TMJ Disorder

Acute closed lock is a condition where the articular disc is excessively displaced anteriorly, preventing it from returning to its original position upon opening. Immediate treatment involves acupuncture for muscle relaxation and pain control, warm compresses, and the combined use of non-steroidal anti-inflammatory drugs (NSAIDs) if necessary. In cases where the mouth opening is severely restricted to 30mm or less, the disc can be returned to its original position through needle acupuncture and joint manipulation therapy. Treatment proceeds in the following order: Stage 1 focuses on pain and inflammation control, Stage 2 on restoring joint range of motion, and Stage 3 on strengthening muscle function to prevent recurrence. Perspective of Korean Medicine Clinic Sudden limitation of mouth opening can be viewed as a condition where wind or cold causes the muscles to contract rapidly, accompanied by pain resulting from blocked Qi and blood circulation. During the acute phase, since it is necessary to quickly clear meridian blockages, Qi and blood circulation is restored by simultaneously stimulating distal and proximal areas, such as acupoints for Qi and blood circulation on the back of the hand and near the cheek joint. Once pain and spasms subside partially, adhesive tissues are separated using needle acupuncture to restore joint range of motion, followed by the continuation of anti-inflammatory and regenerative effects within the joint using pharmacopuncture (bee venom and placenta preparations).