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Jaw clicking, pain with chewing, or chronic headaches from TMJ dysfunction? Our fellowship-trained Doctors of PT diagnose and treat temporomandibular disorders using manual therapy, movement retraining, and targeted exercise.
Common Diagnoses
TMJ disorders have different causes and require different treatment approaches. Click each section below to learn about the three most common types we see in the clinic.
TMD myofascial pain is muscle-driven jaw pain, typically involving the masseter and temporalis muscles (the chewing muscles). It's the most common type of TMJ disorder and is highly responsive to physical therapy. Unlike disc or joint problems, this is purely a soft tissue issue.
TMD myofascial pain is caused by overactive, tight jaw muscles. Common triggers include:
We use manual therapy (intraoral trigger point release, dry needling) to reduce muscle tension, then teach you jaw relaxation techniques and postural retraining. Most patients see significant improvement within 4-6 weeks.
Disc displacement occurs when the articular disc inside the TMJ joint shifts out of its normal position, typically moving forward (anterior displacement). This causes clicking, popping, or locking of the jaw. In early stages, the disc "reduces" (pops back into place), but in advanced cases, it can remain displaced (non-reducing).
Disc displacement is often caused by joint overload or trauma. Contributing factors include:
We use joint mobilizations and movement retraining to improve jaw mechanics and reduce stress on the disc. In many cases, we can teach exercises to help the disc slide back into place when the jaw opens. In more advanced cases where it stays shifted, we focus on reducing pain and restoring as much comfortable movement as possible. Surgery is rarely needed.
TMJ osteoarthritis is degenerative joint disease affecting the temporomandibular joint. Cartilage in the joint breaks down over time, leading to bone-on-bone contact, inflammation, and pain. It's more common in older adults or those with a history of jaw trauma or chronic disc displacement.
TMJ osteoarthritis is caused by chronic joint stress and wear-and-tear. Common contributing factors include:
While we can't reverse osteoarthritis, we can significantly reduce pain and improve function. We use gentle joint mobilizations, load management strategies (soft diet modifications), and strengthening exercises to offload the joint. Most patients see improved quality of life within 6-8 weeks.