

Jaw muscle spasm is a condition that affects both children and adults, causing severe pain, difficulty chewing, jaw clicking, and even headaches or neck fatigue. The causes can be simple, such as stress or daily habits like teeth grinding, or dental and jaw problems. In rare cases, it may result from neurological disorders.The signs are clear and include difficulty opening the mouth, pain while eating, clicking sounds, and muscle stiffness. The good news is that there are effective ways to relieve spasms and improve jaw movement, whether through simple daily exercises for both children and adults, pain-relieving and muscle-relaxing medications, or, in severe cases, surgery or Botox injections.In this Delily Medical article, we will explore everything about jaw spasms: their causes, symptoms, the best exercises to relieve them, and modern treatment methods for all ages in a simple and clear way.
In most cases, no. However, it can cause pain, difficulty eating, or dental development issues if it persists without treatment.
You might hear grinding noises while they sleep or notice worn teeth or jaw pain upon waking.
Yes, if done gently and under supervision, such as slowly opening and closing the mouth or lightly massaging the muscles.
If the spasm persists, the pain is severe, there is difficulty eating or speaking, or swelling or persistent headaches appear.
Yes, continuous spasm can put pressure on head and neck muscles, causing headaches and muscle fatigue.
Yes, daily exercises, massage, and adjusting dietary and behavioral habits are often sufficient for mild cases.
Medications: Used for severe or chronic cases that do not improve with exercises or home care.
Surgery: Rare, only used after all other methods fail or if there is a temporomandibular joint (TMJ) problem.
In most cases, with proper treatment, the spasm improves or disappears completely, especially if the underlying cause (stress or dental issues) is addressed.
1. Early Stage (Mild Tension):
Mild tension or slight pain when chewing or opening the mouth.
Occasional clicking sounds or mild grinding during sleep.
Usually temporary and resolves with rest or habit adjustments like stopping thumb sucking.
2. Moderate Stage (Persistent Spasm):
Clear pain or sensitivity in the jaw, sometimes extending to the head or neck.
Difficulty fully opening the mouth.
The child may avoid hard foods or feel discomfort while eating.
3. Advanced Stage (Chronic or Severe Spasm):
Persistent stiffness in jaw muscles.
Significant difficulty opening the mouth, sometimes with teeth grinding at night.
May affect mood and sleep, requiring specialized medical intervention.
1. Early Stage (Mild Muscle Tension):
Feeling of heaviness or tension in the jaw after long periods of stress.
Mild pain when chewing or opening the mouth.
2. Moderate Stage (Recurrent Spasm):
Repeated and continuous pain, especially upon waking or after prolonged talking.
Clicking or popping sounds in the joint during movement.
Slight difficulty opening the mouth.
3. Advanced Stage (Chronic or Severe Spasm):
Severe, chronic pain in the jaw, face, and neck.
Difficulty opening the mouth, tooth wear, or slight facial deformation in some cases.
Continuous headaches or muscle fatigue after minimal activity.
Stress or Psychological Tension: Children with anxiety may unconsciously tighten jaw muscles, especially during sleep.
Dental or Jaw Problems: Such as tooth eruption, misaligned teeth, or gum inflammation, which can put pressure on jaw muscles.
Habitual Finger Sucking or Chewing Objects: Causes muscle fatigue and spasm over time.
Fever or General Illnesses: High temperature or illnesses that induce muscle tension can lead to jaw spasm.
Rare Causes: Neurological disorders or muscle spasms, though less common.
Psychological Stress or Anxiety: Stress or anxiety can cause teeth grinding (bruxism) or jaw clenching, leading to muscle spasm.
Dental or Jaw Problems: TMJ disorders, broken teeth, or uneven dental restorations.
Injuries or Surgery to the Jaw or Head: Any trauma or surgical procedure can cause stiffness and spasm.
Muscle or Nerve Inflammation: Such as myositis or neuropathy affecting jaw muscles.
Mineral Deficiencies: Lack of magnesium or calcium, causing muscle spasms including in the jaw.
Continuous Strain or Daily Habits: Excessive gum chewing or prolonged mouth opening (singing, vocal exercises).
Pain or sensitivity in the jaw, especially when chewing or opening the mouth.
Difficulty opening the mouth fully.
Clicking sounds or teeth grinding, particularly during sleep.
Mild swelling or stiffness in the jaw area.
Avoiding certain foods due to discomfort.
Mood changes or irritability due to persistent pain.
Occasional mild headaches associated with jaw and neck tension.
Continuous or severe jaw pain, especially when chewing or opening the mouth.
Difficulty or stiffness in opening the mouth.
Clicking or popping sounds in the joint during mouth movement.
Headache or facial/neck pain due to jaw muscle tension.
Tooth wear or teeth grinding during sleep (bruxism).
Muscle fatigue after long talking or chewing.
Facial changes: swelling or muscle tightening in chronic cases.
Temporary Spasm Due to Stress or Fatigue:
Usually resolves with rest or relaxation.
Causes: anxiety, irregular sleep, jaw tension during play or chewing objects.
Spasm Due to Dental or Gum Problems:
Appears in children with tooth decay, eruption, or gum inflammation.
Symptoms: pain while chewing or opening the mouth, difficulty eating.
Spasm Due to Daily Habits:
Thumb sucking, chewing toys, or teeth grinding during sleep.
Can lead to jaw muscle fatigue and stiffness.
Spasm from Rare Neurological Conditions:
Muscle seizures or certain neurological disorders.
Less common, may require specialized medical intervention.
Spasm Due to Psychological Stress or Anxiety:
Most common in adults.
Appears as teeth grinding (Bruxism) or involuntary muscle tension.
Spasm Due to Temporomandibular Joint (TMJ) Problems:
Inflammation or TMJ disorders cause pain and spasm in surrounding muscles.
Symptoms: difficulty opening the mouth, clicking sounds, facial or neck pain.
Spasm Due to Injuries or Surgery:
Any injury to the jaw or head, or post-surgical complications.
Presents with severe pain and muscle stiffness.
Spasm Due to Mineral Deficiency or Muscle Disorders:
Lack of calcium or magnesium may cause general muscle spasms, including jaw muscles.
May be accompanied by spasms in other parts of the body.
Spasm Due to Daily Habits:
Excessive gum chewing or prolonged mouth opening during singing or vocal exercises.
Difficulty Eating and Chewing: May refuse hard foods, leading to nutritional deficiencies.
Chronic Pain: Continuous jaw muscle tension causes pain in the jaw or face, affecting sleep and comfort.
Dental and Jaw Problems: Teeth grinding at night can cause tooth wear or jaw growth issues.
Speech Impact: Difficulty pronouncing certain sounds, especially in young children.
Headaches and Neck Pain: Spasm extending to surrounding muscles causes persistent headaches or neck pain.
Mood and Behavior Effects: Continuous discomfort may make the child irritable or reduce concentration in study and play.
Chronic Pain in Jaw and Face: Persistent muscle tension causes pain while chewing or speaking, sometimes extending to the neck and shoulders.
Difficulty Opening the Mouth: Severe cases can limit mouth opening, affecting eating and speech.
Teeth Grinding and Wear: Stress or anxiety may cause bruxism, leading to tooth wear, sensitivity, or fractures.
TMJ Problems: Chronic spasm may cause inflammation or stiffness in the TMJ, producing clicking sounds or severe pain.
Headaches and Neck/Shoulder Pain: Continuous jaw tension stresses head and neck muscles, causing headaches and muscle fatigue.
Impact on Mood and Quality of Life: Chronic pain and difficulty eating or speaking may cause stress, anxiety, or sleep disturbances.
Medical History and Clinical Examination:
Doctor asks about symptoms: jaw pain, difficulty chewing, clicking, daily habits (thumb sucking or teeth grinding).
Examines facial and jaw muscles for stiffness or tenderness.
Observation of Behavior and Habits:
Monitor child during sleep or play to detect teeth grinding or jaw clenching.
Medical Tests if Needed:
X-rays or panoramic dental imaging to detect dental or jaw development issues.
Rarely, lab tests to check mineral deficiencies or muscle/neurological disorders.
Exclusion of Neurological Causes:
If spasm is severe or persistent, a neurological evaluation may be requested to rule out seizures or nervous system disorders.
Medical History and Clinical Examination:
Evaluate symptoms: pain, difficulty opening mouth, clicking, headaches, muscle fatigue.
Examine jaw muscles and TMJ for stiffness or clicking sounds.
Observation of Daily Habits:
Teeth grinding during sleep, excessive gum chewing, or chronic stress.
Medical Tests if Needed:
X-rays or MRI of TMJ to detect joint or surrounding muscle problems.
Blood tests to check for mineral deficiencies or muscle diseases.
Exclusion of Chronic or Neurological Conditions:
Referral to a neurologist or dental specialist if symptoms are chronic or accompanied by numbness or facial weakness.
Mild Pain Relievers:
Paracetamol or ibuprofen at age-appropriate doses.
Helps reduce pain and inflammation associated with muscle spasm.
Muscle Relaxants:
Rarely used in children, only under a specialist’s supervision.
Helps relax muscles in very severe cases.
Anti-inflammatory Medications (if gum or dental inflammation present):
Light anti-inflammatory may be prescribed if spasm is caused by oral or gum inflammation.
Note: Any medication for children should be under medical supervision, especially muscle relaxants or anti-inflammatories.
Pain Relievers:
Paracetamol, ibuprofen, or naproxen to relieve pain and inflammation.
Muscle Relaxants:
Methocarbamol, Baclofen, or Tizanidine as prescribed by a doctor.
Used for severe or chronic muscle spasms.
Non-Steroidal Anti-Inflammatory Drugs (NSAIDs):
Reduce pain and swelling in TMJ inflammation.
Additional Medications for Stress or Anxiety:
Mild anti-anxiety medications or sleep aids if spasm is related to stress or nocturnal bruxism.
Botox Injections:
In some chronic, severe cases, Botox is used to relax jaw muscles for extended periods.
Surgery is rarely required for children:
Most children improve with conservative treatment such as exercises, dental care, and pain relievers.
Cases that may require surgery:
Congenital deformities of the jaw or TMJ.
Jaw growth problems affecting chewing or speech significantly.
Severe chronic spasm unresponsive to other treatments.
Possible surgical procedures:
TMJ Reconstruction: To reshape or correct the joint.
Removal of tight muscle or fibrous tissue: To relieve spasm.
Note: Surgery in children is usually a last resort and performed under the supervision of a pediatric oral and maxillofacial surgeon.
Cases that may require surgery:
Chronic and severe spasm associated with TMJ disorders.
Deformities or recurrent TMJ inflammation not improved with conservative treatments.
Advanced teeth grinding or damage to jaw muscles and joint.
Types of surgery:
TMJ Surgery (Arthroscopy or Open Surgery): To remove inflammation or reshape the joint.
Excision of tight muscle or fibrous tissue: To relieve persistent spasm.
Joint injections with implants or prosthetic materials: In some cases, to restore normal jaw movement.
Important notes:
Surgery is usually the final option after all other treatments have failed.
Requires careful post-operative follow-up and jaw rehabilitation exercises.
Important: Guide children gently and encourage repetition without pressure.
Slow Mouth Opening and Closing:
Have the child slowly open their mouth as wide as possible, then close gently.
Repeat 5–10 times daily.
Lowering the Upper Lip:
Gently pull the upper lip down for 5 seconds, then relax.
Helps relax the front jaw muscles.
Light Chewing Exercises:
Give a soft piece of gum or light lemon-flavored treat to chew slowly.
Strengthens muscles without strain.
Jaw Massage:
Gently massage the side jaw muscles with small circular motions.
Reduces spasm and relieves pain.
Important: Adults can perform exercises daily, but consult a dentist or physiotherapist if pain is severe.
Slow Mouth Opening and Closing:
Open mouth slowly to maximum comfortable limit, then close gently.
Repeat 10–15 times, twice daily.
Lateral Jaw Movement:
Move jaw slowly to the right, then left 5–10 times.
Helps relax side muscles.
Chin Resistance Exercise:
Place your fist under the chin and gently try to open the mouth against resistance.
Repeat 5–10 times to strengthen muscles and reduce spasm.
Jaw and Neck Massage:
Massage jaw muscles, around ears and jawline, in circular motions for 1–2 minutes daily.
Facial Relaxation Exercises:
Open mouth, smile, then fully relax facial muscles.
Repeat 5 times to relieve muscle tension.
Monitor Daily Habits:
Prevent thumb sucking or biting hard objects.
Reduce teeth grinding at night with a night guard if recommended.
Reduce Psychological Stress:
Relaxing activities or playtime to calm the child.
Reading a bedtime story or simple breathing exercises.
Nutrition:
Offer soft foods if painful.
Ensure adequate intake of essential minerals like calcium and magnesium.
Simple Jaw Exercises:
Gentle mouth opening/closing, side-to-side movement, and light massage daily without pressure.
Dental and Jaw Monitoring:
Regular dentist visits to detect cavities or misaligned teeth.
Reduce Stress and Fatigue:
Relaxation exercises, yoga, or deep breathing.
Minimize work-related or daily stress.
Modify Daily Habits:
Avoid prolonged gum chewing or excessive mouth opening.
Use a night guard if grinding teeth during sleep.
Jaw and Facial Exercises:
Slow mouth opening/closing, lateral jaw movement, and massage of jaw and neck muscles.
Perform daily to reduce spasm and improve muscle flexibility.
Nutrition and Supplements:
Ensure adequate calcium and magnesium intake.
Avoid hard or tough foods if experiencing severe pain.
Consult a Doctor if Needed:
Seek dental or TMJ specialist care if pain is severe, persistent, or causes significant difficulty in opening the mouth.