مفصل فک (TMJ)، اتصالدهنده فک پایین به استخوان سر و مفصلی است که باعث میشود استخوان فک پایین متحرک باشد. سندرم TMJ بیماری عضلات و اعصاب ناحیه مفصلی است که به علت آسیب TMJ ایجاد میشود.
از علائم سندرم TMJ میتوان به این موارد اشاره کرد: درد شعاعی در ناحیه گردن و عضلات شانه، درد در اطراف گوش که با صحبت کردن، جویدن یا باز کردن دهان تشدید میشود، سفتی عضلات فکّی، محدودیت باز کردن دهان یا قفل شدن فک، شنیدن صدا هنگام باز و بسته کردن فک و تغییر در مسیری که دندانهای فک بالا و پایین روی هم جفت میشوند.
همچنین در مواردی، احساس دندان درد، سر درد، گردن درد، درد در ناحیه فوقانی شانه، گوش درد، مشکلات شنوایی، احساس صدای زنگ در گوش و گیجی از دیگر علائم این سندرم هستند.
![](data:image/jpeg;base64,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)
تشخیص:
در کلینک دکتر مؤمن زاده از طریق سونوگرافی می توان این درد را تشخیص داد.
![](data:image/jpeg;base64,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)
عوامل تشدید کننده
جفت نشدن دندانها روی هم، ساییدن دندانها که به مفصل فشار زیاد وارد میکند، استرس، آرتریت روماتوئید و استئوآرتریت مفصلی و دیگر بیماریهای اتوایمیون، جویدن زیاد آدامس و لیگامانهای کشیده شده مفصل سبب میشود فک درموقعیت بدی قرار گیرد.
درمان
۱ـ خوردن غذاهای نرم
۲ـ از حرکات فکی وسیع جلوگیری کنید مثلا: الف) آدامس جویدن ممنوع ب) آواز خواندن با صدای بلند ممنوع ج) هنگام خمیازه کشیدن زیر فک خود را بگیرید تا زیاد باز نشود. د) سیب، هویج و خوراکیهای سفت را گاز نزنید، آنها را به تکههای کوچکتر تقسیم کنید.
۳ـ تمرینهایی که مفصل و عضلات فکی را در حالت ریلکس قرار میدهد. (دندانپزشک متخصص میتواند آنها را به شما یاد دهد.)
۴ـ نیم ساعت ورزش ایروبیک، سه تا چهار بار در هفته میتواند استرس را کاهش دهد و اندروفین در بدن ترشح کند که باعث کاهش درد میشود.
۵ ـ تکنیکهای کاهش استرس را فرا بگیرید. حواستان باشد در شرایط استرس، دندانها را به هم نفشارید.
۶ ـ به پشت یا به یک سمت بخوابید. اگر روی شکم بخوابید و یک سمت صورتتان را روی بالش بگذارید، مشکلات فکی شما تشدید میشود.
۷ـ مستقیم راه بروید، عضلات پشت گردن باید ساپورت خوبی داشته باشد.
۸ ـ اگر طولانی مدت از تلفن استفاده میکنید، گذاشتن تلفن بین شانه و عضلات گونه، فشار زیادی بر گردن و مفصل فکی وارد میکند. بنابراین از هندزفری استفاده کنید.
۹ـ اگر احساس درد تیز دارید، تکههای یخ را در حوله نازک قرار دهید و حدود ده دقیقه (بیش از ۲۰ دقیقه نشود) در ناحیه مفصل فکی قرار دهید. اگر نیاز است هر دو ساعت تکرار کنید.
۱۰ـ اگر درد گنگ و مبهمی احساس میکنید، استفاده از گرما بهتر است. با این کار خونرسانی در عضلات مفصل زیاد میشود. حولهای را در آب گرم بخیسانید و روی عضلات ناحیه مفصل به مدت ۲۰ دقیقه قرار دهید.
اگر از این درمانها نتیجه مطلوب نگرفتید:
۱ ـ دارو درمانی: گاهی ممکن است بنا به صلاحدید پزشک متخصص از داروهای کوتاهمدت یا ضدالتهابها، شلکنندههای عضلانی یا ضد افسردگی استفاده کنید.
۲ ـ تثبیتسازی با Splint : ممکن است نیاز باشد از گارد دهانی استفاده کنید. (بهصورت کوتاهمدت و تحت نظر پزشک)
۳ ـ درمانهای فیزیکالتراپی: استفاده از لیزر سرد (اولتراسوند)، گرما و سرما درمانی و…
۴ ـ تزریق دارو: تزریق دارو با راهنمایی دستگاه سونوگرافی.
![](data:image/gif;base64,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)
۵ ـ درمانهای گستردهتر شامل درمانهای جراحی مفصل یا استفاده از پروتز مفصلی که اگر تغییرات مفصلی غیرقابل بازگشت و علائم پایداری در مفصل مشاهده شود، ممکن است مورد نیاز باشد.