How to reduce issue of mouth not opening properly - #22969

Hi, difficulty in opening your mouth fully, possibly with pain in jaw joint.

Avoid chewing hard foods. It will worsen your condition. You can apply some coconut oil over jaw area and took steam.

You need to do jaw stretching Exercise daily, but slowly without yourself getting hurt Also take opinion from ENT specialist to rule out any health problems

HELLO RAJ PARAJULI, YOU CAN INSERT ONLY 2 FINGERS IN YOUR MOUTH,ATTEMPTING A 3RD CAUSES PAIN-THIS IS A CLINICAL SIGN OF GRADE 2 TRISMUS.

UNDERLYING CAUSES- 1)TEMPOROMANDIBULAR JOINT DYSFUNCTION- -INFLAMMATION OR MISALIGNMENT IF THE JAW JOINT. -CLICKING,PAIN NEAR EARS,OR STIFFNESS IN JAW WHEN CHEWING OR YAWNING. -CAUSED BY BRUXISM(TOOTH GRINDING), STRESS, TRAUMA, OR POOR POSTURE.

2)MUSCLE CONTRACTURE OR SPASM -MUSCLES OF MASTICATION(MASSETER,TEMPORALIS) MAY BECOME TIGHT DUE TO OVERUSE, DENTAL PROCEDURES OR JAW TRAUMA

3)ORAL SUBMUCOSAL FIBROSIS -A PRECANCEROUS CONDITION LINKED WITH TOBACCO, ARECA NUT,AND GUTKHA USE. -FIBROUS BANDS FORM IN CHEEKS, MAKING MOUTH OPENING PROGRESSIVELY DIFFICULT. -IMPORTANT TO RULE OUT IF YOU HAVE A HISTORY OF CHEWING GUTKHA/PAN MASALA.

4)POST-DENTAL SURGERY COMPLICATIONS- ESPECIALLY AFTER WISDOM TOOTH REMOVAL, JAW TRAUMA,OR ABSCESS

5)INFECTION/ABSCESS/CELLULITIS -INFECTION IN TONSILS,JAW BONES OR THROAT CAN CAUSE PROTECTIVE MUSCLE TIGHTENING.

RECOMMENDED INVESTIGATION-DO AS SOON AS POSSIBLE -OPG X-RAY=VIEW JAW JOINT ALIGNMENT -MRI TMJ- CHECK DISC DISPLACEMENT -ENT/DENTAL EXAM- RULE OUT ABSCESS, FIBROSIS -BIOPSY- IF OSMF SUSPECTED

ACCORDING TO AYURVEDA IT IS CORRELATED WITH HANUSTAMBHA -DOSHA INVOLVE= VATA- RESPONSIBLE FOR RESTRICTED MOVEMENT,STIFFNESS KAPHA- CAUSES HEAVINESS, MUSCLE TENSION,AD FIBROSIS AMA- IF PAIN AND STIFFNESS PERSIST FOR LONG -DUSHYA(AFFECTED TISSUES)- MAMSA(MUSCLE),ASTHI(BONE), MAJJA DHATU(MARROW/NERVES)

MINIMUM 6 -8 WEEKS TREATMENT IS REQUIRED TO GET BACK TO NORMAL MOUTH OPENING

INTERNAL MEDICATIONS 1)DASHMOOLA KWATHA- 20 ML WITH WATER TWICE DAILY AFTER MEALS- ANTI-INFLAMMATORY,VATA PACIFIER

2)YOGRAJ GUGGULU- 1 TAB TWICE DAILY AFTER MEALS- REMOVES VATA FROM JOINTS, RELIEVES STIFFNESS

3)MAHARASHNADI KASHAYA- 20 ML WITH WATER TWICE DAILY BEFORE MEALS- ACTS ON TMJ, NERVES,AND BONES

4)RASNADI GUGGULU- 1 TAB TWICE DAILY AFTER FOOD- ESPECIALLY IF FIBROTIC BANDS ARE SUSPECTED

5)ASHWAGANDHA CHURNA- 1 TSP WITH WARM MILK AT BED TIME- REJUVINATES NERVES, REDUCES MUSCLE FATIGUE

6)CHITASK HARITAKI AVALEHA- 1 TSP AT BEDTIME- DIGESTION CORRECTION OR COATING ON TONGUE

*EXTERNAL TREATMENT DAILY 1)MASSAGE+HOT FOMENTATION- KARPURADI TAILA APPLY AROUND JAW, AND TEMPLES. GENTLE CIRCULAR MASSAGE FOR 5-7 MINUTES FOLLOW BY HOT WATER TOWEL OR STEAM

2)GANDUSHA(OIL HOLDING IN MOUTH) -DASHMOOL TAILA- TAKE 10 ML HOLD IN MOUTH FOR 3-5 MIN WITHOUT SWALLOWING. THEN SPIT DO ONCE DAILY IN MORNING

3)NASYA- INSTIL 2 DROPS OF ANU TAILA IN BOTH NOSTRIL DAILY IN MORNING

4)MOUTH OPENING EXERCISES(AFTER 7-10 DAYS OF ABOVE TREATMENT) DO THESE ONLY AFTER REDUCING PAIN AND STIFFNESS SLIGHTLY WITH MEDCINES+MASSAGE

*JAW STRETCH ROUTINE -SIT IN FRONT OF MIRROR -INSERT 2 FINGERS VERTICALLY. HOLD GENTLY FOR 10 SECONDS OVER DAYS, PROGRESS TO 3 FINGERS SLOWLY REPEAT 5-10 TIMES TWICE DAILY

ADDITIONALLY MOVE JAW SIDE TO SIDE SLOWLY , UP AND DOWN BLOW UP CHEEKS AND HOLD AIR CHEW SOFT RUBBER BAL BETWEEN MOLARS-GENTLE RESISTANCE TRAINING

*DIET AND LIFESTYLE MODIFICATIONS INCLUDE- WARM,SOFT, COOKED MEALS GHEE,MOONG DAL SOUPS, RICE MILK WITH ASHWAGANDHA AVOID STRESS , OVERSPEAKING SIT UPRIGHT WHILE EATING

AVOID- COLD,SOUR,DRY,SPICY FOODS CRUNCHY FOOD, CHEWING GUMS SOUR CURD, PICKLES EXCESS SHEWING,YAWNING FORCEFULLY POOR POSTURE WHILE SLEEPING

LEECH THERAPY ADVISED IF FIBROSIS- IMPROVES BLOOD CIRCULATION IF INFLAMMATION AND CHRONIC

RECOVERY PERIOD- WEEK1-2- REDUCED PAIN,LESS MUSCLE TIGHTNESS WEEK 3-4 - MOUTH OPENING INCREASES GRADUALLY(2.5-3 FINGERS) WEEK 5± CHEWING,SPEAKING BECOME MORE COMFORTABLE

NEED IMMEDIATE DOCTOR VISIT- IF SWELLING NEAR EAR OR UNDER JAW FEVER,PUS,BAD BREATH COMPLETE LOCKJAW SIGNIFICANT WEIGHT LOSS+FIBROSIS SIGN IF ALL THIS ARE PRESENT DONT WAIT JUST GO FOR PROPER EVALUATION

DO FOLLOW HOPE THIS MIGHT BE HELPFUL

THANK YOU