MEDIAL PTERYGOID
• Origin
Medial surface of the lateral pterygoid plate of the sphenoid bone,
Pyramidal process of the palatine bone,
Tuberosity of the maxilla
• Insertion
Medial surface of the ramus and angle of the mandible
• Agonist(s)
Masseter,
Temporalis (for elevation of the mandible),
Lateral pterygoid (assists in some movements)
• Antagonist(s)
- Digastric (anterior belly),
- Geniohyoid,
- Mylohyoid (for depression of the mandible)
• Function
- Elevates the mandible (closes the jaw),
- Assists in protruding the mandible,
- Contributes to side-to-side (lateral) movements of the jaw.
TRIGGER POINT(S)
• Location
Trigger points are typically located in the deep belly of the muscle, near the mandible’s inner surface, making it challenging to palpate directly.
Trigger points can be activated by palpating through the mouth or along the medial side of the mandible.
• Pain Referral Pattern
Pain can refer to the jaw, deep inside the mouth, and along the lower teeth.
It often manifests as deep ear pain, sore throat sensations, or a dull ache in the upper neck and lower jaw.
Pain may also extend to the temporomandibular joint (TMJ) area and lower cheek.
Pain Pattern
• Potential Causes
• Clenching or grinding teeth (bruxism)
• Poor jaw alignment or malocclusion
• Stress and tension leading to jaw tightening
• Excessive chewing or gum chewing
• Trauma or dental work causing jaw strain
• Prevention Tips
• Practice relaxation techniques to reduce jaw clenching or tension
• Avoid excessive gum chewing and hard foods that require intense chewing
• Use proper posture to minimize jaw tension
• Consider using a mouthguard at night if bruxism is present
• Perform gentle jaw stretching exercises to relieve tension and prevent trigger points.