The temporomandibular joint (TMJ) is a complicated joint, required to both rotate and translate. The TMJ is used almost continuously for activities of daily living, such as breathing, talking, eating, and swallowing; and stresses on the TMJ are equal or greater than a hip joint. Women are diagnosed with temporomandibular joint disease (TMD) more often than men; and cats and dogs also can develop TMD.
TMD patients have many co-morbid conditions, which may include myofascial pain, fibromyalgia, chronic fatigue syndrome, chronic headaches, migraines, heart arrhythmias, endometriosis, interstitial cystitis, irritable bowel syndrome, lower back pain, sleep disorders-insomnia, autoimmune diseases, sleep apnea, noises and irritation in the ear, vulvodynia, and mental disorders. The most frequently reported comorbid conditions are anxiety, depression, insomnia, fatigue and pain.
Chlamydia trachoma, psittacosis and pneumonia were found in TMD patients, and trachoma was found at significantly higher rates. Chlamydia psittacosis was found at higher rates in psoriatic arthritis patients. More than one type of chlamydia in the same patient can trigger, accelerate, and aggravate chronic diseases. Trachoma (Serovars L1-L3) and psittacosis can inhabit the lymphatics, attack mucous membranes and synovial tissue, and cause TMD, rheumatoid arthritis, and many of the comorbid conditions.
https://www.jstage.jst.go.jp/article/internalmedicine/51/1/51_1_113/_pdf/-char/en
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2907099/
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