• Alan has completed the new Pain Recovery Program. To read or share it, use this updated link: https://www.tmswiki.org/forum/painrecovery/
  • Welcome to the new TMS Wiki server! Things aren't finished yet: email is not set up, so notification and password-reset emails don't go out, and new registrations are paused until email is installed. Details and updates are in this thread (click here). Locked out? Email tmswikisignups@gmail.com from the address where you receive TMS Wiki notifications.

Can TMJ issues be structural?

Clicking when swallowing could just be your Eustachian tubes. If you pinch your nostrils together and blow out gently, is it the same noise? Eustachian tube dysfunction and TMj is going to go hand and hand because the muscle tension in the face will cause overlapping symptoms.

you need to be very very careful when going to oral surgeons. If an oral surgeon is jumping straight to surgery, arthroscopic, joint replacement etc, you need to run away, and fast. If they are recommending orthotics/dental splints, run (I spent 3k only to make my situation worse). Take everything they say with a grain of salt and keep the TMS perspective in mind always. Less is more with TMj treatment.

you are a tmser. The odds of this issue just suddenly popping up after wisdom teeth removal is so unbelievably low. I unfortunately see this idea where if there is x physical finding it’s not TMS. All pain, whether it’s physical or psychosomatic is generated in the brain. Can arthritis cause pain? Sure. But that label often sends us spiraling, obsessing, we start expecting pain, we guard the area and we get into a vicious feedback loop of telling the brain that something is off, so it keeps pain going. You need to ask yourself, what good is this pain accomplishing? Because you’re still going to eat, you’re still going to talk. How low you go in reaction to your pain and symptoms is a big factor in determining whether the brain keeps them going. Because if you can’t get over that fear then there is less of a chance of being able to address the underlying things fueling TMS/nervous system dysfunction.

and to answer your initial question to me, no I never got a definitive diagnosis beyond the joint is damage and that there is significant enough narrowing of the space to be evident on the x rays. I didn’t ask further questions because frankly I was in distress and panic. And thankfully I didn’t. The first oral surgeon I went to was actually great and just recommended muscles relaxants and to let the joint stabilize. Unfortunately I couldn’t let go of guarding the area and obsessing so it just escalated the symptoms. Then went to a second doctor who was happy to scam a desperate person out of thousands for a useless splint.

my joint is not miraculously healed and ‘normal’, my teeth are clearly crooked and my bite is clearly off. but the body adjusts and adapts if we get out of its way. It took me a long long time

I think I had a micro dislocation maybe last summer but nothing since. However my rock bottom came January 2026 ( nearly a year after being TMS aware) because I could not stop scanning my jaw, touching the muscle knots, adjusting the jaw back and forth. I almost killed myself from that pain that I caused. Obsession, fear, and despair do utterly nothing for you.

and I unquestionably have arthritis/joint damage in my jaw. You don’t have 20 dislocations without it. The nature of a dislocation is damaging to the joint. Yet I have my lowest level of symptoms and have days with no pain. How is that possible if it’s not TMS. You don’t need someone with your identical situation. You need to sit down with yourself and reflect on how you’re treating your self. Because honestly it sounds like you treat yourself like utter trash.

Thank you for your reply. I would just like to see the surgeon for a final opinion on it especially because of the clicking and limited opening as the previous one was useless. I’m not interested in surgeries, but in terms of anything else at least I won’t be spending money because I haven’t stopped my health insurance yet. I do think the cause of the pain was from the surgery and being stretched too far but I agree with you that it’s my brain’s capacity to continue that pain going that’s the problem.

In terms of treating myself poorly - I am trying my best. I was going to a TMS therapist weekly when I could afford it, meditating, trying to have self compassion. I’m not working because I was burnt out and needed a break. I am keen to start journaling. I wonder if there’s something you would suggest beyond that.

What helped you get out of the fear and despair? I am really trying
 
Last edited:
Thank you for your reply. I would just like to see the surgeon for a final opinion on it especially because of the clicking and limited opening as the previous one was useless. I’m not interested in surgeries, but in terms of anything else at least I won’t be spending money because I haven’t stopped my health insurance yet. I do think the cause of the pain was from the surgery and being stretched too far but I agree with you that it’s my brain’s capacity to continue that pain going that’s the problem.

In terms of treating myself poorly - I am trying my best. I was going to a TMS therapist weekly when I could afford it, meditating, trying to have self compassion. I’m not working because I was burnt out and needed a break. I am keen to start journaling. I wonder if there’s something you would suggest beyond that.

What helped you get out of the fear and despair? I am really trying
what type of meditation are you doing?

It took me too long to get out of the fear. Engaging with the physical accomplishes nothing. That means no touching, scanning adjusting, modifying thoughts when you’re thinking about the pain. Finding gratitude for what your jaw can let you do. Presumably you can still eat and talk, show appreciation for your jaw. Really it’s the thoughts that fuel all this stuff. I think people fall into a trap where they approach a bunch of different tools (therapy, meditation, journalling) from this perspective of I needs these things because I’m broken and I need to fix myself, instead of just lessening pressure and approaching them with curiosity. I can’t really emphasize non guided spiritual mediation enough (meditation to connect with a higher power whether that’s god or the universe or your higher self) not meditating to get out of pain, that is just a silly low level goal that will lead you nowhere. Meditation took me further than any other TMS tool or skill. And I can doubly say how effective it’s been because I’ve been slacking the past few weeks as life has gotten busy (working more, engaging in hobbies more, etc) and I find myself reverting back to old thought patterns. But its not a big deal, meditation and spirituality is always there for me when I’m ready to fully return, I’m not beating myself up because I haven’t done it as well as I’d like. If I’m returning to thoughts of “I absolutely must meditate or I’ll be broken and In Pain forever” that is the complete wrong perspective and those thoughts must be opposed. I’m meditating because I believe there’s more to life than this physical reality and I want to connect with god. Unfortunately (or fortunately I guess) as my symptoms have decreased I’ve found more joy in this physical reality so naturally spirituality gets pushed back on the priority list. It’s something I need to work on. Because we are going to be tmsers for life, and if we revert to our old dysfunctional cruel selves we’ll deal with symptoms indefinitely.

I highly recommend the YouTuber Ben smith for meditation.
 
what type of meditation are you doing?

It took me too long to get out of the fear. Engaging with the physical accomplishes nothing. That means no touching, scanning adjusting, modifying thoughts when you’re thinking about the pain. Finding gratitude for what your jaw can let you do. Presumably you can still eat and talk, show appreciation for your jaw. Really it’s the thoughts that fuel all this stuff. I think people fall into a trap where they approach a bunch of different tools (therapy, meditation, journalling) from this perspective of I needs these things because I’m broken and I need to fix myself, instead of just lessening pressure and approaching them with curiosity. I can’t really emphasize non guided spiritual mediation enough (meditation to connect with a higher power whether that’s god or the universe or your higher self) not meditating to get out of pain, that is just a silly low level goal that will lead you nowhere. Meditation took me further than any other TMS tool or skill. And I can doubly say how effective it’s been because I’ve been slacking the past few weeks as life has gotten busy (working more, engaging in hobbies more, etc) and I find myself reverting back to old thought patterns. But its not a big deal, meditation and spirituality is always there for me when I’m ready to fully return, I’m not beating myself up because I haven’t done it as well as I’d like. If I’m returning to thoughts of “I absolutely must meditate or I’ll be broken and In Pain forever” that is the complete wrong perspective and those thoughts must be opposed. I’m meditating because I believe there’s more to life than this physical reality and I want to connect with god. Unfortunately (or fortunately I guess) as my symptoms have decreased I’ve found more joy in this physical reality so naturally spirituality gets pushed back on the priority list. It’s something I need to work on. Because we are going to be tmsers for life, and if we revert to our old dysfunctional cruel selves we’ll deal with symptoms indefinitely.

I highly recommend the YouTuber Ben smith for meditation.

Thank you for that. I do many different types - breathwork, present moment awareness, etc. I like insight timer. In terms of unguided, any tips on how you learned to do it?

Definitely relate and agree that self criticism defeats it.

I would like to go and learn from the Buddhist centre I think that would be really nice.
 
"I would like to go and learn from the Buddhist centre I think that would be really nice."

This is an excellent idea. You'll not only find your inner peace, but a community of like minded people searching for the same thing.
 
Thank you for that. I do many different types - breathwork, present moment awareness, etc. I like insight timer. In terms of unguided, any tips on how you learned to do it?

Definitely relate and agree that self criticism defeats it.

I would like to go and learn from the Buddhist centre I think that would be really nice.

Yeah ithe YouTuber Ben Smith, he’s a meditation teacher I paid for his monthly program (like 15 dollars a month), was super helpful. I wouldn’t jump around to different meditations, it’s no different than switching TMS programs or tools over and over. Give yourself a month or two with one and then reevaluate. This is the first meditation he teaches (summarized with AI). Just start at 5 minutes and work your way up. I think 20-60 minutes is a good eventual goal.

I think Buddhism is a great philosophy and if there’s a temple near you then absolutely go for that, I would just avoid thinking you need that to learn to meditate. There’s really no way to do wrong as long as you’re trying. It’s a skill like anything else. It’s get easier.

the problem with guided meditations is that they take away your own agency in cultivating this skill. A major part of meditation is just the discipline in doing it. Start believing and relying on yourself.


So Hum meditation is a simple, silent mantra technique that
pairs the breath with the mantra "So" (inhale) and "Hum" (exhale) to promote relaxation and focus. It translates to "I am That" (identifying with universal consciousness), calming the mind and reducing anxiety by anchoring awareness to the natural rhythm of breathing.
How to Practice So Hum Meditation
  • Position: Sit comfortably with an upright spine, relaxing your shoulders and jaw.
  • Initial Breathing: Close your eyes and take several deep breaths, allowing your body to settle.
  • The Mantra: Inhale slowly through your nose, mentally repeating the sound "So" for the duration of the inhale.
  • The Exhale: Exhale slowly through your nose, mentally repeating the sound "Hum" for the duration of the exhale.
  • Maintain Flow: Continue this cycle—inhale "So," exhale "Hum"—allowing the breath to be natural and effortless.
  • When Your Mind Wanders: Gently acknowledge any thoughts, then return your focus to the sound of your breath and the mantra.
  • Ending: After 5–20 minutes, stop the mantra, sit in silence for a moment, and gradually open your eyes.
Optional Tips
  • Visualization: Visualize breathing in universal energy during the "So" and releasing tension during the "Hum".
  • Pauses: Notice the subtle pauses at the top of the inhalation and the bottom of the exhalation.
  • Routine: Consistent daily practice helps build a deeper sense of inner stillness.
 
Back
Top