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Understanding TMJD and How Physical Therapy Can Treat It

Writer's picture: AJ Kirkpatrick, PT, DPTAJ Kirkpatrick, PT, DPT

Temporomandibular Joint Disorder (TMJD) is a condition that affects the jaw joint and surrounding muscles, often leading to discomfort, pain, and even difficulty with everyday activities like eating and speaking. If you or someone you know is experiencing TMJD, you’re not alone—this condition impacts millions of people. At our clinic, we specialize in providing effective, evidence-based treatments to help alleviate symptoms and improve quality of life.


What is TMJD?


The temporomandibular joint (TMJ) connects your jawbone to your skull, allowing for movements like chewing, talking, and yawning. TMJD occurs when there is dysfunction or inflammation in this joint or the surrounding muscles. Common causes of TMJD include:


  • Stress or Bruxism: Clenching or grinding your teeth.

  • Trauma: Injury to the jaw or face.

  • Arthritis: Degenerative changes in the joint.

  • Misalignment: Issues with bite alignment or dental problems.


Symptoms of TMJD can vary but often include:


  • Jaw pain or tenderness

  • Clicking or popping sounds when opening or closing the mouth

  • Difficulty chewing or locking of the jaw

  • Headaches, earaches, or facial pain


How We Treat TMJD


At our physical therapy clinic in Orange County, we take a holistic and personalized approach to TMJD treatment. Our goal is to address the root cause of your symptoms and provide lasting relief. Here are some key components of our treatment plan:


  1. Comprehensive Assessment We begin with a thorough evaluation of your jaw mechanics, posture, and overall musculoskeletal health. This helps us identify contributing factors and design a customized treatment plan.


  2. Manual Therapy One of the most effective techniques for TMJD relief is manual therapy. Our skilled therapists perform intraoral manual treatment, including direct work on the lateral pterygoid muscle—a key player in jaw function and we are one of the only clinics in the area that perform this style of treatment. By accessing this muscle through the mouth, we can reduce tension, improve mobility, and alleviate pain. While the thought of intraoral treatment might seem intimidating, our therapists ensure the process is gentle and tailored to your comfort level. We believe the lateral pterygoid intraoral release is the most crucial and overlooked aspect of TMJ treatment at other clinics.


  3. Postural Corrections Poor posture, particularly forward head posture, can exacerbate TMJD symptoms by placing undue stress on the jaw and surrounding muscles. We’ll guide you through exercises and ergonomic adjustments to improve alignment and reduce strain.


  4. Stretching and Strengthening Exercises Targeted exercises can help restore balance to the jaw and neck muscles. We’ll teach you stretches to relieve tension and strengthening routines to support proper jaw function.


  5. Stress Management Techniques Stress often plays a significant role in TMJD, particularly for those who grind their teeth or clench their jaw. Incorporating relaxation techniques like diaphragmatic breathing or mindfulness can complement your physical therapy sessions.


  6. Education and Home Exercises Empowering you with knowledge is a vital part of our approach. We’ll provide guidance on self-care strategies and home exercises to maintain your progress between sessions. There are many outside tools that can completely change your recovery, as well, such as choosing the proper night guard for you to wear at night.


Why Choose Us?


Our experienced team is passionate about helping you achieve relief from TMJD symptoms. With advanced training in techniques like intraoral manual therapy, we’re equipped to address even the most complex cases. We are one of the only clinics in the area that treat this dysfunction intraorally, which we believe is a crucial aspect to a quick recovery. By combining hands-on care with education and long-term solutions, we strive to deliver lasting results.


If you're near the Mission Viejo area and think you, or someone you know, might benefit from physical therapy on your TMJ, or just to get any questions answered, please don’t hesitate to reach out for a free consultation!

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