no underlying disease or disorder, but it is recommended to talk to a healthcare provider to make sure.

Table of Contents

Sports Exercise Headaches

When individuals exert their bodies intensely, they need added blood and oxygen, particularly with activities that involve tightening/tensing the abdominal muscles or increasing chest pressure. Doctors and scientists believe an exertional headache occurs when intense physical activity causes the veins and arteries to expand to circulate more blood. The expansion and increased blood circulation generate pressure in the skull that can cause pain.

Alternate Triggers

Exercising is not the only cause; other physical activities that can trigger an exertion headache include:

Sneezing
Coughing
Straining to use the bathroom
Sexual intercourse
Lifting or moving a heavy object

Symptoms

Symptoms of a sports exercise headache include:

Neck stiffness or pain
Pain on one or both sides of the head
Pulsating pain discomfort
Throbbing pain discomfort
Shoulder tightness, discomfort, and/or pain

Sometimes individuals report the headache can feel like a migraine that could include:

Vision problems like blind spots
Nausea
Vomiting
Light sensitivity

Most exercise headaches last five to 48 hours and can continue for three to six months.

Diagnosis

An underlying disease or disorder does not cause most exertional headaches. However, individuals experiencing severe or frequent headaches should consult their doctor or a healthcare provider. Tests will be ordered to rule out possible causes that include:

MRI will take computer-generated images of the brain.
Angiography examines the blood vessels, usually through a CTA, computed tomography, or an MRA or magnetic resonance angiography.
A spinal tap/lumbar puncture takes a sample of fluid from the spine for testing.

If there is no underlying cause found, the medical provider can diagnose exertion headaches if there have been at least two headaches that:

Were caused by exercise or physical activity.
Started during or after the physical activity.
Lasted less than 48 hours.

Chiropractic Treatment

According to the American Chiropractic Association, spinal adjustments are an effective headache treatment option. This includes migraines, tension headaches, or sports exercise headaches. Using the targeted approaches, chiropractic restores the body’s natural alignment to improve function and alleviate stress on the nervous system. This allows the body to operate at optimal levels reducing muscle stress and muscle tension.

DOC Decompression Table

References

American Migraine Foundation. Secondary Headaches. (americanmigrainefoundation.org/resource-library/secondary-headaches/) Accessed 11/17/2021.

Evans, Randolph W. “Sports and Headaches.” Headache vol. 58,3 (2018): 426-437. doi:10.1111/head.13263

International Headache Society. HIS Classification ICHD-3. (ichd-3.org/other-primary-headache-disorders/4-2-primary-exercise-headache/) Accessed 11/17/2021.

McCrory, P. “Headaches and exercise.” Sports medicine (Auckland, N.Z.) vol. 30,3 (2000): 221-9. doi:10.2165/00007256-200030030-00006

National Headache Foundation. Exertional Headaches. (headaches.org/2007/10/25/exertional-headaches/) Accessed 11/17/2021.

Ramadan, Nabih M. “Sports-related headache.” Current pain and headache reports vol. 8,4 (2004): 301-5. doi:10.1007/s11916-004-0012-1

Trotta K, Hyde J. Exercise-induced headaches: prevention, management, and treatment. (www.uspharmacist.com/article/exerciseinduced-headaches-prevention-management-and-treatment) U.S. Pharm. 2017;42(1):33-36. Accessed 11/17/2021.

What Is TMJ Dysfunction?

Dr. Alex Jimenez

Table of Contents

Introduction

The lower jaw of the body has the mastication muscles surrounding the mandible and provides functionality to the jaw through chewing, moving the lower jaw up, down, left, and right, and speaking. The jaw also has joints known as the temporomandibular joints that slide back and forth to provide movement also. The jaw is also home to the teeth and tongue, which play a role in the mouth by consuming and grinding food into smaller bites to travel down to the gut system. Just like every joint and muscle in the body, common issues or injuries can affect the jaw and cause pain symptoms associated with the problem. Sometimes normal wear and tear can affect the joints in the jaw, or traumatic events can affect the surrounding muscles causing soreness in the jaw area. If the issue involving the jaw is not treated over time, it can lead to chronic disorders and overlap with other chronic disorders that can affect the whole body and the jaw. One of the jaw disorders is TMJ dysfunction, which can cause overlapping symptoms in the jaw and the body. Today’s article examines what TMJ dysfunction is, the signs and symptoms, and ways to manage TMJ dysfunction in the jaw. We refer patients to certified providers who specialize in musculoskeletal and oral treatments to aid individuals suffering from TMJ dysfunction affecting their jaws. We also guide our patients by referring them to our associated medical providers based on their examination when appropriate. We ensure to find that education is the solution to asking our providers insightful questions. Dr. Jimenez DC observes this information as an educational service only. Disclaimer

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What Is TMJ Dysfunction?

Have you been experiencing muscle pain in your neck, shoulders, and jaw? What about tenderness in your cheek when you lightly touched it? Or do you have difficulty chewing or moving your jaw when speaking? Many of these symptoms are signs that you could be experiencing TMJ dysfunction in your jaw. TMJ dysfunction, or temporomandibular dysfunction, is part of a group of orofacial pain conditions that affects the jaw joint and muscle, thus causing overlapping issues in the lower jaw. TMJ dysfunction also affects the mastication muscles that help move the jaw by making the muscles hyperactive and causing referred pain to the rest of the body. Studies reveal that about 25% of the population does get affected by TMJ dysfunction since it is a degenerative musculoskeletal condition associated with morphological and functional jaw deformities.

The Signs & Symptoms Of TMJ Dysfunction On The Jaw

TMJ dysfunction may potentially not only cause jaw pain but can also affect the neck and shoulders connected to the cervical spine. Studies reveal that TMJ dysfunction is correlated with neck disability, jaw dysfunction, and muscle tenderness in many individuals that suffer pain with or without TMJ dysfunction. TMJ dysfunction is associated with these issues because the jaw structures are affected by trigger points along the neck and jaw. To that point, TMJ dysfunction is often accompanied by back, joint, and abdominal pain. But how would TMJ dysfunction correlate with these pain issues? Studies reveal that disturbances in the upper body extremities may cause an increase in muscle tension associated with the whole-body imbalance that is potentially causing TMJ dysfunction. Some of the related symptoms of TMJ dysfunction in the jaw include:

Pain in neck and shoulders
The jaw becomes “locked” in an open or closed position
Headaches
Earaches
Muscle tenderness in the jaw
Having difficulty chewing
Swelling on the side of the face
Body imbalance

Exercises For TMJ Dysfunction- Video

TOP 3 EXERCISES FOR TMJ- Temporomandibular Joint Pain/Disorder

Have you been experiencing muscle tenderness in your jaw? What about having some difficulty chewing or speaking? Do you hear popping sounds when your open or close your mouth? Some of these symptoms are associated with a musculoskeletal jaw disorder known as TMJ (temporomandibular joint) dysfunction. The video above shows the top 3 exercises for TMJ dysfunction that can help alleviate pain from the jaw, face, or ear. TMJ dysfunction is a musculoskeletal disorder that affects the mastication muscles and causes referred pain to the neck, head, and ear. TMJ dysfunction is tricky to diagnose since trigger points associated with TMJ may also affect the teeth, causing tooth pain in the oral-facial region. This is known as somato-visceral, where the affected muscle correlates with the corresponding organ. Thankfully, there are ways to manage TMJ dysfunction and its associated symptoms.

Ways To Manage TMJ Dysfunction In The Jaw

Many people can use various ways to manage TMJ dysfunction in the jaw to alleviate the pain. Some non-surgical treatments that individuals can incorporate include:

Heat or cold pack applied to the side of the face
Gentle stretching exercises for the jaw
Eating soft foods
Wearing a night guard while sleeping

If the pain from TMJ dysfunction still affects the individual, therapies like chiropractic care can help manage the symptoms. Chiropractic care can effectively treat TMJ dysfunction, especially spinal subluxation or misalignment in the cervical region. Chiropractors will fully evaluate the patient’s temporomandibular joint and surrounding muscles, joints, and ligaments to identify the TMJ problem and the underlying causes. To that point, a chiropractor may suggest a range of treatments, which includes stretches and exercises to not only alleviate pain and stiffness in the jaw point but also to bring back balance to the body. This allows minimal rubbing and friction in the jaw joint.

Conclusion

Overall, TMJ dysfunction is a musculoskeletal jaw disorder that affects the mastication muscles and causes referred pain to different areas in the upper extremities of the body. Some of the symptoms of TMJ dysfunction can make it difficult for the jaw to open or close, causing pain, headaches, and muscle tenderness in the neck and shoulders. To that point, individuals suffering from TMJ dysfunction may potentially deal with pain-related symptoms. Various non-surgical treatments are available to manage TMJ dysfunction and reduce associated pain symptoms affecting the jaw.

References

Kim, Doori, et al. “The Relationship between Spinal Pain and Temporomandibular Joint Disorders in Korea: A Nationwide Propensity Score-Matched Study – BMC Musculoskeletal Disorders.” BioMed Central, BioMed Central, 29 Dec. 2019, bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-019-3003-4.

Murphy, Meghan K, et al. “Temporomandibular Disorders: A Review of Etiology, Clinical Management, and Tissue Engineering Strategies.” The International Journal of Oral & Maxillofacial Implants, U.S. National Library of Medicine, 2013, www.ncbi.nlm.nih.gov/pmc/articles/PMC4349514/.

Silveira, A, et al. “Jaw Dysfunction Is Associated with Neck Disability and Muscle Tenderness in Subjects with and without Chronic Temporomandibular Disorders.” BioMed Research International, Hindawi Publishing Corporation, 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4391655/.

Walczyńska-Dragon, Karolina, et al. “Correlation between TMD and Cervical Spine Pain and Mobility: Is the Whole Body Balance TMJ Related?” BioMed Research International, Hindawi Publishing Corporation, 2014, www.ncbi.nlm.nih.gov/pmc/articles/PMC4090505/.

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Clean Eating: Functional Sciatica Clinic

Dr. Alex Jimenez

Side view of a multi-ethnic adult family serving food sitting at a table, talking and smiling during a meal together outside on a patio in the sun

Clean eating for beginners is a way to approach how you eat by removing unnecessary fats, sugars, and carbs, avoiding processed foods, and embracing vegetables, whole foods, unrefined grains, lean proteins, and healthy fats. The more you practice, the more the craving for salts and sweets decreases and no longer satisfies. The idea is to combine a clean eating lifestyle with an active life that turns into long-term healthy habits.

Table of Contents

Clean Eating

Junk food refers to processed/refined foods, artificial flavors, sugars, salts, high saturated fats, and other foods that don’t provide nutrition. Clean foods fill the body with an abundance of vitamins and minerals, high-quality protein, and healthy fats, which improve heart and brain health, assist with weight management, strengthen the immune system and increase energy levels. Clean eating guidelines include:

Preparing and Cooking Own Food

Preparing and cooking your food is an easy way to control what goes into your body.
You control the salt, sugar, flavors, and fats with the objective of keeping the levels as low as possible.
Restaurant and diner food tastes great, but it is usually because salt, sugar, and butter are added to everything.

Whole Foods

Whole foods have not been modified, processed or refined, or saturated with preservatives, added sugars, dyes, fats/hydrogenated fats, or salt to add extra flavor or to enhance shelf life.
They include fresh fruits and vegetables, lean proteins, unsalted nuts/seeds, whole grains, full-fat dairy products, and dried beans/legumes.
Unrefined foods contain more nutrients and fiber, essential for healthy body function.

Balanced Meals

Choose foods with a combination of protein, carbs, and fats.
For example – broccoli is a carbohydrate but provides a lot of fiber, antioxidants, and other nutrients, so it’s recommended when eating clean.
Fats should come from unsaturated fats as much as possible, avoiding saturated and trans fats when possible.
This should be practiced with every meal, whether a snack or dinner.

Limit Adding Salt, Sugar, and Fats

Avoid unnecessary additives, like fat, salt, and sugar, when choosing foods.
Clean eating detoxes the body, so pastries, hamburgers, fries, and fried foods begin to taste too sweet or salty because the body is no longer used to them.
The body and tastebuds become acclimated to whole foods with no longer a need for additives.

Five to Six Small Meals

Counting calories does not take into account the value of each calorie.
Making mindful decisions for all foods, like lean protein, complex carbohydrates, fats, fresh fruits, and vegetables, will make the calories count.
Eating five to six times a day in the right amounts with three small main meals and two to three healthy snacks prevents:
Over-eating
Skipping meals
Exhaustion or jitteriness from unstable blood sugar levels.
Helps to lose weight.

Nutrition Labels

Look for labels with few ingredients.
Avoid foods with labels that include words like modified, which indicates added processing, and words that end with the letters ose, which indicate added sugars/fructose.
Look for labels with whole grains and whole wheat.
High-calorie foods should have low saturated fat and sugar levels and calories that come from fiber and lean proteins.
Sodium levels should be as low as possible; the body only needs 250 mg daily.

Drink Plenty of Water

Water needs to be consumed throughout the day, every day.
Water will maintain body hydration and function and prevent hunger.
Sodas and other unhealthy drinks contain high fructose corn syrup and/or other refined sugars providing no health benefits.
Fruit juices contain more nutrients than soda but can be high in calories and sugar. Read the labels.

To start, take small steps so the body can gradually transition into healthy habits that will last long-term. This is a new lifestyle, not a trending fad. Individuals are recommended to ease into it, and then it will begin to feel normal. Injury Medical Chiropractic Clinic has a Functional Medicine team, including a certified nutritionist, to help individuals develop a nutrition plan specific to their needs.

For Beginners

References

Ambwani, Suman et al. “”It’s Healthy Because It’s Natural.” Perceptions of “Clean” Eating among U.S. Adolescents and Emerging Adults.” Nutrients vol. 12,6 1708. 7 Jun. 2020, doi:10.3390/nu12061708

Allen, Michelle, et al. “The Dirt on Clean Eating: A Cross-Sectional Analysis of Dietary Intake, Restrained Eating, and Opinions about Clean Eating among Women.” Nutrients vol. 10,9 1266. 8 Sep. 2018, doi:10.3390/nu10091266

Ghaderi, Ata. “A European perspective on “clean eating”: Commentary on Negowetti et al. (2021).” The International journal of eating disorders vol. 55,1 (2022): 49-51. doi:10.1002/eat.23615

www.nia.nih.gov/health/how-read-food-and-beverage-labels

TMJ Dysfunction On The Lateral Pterygoid Muscle

Dr. Alex Jimenez

Table of Contents

Introduction

The jaw allows the host to chew, speak, and move while being stabilized by the surrounding muscles that help the jaw structure. The other surrounding muscles that support the jaw are the neck muscles when food is consumed and swallowed. The lower jaw has joints on each side that connect to the upper part of the skull, while the surrounding muscles provide the motor function to the jaw. To that point, normal wear and tear or various factors can not only affect the joints and the surrounding muscles, but they can cause overlapping pain profiles to the tendons, organs, and jaw muscles that may potentially affect a person’s quality of life. Today’s article examines the lateral pterygoid muscle, how TMJ dysfunction and trigger points affect this muscle, and ways to manage TMJ dysfunction and trigger points in the jaw. We refer patients to certified providers who specialize in musculoskeletal treatments to aid individuals suffering from trigger point pain associated with TMJ dysfunction affecting the lateral pterygoid muscle. We also guide our patients by referring them to our associated medical providers based on their examination when appropriate. We ensure to find that education is the solution to asking our providers insightful questions. Dr. Jimenez DC observes this information as an educational service only. Disclaimer

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What Is The Lateral Pterygoid Muscle

Have you heard popping sounds in your jaw when you open or close your mouth? Does your jaw feel stiff, and the pain travels down the neck? Does your jaw lock up, causing difficulty for you to open or close your mouth? Some of these symptom overlap with pain associated with the lateral pterygoid muscle. As part of the mastication muscles, the lateral pterygoid muscle is also a craniomandibular muscle that has a crucial role in the inferior temporal region. The lateral pterygoid muscle works together with the medial pterygoid muscle to provide functionality to the mandible or the lower jaw. The lateral pterygoid muscle also has nerves that branch off the trigeminal nerve and sends information to the brain. This information causes the muscles to move and function when food is consumed; however, when injuries or traumatic events affect the lateral pterygoid, it can disrupt the lower jaw structure and the surrounding muscles.

How TMJ Dysfunction & Trigger Points Affect The Lateral Pterygoid

When the lateral pterygoid is affected by TMJ (temporomandibular joint) dysfunction, studies reveal that many individuals often experience pain around the jaw causing limited jaw movement and pain in the lateral pterygoid muscles. When the lateral pterygoid muscles become overused due to excessive chewing or by traumatic forces that affect the jaw, it can cause the muscle fibers of the lateral pterygoid to develop tiny knots known as trigger points to affect the jawline. Trigger points cause pain symptoms associated with other chronic issues that cause jaw pain. When trigger points affect the lateral pterygoid, it can develop discomfort and pain in TMJ dysfunction.

According to Dr. Janet G. Travell, M.D., many people with severe pain in their jaws may have myofascial pain syndrome from musculoskeletal disorders caused by active trigger points in the lateral pterygoid muscle. Since the lateral pterygoid is potentially involved with trigger points associated with TMJ dysfunction, studies reveal that the lateral pterygoid muscle may suffer from muscle atrophy while correlating with disc displacement associated with TMJ dysfunction. TMJ dysfunction is when the surrounding muscles and ligaments around the lower jaw are irritated from active trigger points. When a person suffers from TMJ dysfunction, the pterygoid muscles become stiff and cause pain-related symptoms affecting the jaw and the surrounding oral-facial region.

Jaw Pain & TMJ Dysfunction-Video

Jaw Pain and TMJ Disorders: Mayo Clinic Radio

Have you been experiencing pain along your jawline? Do your jaw muscles feel stiff when your open or close your mouth? Have you heard popping sounds when you open your jaw, and it hurts? Many of these symptoms are associated with TMJ dysfunction affecting the lateral pterygoid muscle. The video above explains how TMJ disorder and jaw pain affect the body. Studies reveal that the activities of the lateral pterygoid muscle allow movement to the jaw for the host; however, when factors begin to affect the jaw and the lateral pterygoid muscle, it may lead to derangement and disc displacement in the TMJ. TMJ dysfunction associated with trigger points in the jaw may be combined with other factors that cause pain to the jaw and the rest of the body. This is known as somato-visceral pain, where the muscle affects the corresponding organ. TMJ dysfunction associated with trigger points is complex and challenging to diagnose since trigger points often mimic other chronic symptoms that may be potentially involved. Since the lateral pterygoid muscle has sensory-motor functions in the jaw, when the muscle becomes sensitive, those neuron signals become hypersensitive and cause disorganized muscular activation to the jaw; thus, determining factors in TMD (temporomandibular disorders) make an appearance. Luckily there are ways to manage TMJ dysfunction associated with trigger pain in the jaw from affecting anyone.

Managing TMJ Dysfunction & Trigger Pain In The Jaw

When a person is experiencing pain symptoms in the jaw from TMJ dysfunction associated with trigger point pain, many try to find various treatments to minimize the pain. Since trigger point pain in the jaw can cause referred pain associated with toothaches and tension-type headaches, the pain that a person is feeling can be confusing when there is no physical alteration. To that point, many people would take over-the-counter medicine to dull the pain. However, those who want to manage pain without medication can go to a musculoskeletal specialist that their primary doctor refers to, who can come up with a treatment plan catered to that person. Many musculoskeletal specialists, like chiropractors, can obtain the patient’s information on where they feel pain during the examination. Afterward, chiropractors can devise a solution through clinical thinking before applying the treatment to the patient’s pain. Some of the various techniques that a chiropractor utilizes for an individual dealing with jaw pain associated with trigger points include:

Stretch and spray: Where the lateral muscle is stretched and sprayed with a coolant to alleviate the trigger points.
Cervical spinal manipulation: Spinal adjustment to the cervical spine to loosen up stiff muscles surrounding the neck and lower jaw.
Heat compression: A hot pack is placed on the jaw to relax the muscles.

When chiropractors utilize these techniques on the trigger points affecting the lateral pterygoid, it may potentially alleviate TMJ dysfunction symptoms associated with trigger points.

Conclusion

The lateral pterygoid is part of the mastication muscles that work with the medial pterygoid muscle to stabilize the jaw and provide motor function when the host is chewing or speaking. When the lateral pterygoid muscle becomes overused through excessive chewing or being affected by traumatic factors can cause the development of pain symptoms associated with trigger points. Trigger points are tiny knots in the muscle that can cause referred pain to different locations in the body. When this happens, many individuals suffer from other chronic conditions associated with trigger points. One of them is TMJ dysfunction, where the surrounding muscles in the lower jaw become irritated and can make the jaw lock up. Fortunately, various treatments exist for many individuals to relieve trigger point pain associated with TMJ dysfunction affecting their jaws and help prevent the associated symptoms from progressing further.

References

Litko, Monika, et al. “Correlation between the Lateral Pterygoid Muscle Attachment Type and Temporomandibular Joint Disc Position in Magnetic Resonance Imaging.” Dento Maxillo Facial Radiology, The British Institute of Radiology., Oct. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5595028/.

Liu, Meng-Qi, et al. “Functional Changes of the Lateral Pterygoid Muscle in Patients with Temporomandibular Disorders: A Pilot Magnetic Resonance Images Texture Study.” Chinese Medical Journal, Wolters Kluwer Health, 5 Mar. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7065862/.

Lopes, Sérgio Lúcio Pereira de Castro, et al. “Lateral Pterygoid Muscle Volume and Migraine in Patients with Temporomandibular Disorders.” Imaging Science in Dentistry, Korean Academy of Oral and Maxillofacial Radiology, Mar. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4362986/.

Rathee, Manu, and Prachi Jain. “Anatomy, Head and Neck, Lateral Pterygoid Muscle.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 29 Oct. 2021, www.ncbi.nlm.nih.gov/books/NBK549799/.

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Disc Protrusion Sciatica Clinic Chiropractor

Dr. Alex Jimenez

cropped view of chiropractor massaging back of man in hospital

Spinal disc deterioration from aging is normal, but health issues or injuries can advance the degenerative process. Disc protrusions are related to herniated discs but are the mildest form of the condition and are a common form of spinal disc deterioration that can cause neck and back issues. However, individuals may have a small protruding disc that can go undetected unless it irritates or compresses the surrounding nerves. Chiropractic care, decompression, and massage therapy can realign the disc back into position, relieving discomfort and pain.

Table of Contents

Disc Protrusion

A disc is like a sturdy soft rubber shock absorber/cushion with added gel inside. The gel acts as a shock absorber. When the gel begins to protrude out slightly, this is a disc protrusion. Once a protruding disc begins to develop, it usually remains in that position. The disc can sometimes reabsorb on its own and realign back into position, but there is no way of knowing that will happen or how long it will take. With age and/or injuries, the body’s parts change. The spine’s discs dehydrate and lose elasticity weakening the discs and making them more vulnerable to herniation stages:

First Stage

Following natural weakening can be classified as a disc protrusion when the disc’s core begins pushing into the spinal column.
Disc protrusions can be tiny or push out an entire side of the disc.

Second Stage

Disc deterioration often consists of a bulging disc when the core pushes out farther around the circumference beyond the disc’s outer layer, called the annulus fibrosus, creating the telltale bulge.
A bulging disc involves more than 180 degrees of the disc’s circumference.

Third Stage

The third stage is a herniated disc, meaning the disc’s outer wall has torn, allowing the inner gel to leak out, usually irritating the surrounding nerves.

Fourth Stage

The fourth stage is sequestration, a herniated disc in which a piece of the nucleus breaks free of the vertebral disc fragments and falls into the spinal canal.

Types

A disc protrusion is one type of disc herniation that pushes out but remains connected. Different types compress and irritate the discs differently and produce various symptoms, including:

Paracentral

This is the most common, where the disc protrusion jams the space between the central canal and the foramen.

Central

This is where the disc protrusion impinges into the spinal canal, with or without spinal cord compression.

Foraminal

The disc intrudes into the foramen, the space through which nerve roots branch off the spinal cord and exit the vertebrae.

Symptoms, Diagnosis, and Chiropractic Care

Individuals with a disc protrusion can have symptoms similar to sciatica, which includes back, buttock, and leg discomfort, numbness, and pain sensations.

Treatment for disc protrusion will be based on the individual’s symptoms.
A chiropractor will take a detailed medical history and perform a physical examination.
A spinal MRI test could be ordered depending on the injury or condition.
A customized treatment plan will be developed to fit the individual’s medical needs.

Most disc protrusions improve after a few weeks of rest, avoiding strenuous activities, activity modification, an anti-inflammatory diet, and gentle exercises that the chiropractic team will provide.

True Spinal Decompression

References

Fardon, David F et al. “Lumbar disc nomenclature: version 2.0: Recommendations of the combined task forces of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology.” The spine journal: official journal of the North American Spine Society vol. 14,11 (2014): 2525-45. doi:10.1016/j.spinee.2014.04.022

Mysliwiec, Lawrence Walter, et al. “MSU classification for herniated lumbar discs on MRI: toward developing objective criteria for surgical selection.” The European spine journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society vol. 19,7 (2010): 1087-93. doi:10.1007/s00586-009-1274-4

www.ninds.nih.gov/low-back-pain-fact-sheet#3102_7

Urban, Jill P G, and Sally Roberts. “Degeneration of the intervertebral disc.” Arthritis research & therapy vol. 5,3 (2003): 120-30. doi:10.1186/ar629

Trigger Point Pain Affecting The Medial Pterygoid Muscles

Dr. Alex Jimenez

Table of Contents

Introduction

The jaw has a primary function in the head as it allows the muscles to move up and down, helps chew food, and allows the host to speak. Each of the muscles and organs inside the jaw has its functions that will enable the head to function correctly. The mouth, part of the gut system, allows air to travel into the lungs so the body can breathe and consume food to be swallowed and digested to be turned into energy for the rest of the body to move around. The mouth, the tongue, and the teeth have a casual relationship as the teeth can grind the food into small pieces to be digested, while the tongue can taste the food. When issues begin to cause an effect on the jaw, it can lead to symptoms that can, over time, be painful to the surrounding muscles, organs, and even nerve endings along the jaw’s skeletal structure. Today’s article looks at the medial pterygoid muscle, how trigger point pain affects this muscle, and ways to manage trigger point pain on the medial pterygoid muscle. We refer patients to certified providers who specialize in musculoskeletal treatments to aid individuals suffering from trigger point pain associated with the medial pterygoid muscle along the inside of the jaw. We also guide our patients by referring them to our associated medical providers based on their examination when appropriate. We ensure to find that education is the solution to asking our providers insightful questions. Dr. Jimenez DC observes this information as an educational service only. Disclaimer

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What Is The Medial Pterygoid Muscle?

Do you have any problems or issues chewing your food? What about throat soreness from swallowing something hard? Or have you noticed stiffness along your jawline? Individuals experiencing these symptoms might be dealing with pain along the medial pterygoid muscle in their jaw. The medial pterygoid muscle is part of the mastication muscles, which includes the temporalis, lateral pterygoid, and masseter muscles of the jaw. The medial pterygoid is a rectangular-shaped muscle that lies inside the lateral pterygoid muscle. The medial pterygoid muscle works together with the masseter muscle as a sling to help stabilize the mandible or the lower jaw. In contrast, the medial pterygoid nerves provide sensory-motor functions to make the lower jaw move and promote chewing action, thus sending nerve signals to travel through the trigeminal nerve and send the information to the brain. Just like any of the different muscles in the body, the medial pterygoid muscle may succumb to injuries that can affect the sensory-motor function of the jaw while triggering various issues to cause more pain to the jaw and the body.

How Does Trigger Point Pain Affect The Medial Pterygoid Muscle?

When various issues begin to affect the muscles of the body, it can be something simple like repetitive motions that causes the muscles to be overused or injuries that can cause the muscles to become inflamed and, if not treated, can become sensitive to the touch. To that point, tiny knots known as trigger points are formed along the taut muscle fibers that can make the muscle become sensitive and overlap various issues that can cause pain in different body locations. Since the medial pterygoid and the masseter muscle work together, studies reveal that muscle hypertrophy may associate with the masseter, medial pterygoid, or both and can potentially be involved with the risk of dental problems or other issues that are affecting the oral-facial region. Trigger points along the medial pterygoid muscle may be challenging to diagnose due to the referred pain that affects different body areas while mimicking various pain symptoms that become the causes. An example would be a person experiencing ear pain associated with jaw pain. Now how would these two correlate when the person is dealing with ear pain? Since trigger points can mimic other symptoms, the jaw muscles (which include the medial pterygoid) become aggravated and overused, causing referred pain to the teeth overlapping with ear pain.

The Anatomy Of The Medial Pterygoid Muscle-Video

Medial Pterygoid Muscle: Origin, Insertion, Function & Nerve Supply - Anatomy | Kenhub

Have you been experiencing unexplainable ear pain? What about your jaws feeling stiff when chewing on something? Or have you been dealing with tooth pain in the back of your jaw? Many of these issues are correlated to referred pain symptoms associated with the medial pterygoid. The video above gives an overview look of the anatomy of the medial pterygoid muscle, its functions, and how it helps the body. When the medial pterygoid is affected by trigger point pain, it may potentially cause various conditions to affect the oral facial region or the surrounding areas of the head. Studies reveal that myofascial pain is often characterized by a trigger point in the taut skeletal muscle band or the fascia. When trigger point pain affects the mastication muscles, it may lead to other comorbidities like muscle tension, poor posture, headaches, and jaw disorders like TMJ(temporomandibular joint) pain. Fortunately, there are ways to manage trigger point pain on the medial pterygoid muscle.

Ways To Manage Trigger Point Pain On The Medial Pterygoid Muscle

Trigger point pain often affects the muscles in certain body areas, causing pain that affects the region of the body, thus making the muscle sensitive. Many individuals who suffer from trigger point pain associated with the medial pterygoid muscle would often complain of toothaches or headaches affecting their daily activities to their primary doctors. After an examination, many doctors would refer their patients to musculoskeletal specialists to see what issue is causing the patient pain in their bodies. Since trigger point pain is a bit complex, musculoskeletal specialists like chiropractors or physical therapists will examine trigger points associated with pain. Many musculoskeletal specialists utilize various techniques to release trigger points along the affected muscle to manage the pain and its related symptoms. At the same time, many musculoskeletal specialists incorporate other multiple treatments to help manage trigger point pain on the medial pterygoid muscle. These various treatments allow the muscles to relax and avoid a relapse in future injuries affecting the muscle.

Conclusion

The primary function of the jaw in the head is to allow the muscles to move up and down, enabling the host to speak and help the mouth chew food. The medial pterygoid is one of the four main mastication muscles that help support the jaw, which is rectangular shaped and helps stabilize the lower jaw. This muscle allows the sensory-motor function of the lower jaw and promotes chewing action. When traumatic or ordinary factors cause the medial pterygoid muscles to become overused can developed trigger points along the muscle fibers and initiate pain associated with toothaches and headaches. Trigger points along the medial pterygoid muscle can make the affected area sensitive and challenging to pinpoint. Fortunately, musculoskeletal specialists like chiropractors or physical specialists can help alleviate the pain while managing trigger points on the affected muscle through various techniques. When people begin to incorporate treatments to manage pain in their bodies, it can allow them to be mindful and avoid future injuries.

References

Guruprasad, R, et al. “Masseter and Medial Pterygoid Muscle Hypertrophy.” BMJ Case Reports, BMJ Publishing Group, 26 Sept. 2011, www.ncbi.nlm.nih.gov/pmc/articles/PMC3185404/.

Jain, Prachi, and Manu Rathee. “Anatomy, Head and Neck, Medial (Internal) Pterygoid Nerve.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 11 June 2022, www.ncbi.nlm.nih.gov/books/NBK547712/.

Jain, Prachi, and Manu Rathee. “Anatomy, Head and Neck, Medial Pterygoid Muscle.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 11 June 2022, www.ncbi.nlm.nih.gov/books/NBK546588/.

Sabeh, Abrar Majed, et al. “Myofascial Pain Syndrome and Its Relation to Trigger Points, Facial Form, Muscular Hypertrophy, Deflection, Joint Loading, Body Mass Index, Age and Educational Status.” Journal of International Society of Preventive & Community Dentistry, Wolters Kluwer – Medknow, 24 Nov. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7791579/.

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Baseball Injuries Chiropractor: Sciatica Clinic

Dr. Alex Jimenez

The game of baseball takes a toll on the body, especially when players advance from little league to high school, college, minor league, and the pros. The most common baseball injuries can range from mild to severe, from normal wear and tear on the joints and muscles to repetitive stress injuries, collisions with other players, getting hit with the ball, or bodily trauma. A chiropractor can provide ideal treatment for players of all ages and levels with decreased downtime and expedited healing and recovery.

Table of Contents

Baseball Injuries

Although there have been a lot of advances in player safety and health, from helmets with face guards to shin and arm padding, the equipment lessens the impact and risks of injury. The game still involves running, sliding, twisting, and jumping, causing the body to maneuver awkwardly. Players often report sliding into first, feeling a pop or twisting to catch a fly ball, and feeling something snap. The most common injuries include:

Torn Labrum

Cartilage surrounding the shoulder joint socket, known as the labrum, often gets torn.
The soft tissue keeps the bones in place and provides stability.
Pitching and throwing motions stress the labrum.
With time, the cartilage begins to overstretch and tear, leading to swelling, shoulder pain, weakness, and overall instability.

Rotator Cuff Tears

The rotator cuff structure involves a complex set of tendons and muscles that stabilize the shoulder.
Pitchers are the most vulnerable, but all players are susceptible.
Cases are caused by not warming up and stretching correctly and repetitive/overuse movements.
Swelling and pain are the most common symptoms.
With a severe tear, a player will lose the ability to rotate the shoulder correctly.

Shoulder Instability or Dead Arm

This is when the shoulder muscles become overly fatigued, and the joint becomes unstable, losing the ability to throw precisely.
The condition is called dead arm by players and trainers.
This type of injury is caused by overuse and repeated stress.
Healing involves letting the shoulder rest for an extended period, but treatment, like chiropractic or physical therapy, could be recommended depending on the severity.

Pitchers Elbow

A pitcher’s elbow injury is caused by overuse and sustained/repeated damage to the tendons that rotate the wrist.
Pain and swelling occur along the inside of the elbow and forearm.

Wrist Tendonitis and Trauma

Wrist Tendonitis or tenosynovitis happens when the ligaments and tendons become tender, swollen, ruptured, or torn.
This causes inflammation, pain, and weakness.
Trauma injuries can result from collisions with another player, the ground, or a ball.

Knee Tears and Trauma

Knee injuries can be caused by normal wear and tear, overuse, or traumatic impact.
The fibrous bands are what stabilize and cushion the knee.
Overuse and any awkward movement can cause the tearing of the various ligaments.
The bands can develop micro-tears or complete ruptures, causing inflammation, pain, and instability.

Chiropractic Care and Rehabilitation

Chiropractic treatment and physical therapy have been found to help athletes maintain flexibility and range of motion, rehabilitate the body after an injury, and prevent new injuries or worsening of current injuries.

Chiropractic helps stretch and flex the muscles to stay limber and less prone to injury.
Chiropractic is a natural pain reliever for sore muscles and joint pain.
Physical therapy can strengthen an injured area during recovery and educate on proper form and techniques.
Taping and strapping can help support the elbows, wrists, ankles, and knees, reducing stress.
A combination of treatment approaches can help decrease recovery time so players can get back on the field.

Shoulder Adjustment Baseball Injuries

References

Bullock, Garrett S et al. “Shoulder Range of Motion and Baseball Arm Injuries: A Systematic Review and Meta-Analysis.” Journal of athletic training vol. 53,12 (2018): 1190-1199. doi:10.4085/1062-6050-439-17

Lyman, Stephen, and Glenn S Fleisig. “Baseball injuries.” Medicine and sport science vol. 49 (2005): 9-30. doi:10.1159/000085340

Matsel, Kyle A et al. “Current Concepts in Arm Care Exercise Programs and Injury Risk Reduction in Adolescent Baseball Players: A Clinical Review.” Sports health vol. 13,3 (2021): 245-250. doi:10.1177/1941738120976384

Shitara, Hitoshi, et al. “Shoulder Stretching Intervention Reduces the Incidence of Shoulder and Elbow Injuries in High School Baseball Players: a Time-to-Event Analysis.” Scientific reports vol. 7 45304. 27 Mar. 2017, doi:10.1038/srep45304

Wilk, Kevin E, and Christopher A Arrigo. “Rehabilitation of Elbow Injuries: Nonoperative and Operative.” Clinics in sports medicine vol. 39,3 (2020): 687-715. doi:10.1016/j.csm.2020.02.010

Temporal Headaches & Toothaches

Dr. Alex Jimenez

Table of Contents

Introduction

Headaches are one of the common issues that affect anyone worldwide. Different issues can cause headaches and affect other individuals depending on the issue. The pain can range from being dull to sharp and affect a person’s mood, sense of belonging, and body. Different headaches can have different effects on people since headaches can be acute or chronic and overlap with other issues affecting the body. To that point, the surrounding muscles and organs around the face may be involved with other conditions where headaches are a symptom rather than a cause. Today’s article examines the temporalis muscle, how trigger pain affects the temporalis muscle, and how to manage the pain associated with trigger points. We refer patients to certified providers who specialize in musculoskeletal treatments to aid individuals suffering from trigger point pain associated with the temporal muscle pain along the side of the head. We also guide our patients by referring them to our associated medical providers based on their examination when appropriate. We ensure to find that education is the solution to asking our providers insightful questions. Dr. Jimenez DC observes this information as an educational service only. Disclaimer

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What Is The Temporalis Muscle?

Have you been dealing with a dull or sharp ache on the side of your head? What about the tension that is along your jawline? Or have you been dealing with tooth pain throughout the entire day? Encountering these symptoms can be difficult as they affect the facial region of the head and might overlap with the temporal muscle. The temporalis muscle is part of the mastication muscles, which includes the medial pterygoid, lateral pterygoid, and masseter muscles. The temporalis muscle is a flat, fan-shaped muscle that spans from the temporal fossa to the inferior temporal line of the skull. This muscle converges to form a tendon that surrounds the jaw bone and helps stabilize the jaw and its function by extending and retracting. Studies reveal that the temporalis muscle has two tendons: superficial and deep, in the back of the molars to aid chewing and are attached to the coronoid process (the skin and subcutaneous tissues that cover the superficial tendon of the temporalis muscle and the masseter muscle.) To that point, traumatic and ordinary factors can affect the temporalis muscle and cause symptoms associated with the muscle.

How Do Trigger Points Affect The Temporalis Muscle?

When traumatic or ordinary factors begin to affect the body, including the oral-facial region, it can cause unwanted symptoms to develop over time and, if not treated, make a person’s life miserable. Studies reveal that individuals dealing with chronic tension-type headaches have intense pain from the temporalis muscle. When the temporalis muscle becomes sensitive to the touch, the pain can travel to different body areas. These are known as myofascial or trigger points, and they can be a bit challenging for doctors to diagnose because they can mimic various pain symptoms. Trigger points along the temporalis muscles may potentially affect the teeth and cause headaches to form. Active trigger points in the temporalis muscle could potentially evoke local and referred pain while constituting one of the contributing sources of headache pain. Now how can the temporalis muscle induce chronic tension-type headaches? Well, trigger points are caused when the muscles are overused and can develop tiny knots along the muscle fibers.

Trigger points along the temporalis muscle could potentially induce abnormal dental pain. Studies reveal that abnormal dental pain can be referred to as neurovascular headaches associated with tension on the temporalis muscle. Since trigger points often mimic other chronic conditions that confuse many people about why they are experiencing pain from one section of their body, there are no signs of traumatic encounters. Since trigger points can cause pain to travel from one area of the body to another, many individuals try to find therapeutic ways to alleviate their pain.

An Overview Of The Temporal Muscle- Video

Temporal Muscle Anatomy Overview - Human Anatomy | Kenhub

Have you been experiencing headaches that affect your daily activities? Does your jaw seem stiff or tender to the touch? Or have your teeth become extra sensitive when eating certain foods? Many of these symptoms may involve trigger points affecting the temporalis muscle. The video above gives an overview of the anatomy of the temporalis muscle in the body. The temporalis is a fan-shaped muscle that converges into tendons that help make the jaws move. When factors affect the body, especially the temporalis muscle, it can potentially develop trigger points along the muscle fibers. To that point, trigger points can mimic conditions affecting the body, like chronic tension-type headaches and tooth pain. Studies reveal that the pain pressure associated with trigger points along the temporalis muscle is consistently higher when there are different amounts of tooth clenching or jaw gaps. As luck would have it, there are ways to manage temporal muscle pain associated with trigger points.

Ways To Manage Temporal Muscle Pain Associated With Trigger Points

Since trigger points along the temporalis muscle could potentially cause pain in the oral facial region, the surrounding muscles like the upper trapezius and the sternocleidomastoid with their trigger points may cause jaw motor dysfunction and tooth pain. Fortunately, musculoskeletal specialists like chiropractors, physiotherapists, and massage therapists can find where the trigger points are located and use various techniques to alleviate trigger point pain along the temporalis muscle. Studies reveal that soft tissue manipulation can help release the trigger point pressure off of the temporalis muscle and cause relief. Utilizing soft manipulation on myofascial temporalis pain affecting the neck, jaw, and cranial muscles can help reduce headache pain symptoms and help many people feel relief.

Conclusion

The temporalis in the body is a flat, fan-shaped muscle that converges down to the jawline and works with the other mastication muscles to provide the motor function to the jaw. When ordinary or traumatic factors affect the temporalis muscle, it can develop trigger points along the muscle fibers. To that point, it causes pain-like symptoms and even causes referred pain like tension headaches and toothaches in the oral-fascial region of the head. This can make many people suffer in pain unless there are ways to manage the associated symptoms. Fortunately, many musculoskeletal specialists can incorporate techniques that target trigger-point pain related to the affected muscle. When people utilize treatment for myofascial trigger pain, they can get their lives back together.

References

Basit, Hajira, et al. “Anatomy, Head and Neck, Mastication Muscles – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 11 June 2022, www.ncbi.nlm.nih.gov/books/NBK541027/.

Fernández-de-Las-Peñas, César, et al. “The Local and Referred Pain from Myofascial Trigger Points in the Temporalis Muscle Contributes to Pain Profile in Chronic Tension-Type Headache.” The Clinical Journal of Pain, U.S. National Library of Medicine, 2007, pubmed.ncbi.nlm.nih.gov/18075406/.

Fukuda, Ken-Ichi. “Diagnosis and Treatment of Abnormal Dental Pain.” Journal of Dental Anesthesia and Pain Medicine, The Korean Dental Society of Anesthsiology, Mar. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5564113/.

Kuć, Joanna, et al. “Evaluation of Soft Tissue Mobilization in Patients with Temporomandibular Disorder-Myofascial Pain with Referral.” International Journal of Environmental Research and Public Health, MDPI, 21 Dec. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7767373/.

McMillan, A S, and E T Lawson. “Effect of Tooth Clenching and Jaw Opening on Pain-Pressure Thresholds in the Human Jaw Muscles.” Journal of Orofacial Pain, U.S. National Library of Medicine, 1994, pubmed.ncbi.nlm.nih.gov/7812222/.

Yu, Sun Kyoung, et al. “Morphology of the Temporalis Muscle Focusing on the Tendinous Attachment onto the Coronoid Process.” Anatomy & Cell Biology, Korean Association of Anatomists, 30 Sept. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8493017/.

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Spinal Stenosis MRI: Sciatica Clinic Chiropractor

Dr. Alex Jimenez

Spinal stenosis is when space somewhere along or within the spine begins to narrow, closing off the ability of normal/comfortable movement and nerve circulation. It can affect different areas, including the cervical/neck, lumbar/low back, and, less commonly, the thoracic/upper or mid-back regions causing tingling, numbness, cramping, pain, muscle weakness, or a combination in the back, leg/s, thighs, and buttocks. There can be various factors causing the stenosis; correct diagnosing is the first step, and where a spinal stenosis MRI comes in.

Table of Contents

Spinal Stenosis MRI

Stenosis can be challenging to diagnose as it is more of a symptom/complication than a condition, often caused by herniated discs, bone spurs, a congenital condition, post-surgery, or after an infection. Magnetic resonance imaging/MRI is a common test used in diagnosis.

Diagnosis

A healthcare professional, like a chiropractor, physical therapist, spine specialist, or physician, will begin with understanding symptoms and medical history.
A physical exam will be conducted to learn more about the location, duration, positions, or activities that decrease or worsen the symptoms.
Additional tests include muscle strength, gain analysis, and balance testing to help better understand where the pain is coming from.
To confirm a diagnosis, imaging will be required to see what is going on.
An MRI uses computer-generated imaging to produce images that show bone and soft tissues, like muscles, nerves, and tendons, and if they are compressed or irritated.
A healthcare professional and MRI technician will go over the safety requirements before the imaging.
Because the machine uses powerful magnets, there can be no metal on or in the body, like implanted prostheses or devices that include:
Pacemakers
Cochlear implants
Medication infusion pumps
Intrauterine contraceptives
Neurostimulators
Intracranial aneurysm clips
Bone-growth stimulators
A different imaging test may be used if an individual cannot have an MRI like a CT scan.

An MRI can range from several minutes to an hour or longer, depending on how many positions are necessary to isolate the injured area and get a clear image. The test is painless, but sometimes individuals are asked to maintain a specific position that could be uncomfortable. The technician/s will ask if there is discomfort and offer any help to make the experience as easy as possible.

Treatment

Not all cases of stenosis cause symptoms, but there are treatment options that a healthcare professional can recommend.

Conservative care is the first recommendation that includes chiropractic, decompression, traction, and physical therapy.
Treatment increases muscle strength, improves range of motion, improves posture and balance, decreases discomfort symptoms, and incorporates strategies to prevent and manage symptoms.
Prescription medications could be part of a larger treatment plan.
Surgery could become an option in more severe cases where conservative care is not working.

Spinal Stenosis

References

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet]. York (UK): Centre for Reviews and Dissemination (UK); 1995-. Diagnosis of lumbar spinal stenosis: an updated systematic review of the accuracy of diagnostic tests. 2013. Available from: www.ncbi.nlm.nih.gov/books/NBK142906/

Ghadimi M, Sapra A. Magnetic Resonance Imaging Contraindications. [Updated 2022 May 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK551669/

Gofur EM, Singh P. Anatomy, Back, Vertebral Canal Blood Supply. [Updated 2021 Jul 26]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK541083/

Lurie, Jon, and Christy Tomkins-Lane. “Management of lumbar spinal stenosis.” BMJ (Clinical research ed.) vol. 352 h6234. 4 Jan. 2016, doi:10.1136/bmj.h6234

Stuber, Kent, et al. “Chiropractic treatment of lumbar spinal stenosis: a review of the literature.” Journal of chiropractic medicine vol. 8,2 (2009): 77-85. doi:10.1016/j.jcm.2009.02.001

Myofascial Pain Affecting The Jaw Muscles

Dr. Alex Jimenez

Table of Contents

Introduction

The head has many functions that provide the body with functionality. The head consists of the skull, which protects the brain, the eyes to make the host see, and the jaw, which has teeth and the tongue to taste and chew food. The neck supports the head to ensure that it is stabilized and functions appropriately. Below the eyes, the jaw has muscles and joints that help stabilize the jaw from hyperextending out while providing motor function. To that point, factors that can affect the jaw could potentially affect the surrounding muscles and joints on the head and neck, causing the individual to be in pain. Today’s article looks at the masseter muscles, how myofascial pain affects the masseter muscles, and ways to relieve myofascial pain associated with the masseter muscles. We refer patients to certified providers who specialize in musculoskeletal treatments to aid individuals suffering from myofascial pain associated with masseter muscle pain along the jaw. We also guide our patients by referring them to our associated medical providers based on their examination when appropriate. We ensure to find that education is the solution to asking our providers insightful questions. Dr. Jimenez DC observes this information as an educational service only. Disclaimer

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What Is The Masseter Muscle?

Have you been experiencing headaches located near your temples? Does your jaw feel sore throughout the entire day? Or have tooth pain or ear pain seems to bother you constantly? Some of these symptoms may affect your jaw joints, especially in the masseter muscles. The masseter muscles are powerful quadrangular muscles on each side of the jaw with three divisions: superficial, intermediate, and deep. The masseter muscles are also part of the mastication muscles in the jaw which include:

Temporalis
Medial pterygoid
Lateral pterygoid
Masseter muscles

The masseter muscles also help the jaw function properly, as studies reveal that this quadrangular muscle participates in various activities like mastication (chewing), swallowing, and talking. To that point, the masseter muscles have a relationship with the trigeminal nerve, which provides sensory-motor stimulation for the jaw to move. However, when factors (traumatic or ordinary) begin to affect the masseter muscles and the surrounding muscles associated with the neck and head, pain can either slowly or quickly depending on the severity the muscles have endured.

How Myofascial Pain Affects The Masseter Muscle?

Studies reveal that chronic pain in the orofacial region of the body is common worldwide and can cause disorders affecting jaw motor control. When painful symptoms affect the jaw, many individuals begin to feel pain in the top or bottom of their jaws that cause tooth pain and the brows, causing them cluster-like headaches or experiencing tinnitus (ringing in the ears). These symptoms are associated with myofascial pain affecting the masseter muscles in the jaw. Myofascial pain or trigger points are where the muscle fibers in the body become sensitive after being injured or overused. To that point, the muscle fibers developed tiny knots along the taut muscle bands and caused pain throughout the entire muscle. Myofascial pain can be tricky to diagnose due to mimicking other pain symptoms. For trigger pain to affect the masseter muscles, studies reveal that temporomandibular disorders that involve the oral-facial region may be multifactorial while affecting the masticatory muscles and the temporomandibular joints. To that point, myofascial masseter pain could potentially involve ailments like migraines, toothaches, TMJ (temporomandibular joint) dysfunction, and ear pain.

According to Dr. Janet G. Travell, M.D., complex symptoms and overlapping patterns of facial pain might be referred from multiple trigger points in the head and neck muscles, which can be more easily traced back to the individual’s muscles. By finding the root cause of these symptoms, many doctors can develop a clinical process to assess their patients dealing with myofascial trigger pain and develop a plan that caters to their wants and needs.

Stretching The Masseter Muscles-Video

How to Stretch the Masseter Muscle - Trigger Point Therapy

Do headaches seem to be affecting your daily routine? Have you felt that your jaw feels stiff and has a dull ache when you move your mouth open? Or do you feel pain along the sides of your teeth? Many of these symptoms are referred pain associated with myofascial masseter pain. The video above demonstrates stretching the masseter muscles to reduce trigger pain along the muscle structure. Myofascial pain related to the masseter muscles can make it difficult for doctors to diagnose their patients due to the pain traveling to different areas in the body, known as somato-visceral pain. Somato-visceral pain is pain affecting the muscle connected to an affected organ. An example would be jaw pain associated with a toothache while potentially involving the masseter muscles. Thankfully, treatments are available to relieve myofascial pain along the masseter muscle.

Ways To Relieve Myofascial Pain In The Masseter Muscles

Myofascial pain affecting the masseter muscle could cause pain in the surrounding muscles and organs in the oral-facial region. The symptoms caused by myofascial pain associated with masseter muscles may be complex and challenging to diagnose due to the pain affecting different body regions. Fortunately, many doctors refer musculoskeletal specialists like chiropractors, massage therapists, and physiotherapists to relieve myofascial muscle pain associated with the masseter muscles by providing pain relief techniques. Some of the various methods that help ease trigger pain from the masseter muscles include:

Stretch & Spray: Stretching the jaw slowly to the full extent and spraying coolant along the masseter muscle to relieve pain
Jaw Exercising: Yawning, extending, and retracting the masseter muscle to stretch and strengthen the jaw.
A warm compress on the cheek: Helps relax the aggravating muscle and releases any tension causing myofascial pain.

Studies reveal that soft tissue mobilization is one of the various techniques that can help relieve trigger pain in masseter muscles. What soft tissue mobilization does is that it allows musculoskeletal specialists to use a pincer method to lengthen the masseter muscle to an extent and release trigger points in slow downward traction to alleviate the pain from the masseter muscles. Utilizing these various treatments can help many people with myofascial pain associated with masseter muscles feel relief from jaw pain and its related symptoms.

Conclusion

The masseter is a quadrangular muscle that surrounds each side of the jaw and helps stabilize the jaw’s motor function. When injuries or traumatic factors begin to affect the jaw, over time can lead to the development to trigger point pain associated with masseter muscles. When trigger point pain affects the masseter muscles in the oral-facial region, it can cause somato-visceral pain alongside the jaw affecting the teeth, causing tinnitus symptoms and headaches. Fortunately, various treatments are available to help manage trigger pain and relieve the associated symptoms that affect the masseter muscles. This allows many individuals to get back their health by being pain-free.

References

Al Sayegh, Samaa, et al. “Effects of Chronic and Experimental Acute Masseter Pain on Precision Biting Behavior in Humans.” Frontiers in Physiology, Frontiers Media S.A., 29 Oct. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6828929/.

Corcoran, Nicholas M, and Evan M Goldman. “Anatomy, Head and Neck, Masseter Muscle.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 11 June 2022, www.ncbi.nlm.nih.gov/books/NBK539869/.

Maini, Kushagra, and Anterpreet Dua. “Temporomandibular Syndrome.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 28 Apr. 2022, www.ncbi.nlm.nih.gov/books/NBK551612/.

Widmer, C G, et al. “Developmental and Functional Considerations of Masseter Muscle Partitioning.” Archives of Oral Biology, U.S. National Library of Medicine, Apr. 2007, www.ncbi.nlm.nih.gov/pmc/articles/PMC1861846/.

Disclaimer

Football Training: Chiropractic Sciatica Clinic

Dr. Alex Jimenez

Side view of a mixed race male American football player wearing a team uniform, training at a sports field, jumping in the air holding a football, with blue sky in the background

Football season is here, and the sport demands healthy, strong bodies. It is explosive, with high-intensity plays lasting between 2-15 seconds. Strength and power are put out in a few moments then the player rests up and does it again. A football training chiropractor can take players to another level with therapeutic massage, body strengthening, and rehabilitation so that players can enjoy a healthy injury-free season.

Table of Contents

Football Training

Stretching and Warm-Up

Stretching and a dynamic warm-up are essential to strengthening the body and preventing injury. Stretching is necessary to increase the range of motion in the muscles, especially when the body is in an awkward position; it can adapt. A dynamic warm-up increases the core temperature of the muscles and prepares the muscles, joints, and nervous system for the physical event. The critical muscles are the hip flexors, hamstrings, and calves. The warm-up consists of a series of progressive movement drills that include:

Jogging
High knees running
Backpedaling
Shuffles
Carioca

Proper stretching, followed by a dynamic warm-up, will maximize performance.

Cardio, Aerobic, and Anaerobic Fitness

Cardio training increases oxygen and blood circulation to play for a long time without getting tired.
Aerobic fitness increases oxygen and provides endurance to break through or enhance tackles, sustained effort, and strength.
Anaerobic fitness utilizes high-intensity exercises to challenge the body without using a lot of oxygen like cardio and aerobics do.
All are important, especially for players playing the whole or most of the game.

Core Strength

The core is where power and strength come from. It refers to the muscles around the trunk and pelvis, including the diaphragm, abdominal wall, low back, and hips. Reinforcing the core will enhance balance, stability, and efficiency and reduce the risk of injury. The core muscles under the washboard abs link upper-body power with lower-body torque. In-season strength training provides a progressive buildup to optimal fitness and performance. The focus is on the following:

Speed maintenance.
Aerobic and anaerobic fitness.
Strength and power.
Emphasis on injury prevention training stabilizer muscles for balance and agility.

A core workout could consist of the following:

It is recommended to allow at least two days between training sessions and games. Avoid strength training on the same day as working out on the field.

Rest entirely from strength training for one week in five.
Light workouts are fine.

Hydration

Football players have unique hydration needs due to the exposure to extreme heat or cold while wearing heavy equipment. Top-rated athletic trainers monitor weather conditions, length and time of day at practice and games, and the hydration levels of each player. Hydration recommendations include:

Hydrate before, during, and after practices and games.
Two to three hours before the game, drink 17 to 20 fluid ounces of water or a sports drink.
Ten to 20 minutes before the game, drink seven to 10 fluid ounces of water or a sports drink.
During practices, drink seven to 10 fluid ounces of water or sports drink every 10 to 20 minutes with the helmet off.
Post-practice/game, correct any fluid loss, ideally within two hours.
The hydration should contain water to restore hydration, carbohydrates to replenish glycogen stores, and electrolytes to speed the recovery process.

Football Training Chiropractic

Chiropractic care has become integral to NFL players’ health and training programs. All 32 teams have a chiropractor, and according to the Professional Football Chiropractic Society, the average NFL team chiropractor gives 30-50 treatments a week. Chiropractic treats conditions like neuromusculoskeletal strain injuries, neck pain, back pain, strains to the hamstring and quadriceps, and injuries caused by whiplash-like movements. Benefits include:

Increased strength
Increased endurance
Increased flexibility and mobility
Enhanced muscle efficiency
Pain relief
Injury Prevention

Chiropractic Care Player Testimonials

References

www.frontiersin.org/articles/10.3389/fphys.2019.00013/full

Iaia, F Marcello, et al. “High-intensity training in football.” International journal of sports physiology and performance vol. 4,3 (2009): 291-306. doi:10.1123/ijspp.4.3.291

Lorenz, Daniel, and Scot Morrison. “CURRENT CONCEPTS IN PERIODIZATION OF STRENGTH AND CONDITIONING FOR THE SPORTS PHYSICAL THERAPIST.” International journal of sports physical therapy vol. 10,6 (2015): 734-47.

Robbins, Daniel W. The Normalization of Explosive Functional Movements in a Diverse Population of Elite American Football Players. Journal of Strength and Conditioning Research: April 2012 – Volume 26 – Issue 4 – p 995-1000
doi: 10.1519/JSC.0b013e31822d53b7

Stump, John L, and Daniel Redwood. “The use and role of sports chiropractors in the national football league: a short report.” Journal of manipulative and physiological therapeutics vol. 25,3 (2002): E2. doi:10.1067/mmt.2002.122326

Zein MI, Saryono S, Laily I, Garcia-Jimenez JV. The effect of high-intensity circuit training-modified FIFA 11+ program on physical fitness among young football players. J Sports Med Phys Fitness 2020;60:11-6. DOI: 10.23736/S0022-4707.19.09813-X

Trigger Pain Affecting The Sternocleidomastoid Muscle

Dr. Alex Jimenez

Table of Contents

Introduction

The neck is vital in keeping the head upright in a casual relationship with the cervical spine. The neck is home to the thyroid organ and the surrounding muscles that help support the neck to the rest of the body. One of the muscles that help support the neck is the sternocleidomastoid muscle. When traumatic forces begin to affect the neck, over time can lead to the development of chronic conditions associated with pain. When individuals start to feel pain affecting their neck, it can cause them to be miserable and find ways to relieve the pain they are experiencing. Today’s article focuses on the sternocleidomastoid muscle, how trigger pain affects this muscle, and ways to relieve SCM pain. We refer patients to certified providers who specialize in musculoskeletal treatments to aid individuals suffering from SCM associated with trigger pain along the neck. We also guide our patients by referring them to our associated medical providers based on their examination when appropriate. We ensure to find that education is the solution to asking our providers insightful questions. Dr. Jimenez DC observes this information as an educational service only. Disclaimer

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What Is The Sternocleidomastoid Muscle?

Have you been experiencing pain along the sides of your neck? What about limited mobility when you turn your neck from side to side? Or do headaches seem to worsen throughout the entire day? Some of these symptoms are associated with pain along the neck and could affect the surrounding muscles that are connected. One of the surrounding muscles that sit behind the thyroid is known as SCM or sternocleidomastoid muscle. The sternocleidomastoid muscle is a long muscle with dual innervation and multiple functions in the neck. The SCM is connected to the trapezius muscle that helps flex the neck, pulling the head forward while bringing the chin down to the chest. The SCM and the trapezius muscle work together to help stabilize and fix the head position while the host is talking or eating. When factors affect the neck over time, the SCM also gets involved.

How Does Trigger Pain Affect The Sternocleidomastoid?

When factors affect SCM associated with the neck, many issues will start to affect the neck and overlap pain near the eyes, ears, sides of the cheeks, and forehead. Studies reveal that SCM may develop myofascial trigger points in the head, causing referred pain. Trigger points are usually formed when traumatic forces affect certain areas in the body. For SCM to be affected by trigger pain, tiny knots along the taut band of the SCM muscle fibers become sensitive to pressure when compressed, and many people often describe the pain as deep and dull. To that point, the symptoms associated with SCM trigger pain may appear in numerous combinations or together depending on how severe the pain is on the person. Some of the symptoms related to SCM trigger pain include:

Headaches (sinus, cluster, or tension)
Sore throat
Ear pain (popping sounds in the ears)
Blurred vision
Vertigo
Dizzyness
Balance issues
Muscle soreness

SCM Pain & Trigger Points- Video

Sternocleidomastoid (SCM) Pain and Trigger Points

Have you been dealing with headaches throughout the entire day? What about muscle tenderness in certain areas near your neck or shoulders? Or have you been feeling dizzy that it is affecting your daily activities? Many people with these symptoms may be dealing with SCM pain associated with trigger pain. The video above offers an insightful overview of how does trigger pain may be involved with SCM pain. SCM or sternocleidomastoid muscle is a long muscle that surrounds the sides of the neck and is connected to the trapezius muscle. When factors begin to affect the SCM, the muscle is at risk of developing trigger pain along the muscle fibers. Studies reveal that trigger pain along the SCM may affect SCM’s normal muscle functions, like chewing due to hyperactivity. Fortunately, there are ways to relieve SCM pain associated with trigger pain affecting the neck.

Ways To Relieve SCM Pain In The Neck

When it comes to SCM pain associated with trigger pain along the neck, many individuals find ways to relieve the related symptoms that are causing the pain. Some individuals will take over-the-counter medication to relieve their neck, shoulders, and head pain. At the same time, others do stretches to release the tension on their head, neck, and shoulders. However, trigger pain is a bit complex and challenging to diagnose since it mimics other conditions that affect the body. As luck would have it, many doctors will refer musculoskeletal specialists like massage therapists, physical therapists, and chiropractors who can help relieve SCM pain in the neck. Studies reveal that a combination of physiotherapy, classical massages, and stretching exercises can be applied to alleviate SCM pain in the neck. By stretching and massaging the SCM, many individuals can begin to feel pain relief in their neck, increase their range of motion, and have endurance in their neck. Integrating these various treatments for the SCM (sternocleidomastoid muscle) pain in the neck can help revitalize a person’s sense of well-being without being in pain.

Conclusion

The SCM, or sternocleidomastoid muscle, is a long muscle that sits behind the thyroid organ and is connected with the trapezius muscle. This muscle helps stabilize and holds the head position while flexing the neck and bringing the chin down to the chest. When environmental or traumatic factors affect the neck muscles, it can lead to chronic conditions over time, thus inflicting pain and tenderness along the SCM. These are known as trigger points and can be hard to diagnose due to them mimicking other chronic symptoms associated with the neck, head, and shoulders. Thankfully, various treatments like physiotherapy, stretching exercises, and classical massages can help relieve the trigger points along the SCM and relieve the neck and surrounding muscles.

References

Bordoni, Bruno, and Matthew Varacallo. “Anatomy, Head and Neck, Sternocleidomastoid Muscle.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 5 Apr. 2022, www.ncbi.nlm.nih.gov/books/NBK532881/.

Büyükturan, Buket, et al. “The Effects of Combined Sternocleidomastoid Muscle Stretching and Massage on Pain, Disability, Endurance, Kinesiophobia, and Range of Motion in Individuals with Chronic Neck Pain: A Randomized, Single-Blind Study.” Musculoskeletal Science & Practice, U.S. National Library of Medicine, 12 June 2021, pubmed.ncbi.nlm.nih.gov/34147954/.

Kohno, S, et al. “Pain in the Sternocleidomastoid Muscle and Occlusal Interferences.” Journal of Oral Rehabilitation, U.S. National Library of Medicine, July 1988, pubmed.ncbi.nlm.nih.gov/3171759/.

Missaghi, Babak. “Sternocleidomastoid Syndrome: A Case Study.” The Journal of the Canadian Chiropractic Association, Canadian Chiropractic Association, Sept. 2004, www.ncbi.nlm.nih.gov/pmc/articles/PMC1769463/.

Introduction

What Is The Occipitofrontalis Muscle?

How Does Myofascial Trigger Pain Affect The Occipitofrontalis?<img decoding="async" class="aligncenter wp-image-91053" src="https://dralexjimenez.com/wp-content/uploads/2022/09/Occipitalis-Frontalis-trigger-points.jpg" alt="" width="371" height="453" />

Myofascial Exercises For Headaches-Video

How To Manage Myofascial Trigger Pain Associated With Headaches

<img decoding="async" class="aligncenter size-full wp-image-91051" src="https://dralexjimenez.com/wp-content/uploads/2022/09/headache-massage.jpg" alt="" width="1200" height="628" />

Conclusion

References

Disclaimer

Muscle Guarding

The Brain

Chiropractic Treatment and Retraining

Protective Muscle Guarding

References

Introduction

How Does Myofascial Trigger Pain Affect The Face?

Signs & Symptoms Associated Myofascial Facial Pain

Chronic Facial Pain-Video

Management Of Myofascial Facial Pain

Conclusion

References

Disclaimer

Sports Exercise Headaches

Alternate Triggers

Symptoms

Diagnosis

Chiropractic Treatment

DOC Decompression Table

References

Introduction

What Is TMJ Dysfunction?

<img loading="lazy" loading="lazy" decoding="async" class="aligncenter wp-image-90909" src="https://dralexjimenez.com/wp-content/uploads/2022/09/tmj-tmd-temporomandibular-disorders-diagram-fossa-disc-condyle.jpg" alt="" width="373" height="224" />

The Signs & Symptoms Of TMJ Dysfunction On The Jaw

Exercises For TMJ Dysfunction- Video

Ways To Manage TMJ Dysfunction In The Jaw

<img loading="lazy" loading="lazy" decoding="async" class="aligncenter wp-image-90908" src="https://dralexjimenez.com/wp-content/uploads/2022/09/tmj-management.jpg" alt="" width="376" height="250" />

Conclusion

References

Disclaimer

Clean Eating

Preparing and Cooking Own Food

Whole Foods

Balanced Meals

Limit Adding Salt, Sugar, and Fats

Five to Six Small Meals

Nutrition Labels

Drink Plenty of Water

For Beginners

References

Introduction

What Is The Lateral Pterygoid Muscle

<img loading="lazy" loading="lazy" decoding="async" class="aligncenter wp-image-90833" src="https://dralexjimenez.com/wp-content/uploads/2022/09/Lateral__pterygoid.jpg" alt="" width="372" height="276" />

How TMJ Dysfunction & Trigger Points Affect The Lateral Pterygoid

<img loading="lazy" loading="lazy" decoding="async" class="aligncenter wp-image-90832" src="https://dralexjimenez.com/wp-content/uploads/2022/09/Lateral-Pterygoid-trigger-pain.jpg" alt="" width="374" height="422" />

Jaw Pain & TMJ Dysfunction-Video

Managing TMJ Dysfunction & Trigger Pain In The Jaw

<img loading="lazy" loading="lazy" decoding="async" class="aligncenter wp-image-90834" src="https://dralexjimenez.com/wp-content/uploads/2022/09/tmj-massage.jpg" alt="" width="375" height="224" />

Conclusion

References

Disclaimer

Disc Protrusion

First Stage

Second Stage

Third Stage

Fourth Stage

Types

Paracentral

Central

Foraminal

Symptoms, Diagnosis, and Chiropractic Care

True Spinal Decompression

References

Introduction

What Is The Medial Pterygoid Muscle?

<img loading="lazy" loading="lazy" decoding="async" class="aligncenter wp-image-90768" src="https://dralexjimenez.com/wp-content/uploads/2022/08/medial__pterygoid.jpg" alt="" width="372" height="299" />

How Does Trigger Point Pain Affect The Medial Pterygoid Muscle?

<img loading="lazy" loading="lazy" decoding="async" class="aligncenter wp-image-90767" src="https://dralexjimenez.com/wp-content/uploads/2022/08/Medial-Pterygoid-trigger-point.jpg" alt="" width="374" height="380" />

The Anatomy Of The Medial Pterygoid Muscle-Video

Ways To Manage Trigger Point Pain On The Medial Pterygoid Muscle

<img loading="lazy" loading="lazy" decoding="async" class="aligncenter wp-image-90766" src="https://dralexjimenez.com/wp-content/uploads/2022/08/jaw-massage-e1656601394241-1024x695-1.jpeg" alt="" width="374" height="254" />

How Does Myofascial Trigger Pain Affect The Occipitofrontalis?