1. Daily diet: Encourage patients to eat soft food and take small bites of food. Chew slowly. There is no requirement on whether the food is sour and spicy, or whether it is hairy, but only avoid hard or tough food. Because the temporomandibular joint is a bilaterally linked joint, and both joints act as fulcrums of a lever for each other during lateral movements, when the healthy posterior tooth is used to chew food, the fulcrum of the lever is on the affected joint, and the affected joint at the fulcrum is subjected to more pressure, contrary to the conventional belief that it is better for the joint not to be chewed by the affected posterior tooth, and therefore it is recommended that both posterior teeth are used to chew. Similarly, when chewing hard objects, the joint at the fulcrum of a class 3 lever is under too much pressure, so the back teeth should be used more often for chopping large pieces of food with a knife, avoiding the front teeth for chewing hard objects. Chewing gum requires frequent chewing and should certainly be eaten sparingly. Sometimes patients say that the joint pain is severe, lying on the back when the mandible suffix compression of the posterior region of the joint pain aggravated, lying down to sleep mandibular pressure pain is also aggravated, only the affected side on the top of the lateral lying to barely sleep. When resting, holding your chin with your hand will also lead to increased pressure on the joints. 2, hot compress treatment: joint area pain significant cases can be applied when the hot compress to relieve pain, the basic principle of heat therapy. Heat can promote local tissue that. Specific method is in the symptomatic area placed on a hot towel, surface heating when the towel placed on the hot water bottle will help to maintain the temperature, placed time is ten to fifteen minutes can not exceed thirty minutes. Be sure to pay attention to safety and avoid burns. It aids in pain relief especially after opening training. The presence of water makes a hot towel with wet heat more penetrating than a hot electric towel with dry heat; in short, it’s the heat that does the work. Moxibustion as a heat source is a bit of a problem, the heat penetration of ultra-short wave is better, but can only be operated in the hospital, the frequency is difficult to guarantee. 3, analgesic auxiliary drug therapy: In the case of normal liver and kidney function, early application of non-steroidal anti-inflammatory drugs can reduce intra-articular pain. However, patients are generally very averse to painkillers, these painkillers can not only reduce the patient’s pain, but also reduce the pain caused by secondary inflammatory diseases, such as muscle co-contraction triggered by radiating pain. Because each patient has a different sensitivity to medications, patients may choose to try other anti-inflammatory medications when one does not work. Gastrointestinal disorders should be ruled out before medication is administered; continued use may cause gastrointestinal distress. Patients should be given a one to two week dosing regimen of small doses. The concentration of the drug in the blood slowly reaches the therapeutic concentration. Opening exercises: Early stages of arthropathy often limit joint function because of pain, and limiting joint movement can lead to chronic limitation of movement and muscle atrophy. A certain amount of active opening exercises can help to restore joint and muscle function. Patients should be told to open their mouth slowly and hold it for 1 to 2 seconds before closing it. Advise the patient that large openings should not reach the point of pain, and that jaw pain may establish muscle co-contraction and cause increased pain. Active mouth opening exercises early in the recovery period can be performed without any significant pain, and once some of the tissues have adapted to this active mouth opening exercise, more effective passive mouth opening exercises can be performed. Passive opening can further increase the mobility of the joint, allowing the patient to return to a normal range of motion (normal opening of 4 cm). The patient places the thumb and forefinger between the upper and lower incisors and holds them open as far as possible, repeating the exercise several times to gradually achieve an opening of 4 cm. Pain is usually worse for some time after the mouth opening exercise, and hot compresses can be used to assist in relieving the pain. However, prolonged mouth opening training can reduce the release of inflammatory factors and provide significant pain relief. Opening training is done in addition to other treatments, such as lubrication of the joint with injections, before starting opening training. An analogy is that of a rusty door shaft, which is a bit stuck. Lubricate it with a little oil and slowly try to open the door. Otherwise, if you kick the door open without oil lubrication, the door will open, but the door shaft will be deformed. The maximum degree of opening should not exceed 4cm. Excessive opening will lead to laxity of the joint capsule and tearing of the disc ligaments. The clinical frequency of opening training is 30 repetitions three times a day, about 100 repetitions per day. Or 10 minutes three times a day. Non-functional jaw movements, such as forward extension and lateral movements, are generally not required. 5. Emotional stress and muscle pain are closely related: Patients should be able to relieve emotional stress and promote relaxation. Nocturnal joint pain is one of the criteria for the severity of arthropathy, and patients often suffer from insomnia; a certain amount of deep sleep is essential for recovery from skeletal muscle injuries. The patient is encouraged to minimize any non-functional dental contact (forward, sideways, snapping teeth, etc.) and to keep the upper and lower teeth separate, i.e., to maintain a normal jaw rest position. Although patients can control daytime tooth contact, most cannot control tooth contact at night, especially since joint pain can cause muscle contractions that produce involuntary clenching. When patients are suspected of clenching their teeth at night or grinding their teeth at night, and the pain worsens when they wake up in the morning, bite pads can be used to relieve joint pain, and the use of bite pads at night is more effective in relieving localized pain in the joints than wearing bite pads throughout the day. 6, occlusal pad treatment: the mechanism of action is to mechanically isolate the direct contact between upper and lower teeth, cushioning the pressure of mastication, but also increase the joint space, reduce the pressure of intra-articular tissues, and promote the reconstruction of the articular cartilage, articular discs and synovial membranes, to alleviate the pain in the joints and the joint popping. At present, there are two kinds of occlusal pads commonly used in the clinic, namely, soft pads and hard pads, the thickness of which is about 2 millimeters. The soft occlusal pads are cheaper, more comfortable to wear, prevent patients from grinding their teeth, and can be used for a long time; however, they are not as effective as the hard occlusal pads in relieving pain and promoting structural modification of the joints. Hard pads are effective in relieving pain and promoting joint structural remodeling, but prolonged wear will affect the occlusal relationship, generally no more than 3 months, and more expensive, less comfortable to wear than soft pads. In general, patients are advised to wear them only at night, not all day or during meals. Joint pain is serious that all day wear, with pain relief wear time gradually reduced. Wearing occlusal points to promote the joint structure of the remodeling is a long time, gradual, non-invasive. 7. Joint cavity injection: Relieve joint pain, lubricate the joints and promote the reconstruction of joint structure. Generally the injection drug is hyaluronic acid or large molecule mucopolysaccharides such as chitosan, and hormones are now prohibited. A course of three consecutive injections. An injection interval of 14 days, no more than three times a year.