When rheumatoid arthritis (RA) affects the jaw, it often causes tenderness, stiffness, and pain when chewing.
Rheumatoid arthritis (RA) causes pain and inflammation in the joints. Jaw involvement is common in people who have difficulties managing their RA. Although estimates of its prevalence vary widely between 2% and 88% of those with RA, only a small number of individuals experience symptoms.
RA usually affects the joints symmetrically, so people may notice the symptoms on both sides of the jaw.
This article will examine how RA can affect the jaw, including its symptoms, diagnosis, and ways to relieve jaw pain relating to RA.
RA is a chronic inflammatory autoimmune disease that causes the immune system to attack healthy cells and tissues in and around the joints.
Jaw pain rarely develops in the early stages of RA — the jaw is
- an aching jaw
- pain, tenderness, or stiffness in the jaw joint
- a grinding, creaking, or crunching sound, known as crepitation
- limited range of motion
- decreased joint space
- erosion or bone loss on the affected joint
- misalignment of the jaw in advanced cases
- pain in the neck, ears, or eyes
At times, jaw stiffness can make it difficult to chew.
A rheumatologist will diagnose RA jaw pain according to a person’s medical history, current diagnosis, and symptoms. These healthcare specialists may also run one or more diagnostic tests to validate their diagnosis.
Diagnostic tests for RA jaw pain
- a physical examination of the jaw and mouth
- X-rays of the jaw joint
- MRI scans
- blood tests to measure antibody levels and rule out infections
People who experience RA in their jaw usually get symptoms of the condition in other joints before they experience it in the jaw joint.
RA can also cause symptoms outside the joints. The general symptoms of RA
Controlling the disease itself will help reduce RA jaw pain. Typically, doctors prescribe medications to help prevent tissue damage and slow the disease from progressing.
Because RA medication generally slows down or stops the progression of the condition, it also reduces symptoms and can prevent permanent joint damage.
- disease-modifying antirheumatic drugs
- biologic medications, including:
- Janus kinase inhibitors
Certain jaw exercises may also help relieve RA symptoms. A person can speak with a doctor about the best types of exercises to do and when to do them, as overusing the jaw can worsen symptoms. Individuals should always warm up the jaw muscles first to prevent injury.
A rheumatologist may also refer a person to an oral medication specialist to evaluate and manage TMJ pain.
Home remedies can help with the immediate symptoms of jaw pain. However, these methods alone are not enough to treat RA. Even with mild symptoms, prolonged inflammation can still lead to permanent tissue damage, so it is important to keep taking prescribed RA medication.
People can use the following methods to help relieve RA jaw pain at home:
- applying a hot or cold compress
- eating soft foods or switching to a liquid diet for a few days
- avoiding crunchy, sticky, or chewy foods, such as nuts, croutons, caramel, and gum
- using a straw for drinking liquids
- avoiding opening the mouth too wide during flares
- avoiding clenching the jaw
- wearing a mouthguard during sleep
RA causes inflammation, pain, and swelling in the synovial fluid between joints. In later stages of the condition, it can also affect the jaw.
Inflammation of the jaw can lead to persistent pain and a limited range of mobility. Without treatment, inflammation can damage the surrounding cartilage and bone tissue, which can lead to permanent damage.
Controlling RA with medications can reduce RA-related jaw pain. Different medications work better for different individuals, and people can speak with a doctor about the best course of treatment.
Eating hard, crunchy food or clenching the jaw can worsen RA jaw pain during flares. People can consider eating soft foods and applying a hot or cold compress to reduce jaw pain at home.