TMJD and Trismus
In January of this year, i had all 4 of my wisdom teeth removed. i was told at the one week follow up appointment to go home and yawn widely to loosen my facial muscles. when i did that, i felt a ripping/pulling sensation around my right jaw joint. my bite became slightly off, and i began hearing clicking in my right ear when i ate.
a TMJD doctor told me I had strained muscles and to take it easy, that it would all resolve itself. shortly after that, trismus set in, and a second specialist told me to go home and begin stretching my mouth or the trismus would become permanent. that basically terrified me. i was given tongue depressors for the stretching, but shortly after i began the exercises, the muscles in my mouth went haywire. my bite began shifting nearly constant, my entire face began to hurt, and swallowing became difficult.
i still have all of the same problems, but i'm trying to figure out how to proceed. it seems as though there are two schools of thought here.
A) to relax the muscles which will correct my bite and ultimately cure my trismus, which so far, doctors think is muscle related.
then, there's B) that only by stretching my muscles and curing my trismus, will my muscle function resolve itself and my bite return to normal.
i dont know which school of though to follow. All i know is, when i stretch, my bite and muscles go haywire, even when i stretch passively, but when i don't stretch, my opening becomes severely restricted and my joints become very stiff.
help!! what's the correct course of action to take. stretch or don't stretch? now, my physical therapist is recommending a therabite type product which i would gladly use if that is the correct why to go. i'm just very confused.