I am moving toward a goal of posting more, again, on the blog 😉

So, today was a visit to Travis about my right shoulder. I originally started visiting him concerning an inflamed biceps tendon, but since then, it has changed to more a slightly sore infra-spinatus. The cause seems to stem from my lifelong habit of clenching my jaws together,which I am also seeing a different specialist for.

Anyway, over the weekend I had to get a massage to relieve my shoulder pain due to excessive clenching, which causes a chain reaction of my levator scapula getting tight and causing a downward rotation on my shoulder blade, which then causes the rest of the rotator muscles- that are already a little too weak – to work super hard to get the upward rotation on the shoulder blade. The end result is an inflamed small muscle or tendon in my shoulder and a very tight neck and top of shoulder area. Argh.

The massage enabled me to run the 5K Iron Girl on Sunday, but by today, I was already super tight again and feeling some discomfort in my shoulder. Travis, being the incredibly knowledgeable PT that he is, did a very specific massage, which loosened up the muscles enough so that we could actually do some exercises. He, then, took it fairly easy on me due to the inflammation of the new area.

I also told him what I had learned about my jaw from the specialist at UW. It goes something like this:

I broke my only crown, which I had had for 10 years, in January of this year and had it replaced in February. After the replacement is has hurt and continually extruded (or pushed up). My dentist filed it down three times before determining that it was probably something more serious and sent me to an endodontist due to my long tooth roots.

Cut to endodontist: She determined that I had a cracked tooth, which had been held together with the old crown, and opened up with the new crown, which equals a ROOT CANAL! Yay! The root canal was supposed to solve the problem and stop the tooth extrusion.(She also measured my tooth roots b/c I was wondering how long they were and why they were considered so long. It turns out my tooth roots are 25mm long, and a normal tooth has roots approx. 22mm long. And now you know….)

Note: this whole time I am wearing my night guard religiously each night. My night guard is basically a mold of my teeth with some kind of plaster built up on the front part to keep my teeth from touching in the back. The only teeth that touch are the front ones, and boy can I feel it in the morning on the front teeth when I’ve had an exceptionally clench-filled night.

Well, the root canal on August 16th did not stop the tooth from continuing to extrude. My endodontist even did a file down to help ease the discomfort about one week later.

In the mean time, I set up an appointment with the TMJ specialist at UW. I explained the whole process to him, and he immediately was impressed that I knew how long my tooth roots were. 🙂 I’m such a nerd sometimes. Anyway, the result of the dissertation I made and the observations he made were that my night guard was causing the tooth to extrude. WHAT?! The freakin’ night guard that I dislike anyway is causing this entire catastrophie?! ARGH!

Here’s what was happening. He said that it is well known and thought of that a tooth on the top of the mouth without a tooth to oppose it on the bottom will overtime extrude because it does not have any force to oppose it and keep it in place. It is still known, but not really thought of (as in it is not the immediate conclusion) for bottom teeth, which is what my tooth is. So, my bottom tooth was inflamed, which means that the bone is building up around the root to help protect it, and the tendon surrounding the roots are working overtime to try and get the inflamed object to go away (i.e. extrude). Normally, after the root canal the tooth has a chance to calm down and stay in place b/c at some point in the day, it will hit the opposing upper jaw tooth and stay in place. However, due to my unfortunate nightguard, my back teeth NEVER touched, and my poor inflamed tooth was able to continue to push out each and every night.

He told me to throw out my nightguard because he was going to give me  a new one (the temporary is a simple sports self-mold model – this thing is huge, but all of my teeth can touch the bendy plastic substance it is made out of). His theory was that with the touching of the teeth on something, the back tooth would begin to intrude, which it has, happily, done! Woohoo!

The second part of my treatment is all behavioral, i.e. I have to change my clenching habits during the day. I also learned that your teeth do not actually touch when your jaw is in a resting position. Many of you already knew that – lucky for you. I had no idea! I’ve been clenching my whole life thinking I was relaxed! No wonder my shoulders are like rocks.

So, my homework is to continually remind myself to relax my jaw – keep the tongue resting behind the front teeth while the teeth remain slightly apart to give the jaw joint space. I have been completely amazed by how often and how severely I clench during the day, even. It’s crazy! I especially clench during upper body  (specifically shoulder) exercises. I also clench when I run, get really stressed at work or just sit and read facebook. My day now consists of me checking the status of my jaw and relaxing constantly.

I told Travis all this today, and he also added that the levator scapula is very tight possibly due to weakened multifidi on the C1-4 vertebrae. So, I now am working in pushing my tongue against the roof of mouth to fire those extremely tiny muscles along my spine. Woohoo! I’m just afire with crazy crap to keep up with.

Travis also finished analyzing my running video that we made several weeks ago. Due to the file size, I will not have it in my possession until I am able to get a thumb drive to him to download them. I will save his findings for the video.

I also ended my day with a workout from Melissa. Woohoo! I’ve gotten it all in this week. I’m going to try and run tomorrow as it will be day three after the race, which should be enough time for recovery, maybe.

Things are very exciting right now. I really believe if I can tame my jaw clenching, then I will see a huge reduction in my various discomforts and ailments. Never underestimate how connected the entire body is.

p.s. Travis measured the flexibility of the achilles tendon by measuring how far away from the wall I can stand and touch my knee cap to the wall. I’ll explain why in the video post, but for now the numbers – so I don’t forget them.

The right foot (big tow) was 5.5cm from the wall, and the left foot (big toe) was 7cm from the wall. These numbers are new measurements that I look to improve to the goal of 10cm for each foot over time.