Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa S, B.A.M.S
Temporomandibular Joint Problems discuss with greater than 30 circumstances affecting the jaw joint or temporomandibular joint. Aside from this joint, the illness additionally impacts the muscle groups and ligaments surrounding these joints. The particular person finds it troublesome to open or shut his mouth as a consequence of stiffness within the joint. Different signs embody ache within the jaw joint, tenderness, discomfort within the jaw, issue to talk and chew meals and complications. In some circumstances, the affected person may additionally have ache within the neck, shoulder, ear and tooth.
‘Associated Studying – TMJ Problems – causes, signs, prevention and remedy’
TMJ Problems: Ayurveda Understanding
TMJ illnesses might be in comparison with Hanustambha or Hanugraha defined in Ayurveda treatises. Similar to in TMJ Ailments, folks affected by Hanugraha additionally discover it troublesome to open or shut the mouth. That is prompted as a consequence of tightness within the jaw joint – temporomandibular joint. This situation has been defined within the context of Vata Vyadhi. Hanugraha is a Vata dysfunction. Clearly, the causes of Hanugraha are the identical which trigger vata aggravation.
‘Associated Studying – Hanugraha’
Causes of TMJ illnesses from Ayurveda perspective
All vata aggravating causes might be thought-about as etiological components for TMJ problems.
Primarily, extreme consuming of vata growing meals, that too ruksha – dry, khara – tough and kathina – onerous meals and extreme publicity to chilly is causal.
Shouting, speaking or singing loudly and never recurrently doing kavala – oral rinsing and gandusha – gargles as indicated in Dinacharya – every day routine are additionally necessary causative components for TMJ problems from Ayurveda perspective.
Causative components talked about amongst Ardita Nidana too needs to be thought-about on this context.
Pathogenesis and evaluation of signs of TMJ problems from Ayurveda viewpoint
TMJ problems manifest with ache, tenderness and discomfort within the jaw. That is mainly prompted when vitiated vata will get lodged within the TMJ joint. As a result of its qualities like dryness, lightness, roughness and many others the vata dries up the TMJ joints and makes actions troublesome therein. All actions are brought on by vata and when vitiated vata afflicts the jaw joints, it makes their actions troublesome. In consequence, the particular person finds it troublesome to open and shut the mouth. This makes talking, chewing and swallowing troublesome.
Hanu Sandhigata Vata
TMJ illnesses might be thought-about as Hanu Sandhi Gata Vata i.e. aggravated cata getting localized within the TMJ joints and inflicting signs just like any sandhigata vata. This situation has not been talked about in Ayurveda. I’ve used this time period for higher understanding the pathogenesis of TMJ problems from an Ayurveda viewpoint. Signs of Sandhigata Vata are – destruction of joints, TMJ on this occasion, ache within the joint and sounds manifested within the joints as a consequence of extreme dryness prompted therein as a consequence of affliction by Vata. All these signs are additionally current in TMJ problems.
Because the muscle groups, tendons and ligaments round TMJ too will probably be affected by Vata, we will additionally take into account Snayugata and Mamsagata Vata going down in and across the TMJ joints.
Therapy ideas of TMJ Problems
Nidana Parivarjana – As a golden precept, all causative components and triggers shall be averted.
TMJ problems might be handled on the traces of the beneath talked about circumstances –
–    Hanugraha
–    Vata Vyadhi
–    Ekanga Vata
–    Ardita
–    Vataja Shiroroga
Helpful exterior therapies
–    Abhyanga – natural oil therapeutic massage with vata mitigating oils
–    Sweda – sudation / fomentation with pinda sweda, nadi sweda, upanaha sweda
–    Lepa – utility of pastes of medicines which might mitigate vata – like Dashanga lepa, Shuntyadi Lepa, Grihadhumadi Lepa
All these therapies would calm down the TMJ joints and enhance flexibility therein. They’d collectively cut back swelling and stiffness of TMJ joints.
Kavala and Gandusha with vata mitigating oils or ghee needs to be used recurrently to strengthen the TMJ joints by those that have recovered from TMJ problems. This may assist in stopping the recurrence of TMJ problems. Tila Taila, Go Ghrita and Ksheerabala Taila are helpful on this course.
Helpful Panchakarma therapies
Nasya – nasal instillation of medicated oil helps in strengthening the TMJ joints and stopping recurrences. Ksheerabala Taila 101, Anu Taila, Shadbindu Taila, Karpastastyadi Taila or Mahamasha Taila shall be used for Nasya. Pratimarsha Nasya too will probably be helpful and might be practiced as part of Dinacharya.
Vasti – Inn power and cussed circumstances, TMJ shall be handled with Vasti, skilfully programmed by the doctor. Primarily Sneha and Brimhana Vasti are helpful. Matra Vasti would possibly turn into a gamechanger for these affected by power TMJ problems. Guggulu Tiktaka Ghrita, Ksheerabala Taila, Mahamasha Taila needs to be used for Vasti.
