A common cause of TMD: Suprahyoid muscle clenching
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- čas přidán 4. 06. 2018
- After working with many chronic jaw and neck patients, I have noticed that they have a tendency of clenching their suprahyoid muscles in order to stabilize the neck.
The hyoidal muscles, because of their attachments between the anterior mandible, hyoid and sternum, may aid inn pulling the chin down, similar to the deep neck flexors. Dysfunction of the latter may cause the patient to compensate for such instability of the neck by clenching the throat. This may also be a stress response.
Either way, when clenching, and although it will somewhat improve cervical stability, it will cause compression of the TMJ as well as disengagement of the cervical muscles due to loss of stimulus (especially anterior cervical muscle complex, such as the SCM or scalenes). The further the head comes forward, the harder the hyoidal muscles will pull the jaw backwards (posteriorly) and thus the greater the shearing forces within the TMJ will become.
This is a super informative video. I actually watched it twice to make sure I wasnt missing anything. Totally makes sence. And your right correcting your posture isnt easy but if your constant you notice results. Thankyou for making this xxx
Thank you so much!!! You made the nature of my issue with my jaw clear and gave me the means to alleviate it. I can't thank you enough!
Happy to hear it
This is great advice!!! You should definitely try getting the word out to more physicians.
this is gold!!! thank you for all of your work... everything you have shared with the world is priceless really thank you. I have clenched my whole life apparently alot of anxiety etc. I have became aware of it and it has been helping. I plan on learning from you my friend. Blessings!
you are life saver! trying to discribe this to doctors for years to no avail
Thank you so much for this. It helps me to understand what I'm going through. I appreciate it.
This is a superb video. It is rare to find physiotherapy instruction that is so precise.
Thank u for this video. I've spent alot of time loafing around playing video games. Been haveing some jaw clenching dreams to. Woke up and my muscles the ones you describe where swollen and sore. I now know to relax and change my position while loafing around.
my digastric and others under jaw always tight, and i have chronic headaches, and grind at night. thank you for this. very insightful.
Same thing i suffer from
Thank you! This was extremely helpful.
Wow! I tried this yesterday and I didn't wake up clenched today. Thank you from the bottom of my heart, and jaw.
Well done
This gave me a HUGE BREAKTHROUGH in my professional singing!!! Thank you so much!!
Yes! I've found myself clenching my jaw for no reason. This explains it perfectly!
Same, mine due to stress
Thank you. Can you please make a simple “how to fix” follow up to this? With clear showing of the treatment
Watch the video three (or five) more times
@@MSKNeurology lmao
@@MSKNeurology 😂😂😂😂
My tongue feels like it cramps. What does that mean??
@@MSKNeurology which video do you mean with video 3 or 5. I can not see any series with those numbers on your channel. Can you please answer the videos names? :)
Great info, thank you!
This is so informative. Thank you. ❤️
thank you for this informative video, it has helped me in my journey to improve whats left of my posture
I didn't understand many terms but i think you covered the topic I was looking for
Thank you for this.
You are the only one addressing swallowing issues related to neck muscles tensing up! I might need to book a skype appointment with you if my PT failed to fix this issue. Havent eaten a proper meal in 3 months and I am desperate for a solution
Me too! It's like my tongue gets pulled down and freezes up and I can't complete the swallow into my throat. My SCM muscle is so tight I can't smile without it popping out and looking crazy. They have sent me to gastro, neuro and allergy and auto immune docs, all who find nothing!
Very interesting video! Thank you for making it. Is there a relation also with mouth breathing?
finally an explanation. thank you
Thank you! You're a lifesaver! I have been trying to figure out why my SCM is clenched up and feels tight. TMJ for sure.
thank you for this help!!
Very helpful!
I have had this for decades and this is the first video that has been able to put a name to
It. Do you have any recommendations of where I can find help for this in the US? Thank you!!!
this was highly informative and beneficial, thank you for sharing your field specific knowledge with us. subscribed and hope you post new videos unless that isn't of your interest anymore, all in all, great quality content.
it is well explained thanks
yes how to fix follow up would be nice please, i think i have same problem dont know what to do. thanks in advance.
This is the first explanation of this I have ever seen.
You said the hyoid might be lower if they are tight? Wouldn't it be higher because they are above the hyoid and contracting would raise it?
Thank you - can you do some exercises?
Thanku sir u r really great u helped to found out my real prblm 🙌 plz continue to do these good works nd plz make more videos on topics
I've been undergoing tmj treatment and as a result this muscle started getting tight. Good to know that I should pull the muscle up.
Thank you! During lockdown and a lot more computerwork (I'm a teacher) I've developed pain just alongside my Adams apple on one side when i swallow. This has to be it - thank you!
It can also be from tense shoulders. I had pain on one side of my throat too and trigger point massage fixed it. I also deal with what this guy is talking about but muscle connection and dysfunction can do a ton of odd things
I may be having similar problems, did you see any results?
@@shanerosen8400 I don't actually remember by now - it's been quite a while. It was quite unpleasant and in an uncomfortable place. It did go away after a while, but I don't remember if it as anything specific I tried or not. It hasn't come back luckily :)
Good luck!
Genius !
Whats the best sleep position for such problems ? Somehow i keep clencing the muscles or tension them up(whatever it actually is) when i sleep. A physical therapy guy noticed that my tongue muscles, general throat muscles are tensioned up, was there becuase of tmj but my jaw muscles arent actually the issue.
Thanks, this is helpful, as is the related exercise video. I have had swallowing problems (especially with liquids) for years. My jaws are always tense (above and below the jawline). My back, neck and shoulders often tense up as well when swallowing. Do you have any more exercises worth trying?
Same here did you get it fixed?
Cool to see someone proffesional talk about this, I've been seeing a lot of videos on tounge postiure and neck excersises lateley on CZcams, for aesthetic purposes.
Reducing doubble chin, slimmer cheeks etc.
I'd love to hear your thoughs on this, as it seems you are familiar with theese mucles. Is it possible excersise the suprahyoid, make it tighter to reduce doubble chin?
I don't care about that
@@MSKNeurology i like that 👍 tongue posture gets a bad rep , but it actually alleviates pain .
I know everything this guy is saying in this video is true because I've been doing exactly what he's describing. Compensating just like this ever since I got problems with my upper cervical spine! And it has snowballed into a huge variety of different problems around my face, jaw etc
In the same position as you !
But this guy lives in the states..
Anyone in Europe he works with??
Thank you and I broke my jaw and all my teeth on the hood of a car and this is a problem area. Had to get the teeth removed and have the habit of clenching from tmj.
Long neck position everyone while not clenching muscle under chine and lern to relax! thanks msk doc.
Can this cause stabbing throat pains and globus sensation? Also is there any correlation with TMJ and Gerd? Thanks for the video.
I bet I use these muscles to strengthen my neck too....
I have tinnitus since manipulation of C1 / C2. It is masked in an environment with 50 - 60 dB sounds
Years later, when a therapist massaged the hyoid muscles, my tinnitus became so much louder for over a week. Even a huge truck driving by me ( 90 dB ) didn't mask it.
I was desperate and assumed the worst of postures just to get back my 'old neck', to decrease my tinnitus
Wow I can relate to this very much so, how are you now?
I am neurological diagnosed with dystonia affecting the suprahyoid muscles which is very painful. The muscle tonus is measured with EMG and is treated with botox which gives relief for about 3 months before the next injection. However, when opening my jaw the left mandible deviates and makes a little S. I also cannot decompress the left ear since I am not able to move the left mandible fully back in order to make the decompression. The right mandible is perfectly movable in all angles supports decompression. I now wonder if I have the right diagnosis of classical dystonia or is the high muscle tonus of the syprahyoid muscles due to other causes? What should I do to investigate this matter further? I live in Sweden.
Today October 15, 2020 I have had some sort of neck pain and or pain/pressure under my chin. End of August I went to a minute clinic because the pain/pressure under my chin was really bad. Everything checked out fine and the doctor said maybe it's allergies. Went to my primary a few weeks ago did blood work and felt lymph nodes and was given a clean bill of health. Today I still get tightness under my chin varying degrees that feels like it goes down my neck and I also get slight burning sensation on either side of the neck under the ears about also varying degrees. I will give it to the end of the month to see if things improve and will either make an appointment with an ears, nose and throat specialist or orthopedic doctor. Any recommendations of what should I do?
Quick question; Could exercises for correcting forward head (chin tucks etc.) contribute to this kind of tightness? How does one target the deep cervical neck flexors without ending up getting tight suprahyoid muscles?
Never do chin tucks, they are a bane
Why are these muscles not as talked about as much as others? Seem to be a big contributor to the issues I've been having.
awesome
Omg thank you. I’ve had issues for more than two years now probably because poor sitting posture. This explains so much even down to the pseudo double chin; I thought I was getting old (mid 30s) and saggy while being fairly skinny.
I assume it can explain my situation better than cervical instability alone, and why some clicking or something shifting position around the hyoid muscles area happens when I turn my head, and why it gets worse when I eat food (or swallow).
The pain and pressure has been hard to pinpoint and changed in subtle ways so I’ve probably confused a lot of doctors. They probably think I have health anxiety and imagine all this or looking for problems. “You have a lot of notes I see [in the medical record]” they say and proceed to calm me down and send me away after maybe one test, without any good guesses.
The pain has gotten so complex and annoying, also headaches are getting worse, so I can’t just ignore it like they want me to. I need to push for physiotherapy again, maybe even show them this video. Hope they’re open minded. Nobody seems to have the time to listen or help, sadly, so I have to do it myself knowing nothing about anatomy.
I’ve been suffering so bad for so long and while looking for answers I found your video, which made me cry! You’ve described everything I’ve been dealing with from the clenching, to the right muscles, to the pseudo double chin. It almost feels like my throat muscles are super tight too. What do I do? Who do I see? Please help 🙏🏼
A physical therapist, work on posture
I have the same problem maybe worse than you. It’s very difficult for me to conversate
Man we need more people like you on this earth.. went to a chiropractic and said my lymph nodes are swollen and i must have some infection in my body fighting… when i explained to him about calpal tunnel syndrome and my suprahyoid clicking all the time 🤦♂️ its just lowered hyoid bone..
bro can you explain what did you faced at first .. please i think i also have same thing .. i went to a doctor and he said that it is a muscle strain only .. can you explain your experience
Confused, but loved info here. Have had this over 35 + yrs, and its at all time high (bad). Would a retainer at night make this TMD worse? i feel my posture x retainer (to stop grinding) is making it worse. No one in Boston knows how to treat this. But video was not clear to me how to palpate (would love clearer , longer demo ) as its fascinating and a link to the 'other video' you mentioned (cant pronounce , so cant find). Clear by all those here, we need all teaching/tools/training to get help of this uncomfortable TMD. thank you
Since you’re in Boston there’s a brilliant TMD physical therapist/myofunctional therapist nearby in Stonington CT named Dr. Liana Sved. (She offers both in person and virtual services.)
Love the video. Question: If the hyoid is too low are there exercises to correct its position? Could this also cause the Hyoid to be elevated more on one side than the other? Thanks
1. fix neck posture (see my video on neck tucking). 2., tongue posture, especially posterior 2/3rd
Hi. I have exactly the same problem. I wanted to know if by just relaxing the suprahyoid will the hyoid bone come back to its normal place. Or will I have to stretch the muscles given that they are overactive?
I explain what you should do in the video
In Short : Straight posture but don't contract the area under mouth, right ?
Do you have any resources... exercises or videos for this? I have had 2 whiplashes, a reverse curve and now I have muscle tension dysphonia.Thank you
Read the articles on my website
You said there’s another video explaining how to strengthen the weak muscle?
I tend to clench in my sleep so it’s quite difficult to remedy. The posture I can more easily work on rn
How can I strengthen my infrahyoids? The ones on the right, specifically my sternohyoid, does not like to fire. Thoughts?
Nonsense
Can neck strain due to excessive exercise cause throat issues. Cause I have few symptoms similar to these. Throat tightness, swallowing issue, jaw tightness anxiety and stress, slight tingling in neck. Facing this from past 6 months. I have gone through multiple ENT doctor, they say there is no issue in throat.
Good explaination, I’ve seen this pseudo double chin in several CCI patients. Any idea which vertebra the muscles associated with hyoid are typically stabilising?
Not interested in chiropractic nosense sorry
@@MSKNeurology Fair enough. Do you think this suprahyoid tension can narrow the windpipe? I see this correlation but am unsure of the direction of causation (if any). For example there is this idea forward head etc is an adaptation to open the windpipe of those with underdeveloped jaws.
Can you make a video of proper tongue posture? I am trying to put my tongue on the roof of my mouth but it feels like i can not relax the suprahyoid muscle cause of that. Great video!
@@Lexa-ne1md whats that?
Deep breath may help...
I have problem keeping tongue up on roof of mouth as one side pulls. I did run across a teqnich called Mewing. It was named after the orthadontist who came up with it to fix face issues. there are several videos that explain how your tongue should rest up on roof of mouth.
My tongue bends backwards by it self what does that mean?
Have felt my swallowing getting weak and been choking on food for 3 months. All the usual things from Dr's. Acid reflux, anxiety. Recently been told I have TMJ and I can feel I'm eating on one side almost and swallowing worse on days with TMJ flare ups. Also get pressure in the ears, almost like listening through cotton wool.
Can you link the video in my comment, that helps work those right muscles to hold the head in the right posture? Thank you
Don't be lazy
Hi do you do online consultations?
My submandibular gland always feels hard and swollen. I also get insane tension in the left side of my tongue and jaw. But every time I've had it ultrasound they say they cant find any thing. But the back of my neck is so tight that when i rotate my head i can hear a grinding/crunching in my ears. I also have had tinnitus since my problem began over 9 years.
Trigeminal neuralgia, it is usually just a TMD symptom
How did you get rid of tinnitus? I have tinnitus since 3 weeks and think it’s because of my muscules.
Can it be fixed and what excersises should I do to fix it. I'm slim and I got abit of one and also does Mewing work ?
Thanks so much! Do you have any insight on how to stop bruxism or nighttime clenching? It's involuntary and happens during my sleep, and I have TMD as a result. Interestingly, it is only the LEFT TMJ that's in pain. The RIGHT TMJ is completely fine. Perhaps there's some muscle imbalance/weakness involved that's causing the nighttime clenching?
Thanks again!
Read my TMD article treningogrehab.no/tmd
Mouth guard
@@oliverwhispermouth guard if anything will just protect the teeth, many brux worse with soft guards too
i fell off a bicycle at a decent speed, and landed on my back, but as a reflex my neck muscles contracted to protect my head from hitting the ground. A few hours later that night i felt pain in my front neck and weakness, my head felt so heavy that i barely could lift it up my pillow (my back is completely fine i don't have pain anywhere in it).
i do not know which front muscles are responsible for this, yet i started applying voltaren but i don't know if it's the right thing to do.
could weight cause this too, im 409 ,seem like when i stand up or lean. its a hellish pain, but once its relaxed & comfortable or im not anxious it seems to go away.
Anxiety and poor self esteem usually goes along with poor posture
My 5 year old daughter clenches her jaw and neck at the end of yawning. But no cramps. It started around 6 months back. Before that she was yawning normally. Please help.
could this be why. im feeling a lump feeling in my throat
Do you know what to do when tense and painful digastric muscle on one side?
If one can stop over-engaging the supraphyoid muscles, will the mandible gravitate back to its original position?
I get noises clicking inside throat were the upper spitchner is mine is a esophageal issue
Hello sir, I thank you for this educational video. I am wondering if you fix this problem will the pseudo double chin go away?
Yes
did it go away for you?
My legs clench uncontrollably at night and during day sometimes
Like I have to clench or I feel sick
I literally have everything you said from clenching the muscles to discomfort and the double chin even tho im slim. Any tips on how to eliminate the double chin? i hate it because im slim and when looking down or trying to keep my head in posture the double chin shows. Please help
Neck posture and hyoid control. It's all out on my channel for free.
try Mewing
Hi I have been suffering from the same problem my left jaw is always tight I have a teeth clenching history
Please let me knw what is the solution for this
How can I book an appointment to see you for a problem related to this?
see my website mskneurology.com
Would both injections into the SupraHyoid muscles be an options?
An option, but not a good option IMO
Whjat is the prognosis of somethign like this? I feel like i have this. I have terrible posture becuase of Ankylosing spondylitis. I have it for years and out of nowhere 3 weeks ago i got this tightness in my throat. feel like a lump in my throat and muscle tightness on the sides of my throat. This goes away while i sleep but comes back very soon after i wake up and sit. The only comfortable thing for me is to sit. The only comfortable thing for me is to sit. I feel like it shifts often. sometimes its right above my adams apple and sometimes it feels like something is in the soft soft right above the sternum at bottom of throat. Then one side of neck my my thyroid i guess. But All i hear is bad news= in regards to my health. No cure, no good prognosis for anything. etc etc. its just never anything positive. ITs very hard on the mind and psyche. Can you provide any positive information?
I am having breathing difficulties, psychiatric illness, due to throat problems face, eye, forehead Paresthisia, tingling. What it
Could possibly be?
Watch my "muscle clenching video". The problems you describe sound like a mix of trigeminal neuralgia and thoracic outlet syndrome
Can this cause thyroiditis because my thyroid feels fine but I’m getting symptoms of it but my hyoid is slanted and clicks
TMD can displace a disc???
I have a swelling of the trachea on one side behind the ear that extends to half of the neck
MRI or CT
Sometimes when I yawn I get a cramp in the suprahyoid area, does that mean it is overactive.
When trying to position my neck in a better position I used to clench these muscles quite frequently, what helped me along with watching the video on neck posture and cervical hinging is to imagine myself holding a basket on the top of my head, or imagining a balloon in my head, or even just gently pulling the back of my head up by a piece of hair at the base of my skull and staying there. I find that the common chin tucking advice doesn't help to fully elongate the neck and it lead me to clench those jaw muscles further. I would focus more so on the tucking aspect of the chin instead of focusing the movement on elongating my neck from the back if that makes sense. I recommend looking up esther gokhale neck posture as she has very similar views on neck posture.
Does it feel more natural after time by trying to stay in that "normal posture" by force?
Thank you so so much for posting your comment! The ‘hair pull comment’ as opposed to tucking your chin is a game changer. X
Is it possible the clenching is causing me restless sleep that is misdiagnosed as narcolepsy?
How can you raise the back of the tongue to mew if you don’t actívate those muscles?
Just a question I have my Adam apply moving up and down involuntary and when I open my mouth my uvula is twitching . What is the reason for that do you think ? . May I know ? Please answer.😢
hyoidal myoclonus by the sound of it, but I can't guarantee that I am right without assessing you
So i should see a neurologist? My jaw is always sore and painful hard to concentrate and supper depressed and anxious constant ringing of ears my neck hurts like hell too for 7 months sometimes my head feels too heavy to hold
same boat..
Don’t you mean infrahyoid muscle clenching? If they’re maintaining the hyoid inferiorly in posture then I’d assume the suprahyoids are lengthened while the infrahyoids are contracting.
Both the upper and lower ones co-activate
I get long in the neck, but i dont understand how to unclench the hyoid muscles
Give it some time, they often compensate for weak deep neck flexors.
what is rye name of the longest caputus exercise video?
Longus capitis.
Can we also stretch the suprahyoid muscles
Im having painful throat spasms when swallowing, (even my spit triggers it) i've been to a throat specialist who used a camera and found no lumps and said it sounds musclar. the pain is isolated at the top left of the throat. When the spasm accures it last for 10-15seconds of pain until it calms down. Just looking for so answers since it seems to mysteriously come and go with no explaination or how to treat it. Any ideas or tips? Whats the best neck stretches for this?
Me too. an ENT dr. put a camera in my throat said everything was good. Wrote it off as TMJ which kinda makes sense since it feels more like a muscle pain in my throat when i swallow. even some spasm now and then.
@@avega3325 have you got any help with it??? ,My TMJ affects my throat and it hurts a lot to swallow on one side
@@SRBOMBONICA86 Hi, my throat is much better now. It comes and it goes. I just take Tylenol for pain. And eat soft food.
@@avega3325 Tylenol doesn't help at all sadly ,I need ibuprofen plus a muscle relaxer,glad you feel better
@@SRBOMBONICA86 oh yes. My Dr. Gave me muscle relaxer as well, I forgot to mention that.
Just try not to overwork your jaw too much. I hope you feel better.
I had my upper spitchner dilated when I shouldn't had could this cause more problems
I just had a cramp under my chin (5 minutes ago) because I yawned and opened my mouth as wide as hippopotamus's mouth can do it. But leg cramps are still much painful than the under the chin cramp. I gotten sleepy drawing many pages on my manga.
P.S. I'm just starting so it might not be good. And I have a question. Should I make a story of my liking (like my own world) with a chance of some people will also like it or should I make a story that I think many people will like, but I might not like it since it's not my own world.
This is exactly what happened to me. the first time it happened after 2 days I couldn’t move one side of my face (bells palsy )
Sir if i have this symptoms to which doctor should i consult can u please tell me