Can the jaw cause back pain? | BFZ Winnenden
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Jaw Joint & CMD

Can the jaw cause back pain?

Surprisingly often, complaints in the neck, back or even legs are connected to the jaw. How can that be?

1 2 3 4 5 6 7 8
1Head and jaw deviation
2Shoulder tilt
3Thoracic counter-curve
4Diaphragm & breathing
5Lumbar curve
6Pelvic tilt
7Leg length difference
8Foot statics & ground contact
Key
Deep front line — jaw to foot arch
Stretched side — constant tensile load
Shortened side — permanently approximated
Plumb line and horizontals
Ascending chain from pelvis to jaw joint: pelvic tilt, counter-curve of the spine, shoulder tilt and head–jaw deviation are connected. Schematic illustration.

The jaw joint is not an isolated hinge. Through muscles and nerve pathways it is closely connected to the whole body. If the tension in the masticatory system changes, this can spread via so-called muscle chains into the neck, shoulders and back.

Ascending and descending chains

Doctors speak of "ascending" and "descending" chains: a misalignment in the pelvis can act upwards to the jaw — and tension in the jaw downwards into the back. Both directions are possible, and they often reinforce each other.

The illustration above shows such an ascending chain: a pelvic tilt – caused for example by a leg length difference or by foot statics – forces the spine into a counter-curve. This alters the diaphragm and breathing mechanics, tips the shoulder axis and finally reaches head posture and the jaw joint. On one side of the body the muscles work permanently stretched, on the other permanently shortened.

The body can adapt perfectly — so why complaints everywhere? Because constant tension throws the system out of balance.

Why this is often overlooked

Those who go to an orthopaedist for back pain rarely think of the teeth. That’s exactly why such connections often go unrecognised. We deliberately look beyond the single tooth and check whether the jaw joint could be involved.

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This article provides general information and does not replace an individual examination or consultation. Everyone is different — what makes sense in each case we clarify in person.

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