Jaw Pain, Clicking, or Locking? Let’s Talk TMJ Treatment
May 14, 2025
Let’s Talk TMJ Treatment

Do you ever experience a dull ache near your jaw joint? Do you hear a clicking or popping sound when you chew, yawn, or talk? Or worse—does your jaw occasionally lock in place? If you answered yes to any of these, you may be dealing with a condition involving your temporomandibular joint, more commonly known as TMJ.

TMJ disorders can be frustrating, painful, and even debilitating—but the good news is, they’re treatable. In this post, we’ll explore what TMJ is, common symptoms, potential causes, and the range of treatment options available to help restore your comfort and functionality.

Understanding the Temporomandibular Joint (TMJ)

The temporomandibular joint is the hinge that connects your jawbone to your skull, located just in front of each ear. It’s one of the most complex joints in the body, allowing your jaw to move up and down, side to side, and forward and back.

Because this joint is in constant use—through chewing, talking, yawning, and even swallowing—any dysfunction can significantly impact your daily life. TMJ disorders, often referred to as TMD, refer to a group of conditions that cause pain and dysfunction in the jaw joint and the muscles that control jaw movement.

Common Signs and Symptoms of TMJ Disorders

TMJ disorders don’t always present the same way in every individual, but some of the most frequently reported symptoms include:

  • Jaw pain or tenderness
  • Clicking, popping, or grating sounds when opening or closing the mouth
  • Jaw locking (open or closed)
  • Facial pain
  • Difficulty chewing
  • Headaches or earaches
  • Aching pain in or around the ear
  • Tension in the neck and shoulders
  • Uneven bite or difficulty closing teeth properly

If you notice any combination of these symptoms—especially if they persist—it’s worth having a conversation with a dental or medical professional who specializes in TMJ disorders.

What Causes TMJ Disorders?

The exact cause of a TMJ disorder can be difficult to determine, as it may stem from a combination of factors. Some of the more common causes and contributing factors include:

  • Jaw Injury or Trauma- A direct blow or injury to the jaw can damage the joint, displace the disc inside it, or strain surrounding muscles and ligaments.
  • Arthritis- Osteoarthritis or rheumatoid arthritis can affect the TMJ, leading to joint degeneration and inflammation.
  • Teeth Grinding or Clenching (Bruxism)- Habitual grinding or clenching—often during sleep—puts excessive pressure on the joint, leading to muscle fatigue and inflammation.
  • Dislocation or Misalignment- If the cushioning disc inside the TMJ slips out of position, it can cause clicking or locking.
  • Stress- Emotional stress often leads to jaw clenching or muscle tension, which exacerbates TMJ symptoms.
  • Poor Posture- Believe it or not, poor posture—especially involving the neck and shoulders—can affect the alignment of your jaw.

Diagnosis: How Is TMJ Disorder Identified?

Diagnosis of TMJ disorders often starts with a detailed medical and dental history, followed by a physical examination. Your provider may:

  • Listen to and feel your jaw as you open and close it
  • Check the range of motion in your jaw
  • Press on areas around your jaw to identify pain or discomfort
  • Evaluate your bite and check for signs of grinding

In some cases, imaging studies such as X-rays, MRI, or CT scans may be used to assess joint structure, disc position, and potential damage to bone or soft tissues.

TMJ Treatment Options

The good news? Most TMJ disorders are treatable—and in many cases, symptoms can be managed effectively with conservative, non-surgical approaches. Let’s look at the full spectrum of TMJ treatment options:

1. Lifestyle Modifications and Self-Care

  • Soft Diet: Avoid hard, crunchy, or chewy foods that can strain your jaw.
  • Heat or Ice Therapy: Warm compresses can ease muscle tightness; ice packs help reduce inflammation.
  • Jaw Exercises: Gentle stretches and movement exercises can improve flexibility and relieve stiffness.
  • Stress Management: Practicing mindfulness, yoga, or breathing exercises can help reduce clenching and tension.

2. Medications

  • Pain Relievers: Over-the-counter NSAIDs like ibuprofen can reduce inflammation and discomfort.
  • Muscle Relaxants: Temporarily prescribed to ease muscle spasms.
  • Antidepressants: In low doses, they may be used to relieve pain or bruxism related to stress or anxiety.

3. Oral Appliances or Splints

Custom-made mouthguards, also called night guards or occlusal splints, help reduce teeth grinding and redistribute jaw pressure. These appliances are often worn during sleep and are one of the most effective non-invasive treatments for TMJ.

4. Physical Therapy

A TMJ-focused physical therapist can use massage, exercises, ultrasound, or manual therapy to relieve muscle tension and improve jaw movement.

5. Injections

  • Corticosteroid Injections: Reduce inflammation in the joint.
  • Botox Injections: In certain cases, Botox may be used to relax overactive jaw muscles contributing to TMJ pain and bruxism.

6. Dental Treatments

If your TMJ disorder is linked to bite issues or missing teeth, your dentist may recommend:

  • Orthodontic treatment
  • Dental restorations (crowns, bridges)
  • Adjustments to your bite (occlusal equilibration)

7. Surgical Options

Surgery is rarely needed but may be considered when other treatments have failed:

  • Arthrocentesis: A minimally invasive procedure to flush out the joint.
  • Arthroscopy: A procedure using a small camera and instruments inserted into the joint.
  • Open-joint Surgery: Reserved for severe structural problems.

When Should You See a TMJ Specialist?

If your jaw pain persists, worsens, or significantly impacts your ability to eat, speak, or sleep, it’s time to seek professional help. A TMJ specialist—often a dentist with experience in orofacial pain or a maxillofacial surgeon—can provide targeted diagnostics and treatment options based on your specific needs.

Early intervention often prevents more serious complications, including permanent joint damage or chronic pain.

Living Well With TMJ: Tips for Daily Relief

Managing a TMJ disorder doesn’t have to be overwhelming. Here are some practical tips to help you protect your jaw joint:

  • Avoid wide yawning or opening your mouth too far.
  • Don’t chew gum or bite your nails.
  • Maintain good posture, especially when working at a desk.
  • Use hands-free devices instead of holding the phone against your shoulder.
  • Practice relaxation techniques to reduce jaw tension.
  • Stick to a regular sleep schedule to promote healing and reduce nighttime clenching.

Final Thoughts

TMJ disorders are more common than many people realize, and while the symptoms can be painful and disruptive, there are many treatment options available to help you find lasting relief. Whether you’re dealing with clicking, locking, soreness, or difficulty chewing, you don’t have to suffer in silence.

If you suspect you may have a TMJ issue, don’t wait. A dental or medical professional can help you understand what’s happening beneath the surface and guide you toward a treatment plan tailored to your needs. Your jaw health is vital—not just for eating and speaking but for your overall quality of life.

At Palmer Smiles, we understand how TMJ pain can affect your everyday life. Our compassionate team is experienced in diagnosing and treating TMJ disorders using advanced, patient-focused techniques. From custom nightguards to therapeutic solutions, we’re here to help you regain comfort and function.

1. How long do I need to wear Invisalign aligners?
The length of treatment varies, but most patients wear their aligners for 12 to 18 months, depending on the complexity of their case.

2. Are Invisalign aligners comfortable?
Yes! Invisalign aligners are made of smooth, flexible plastic, which makes them more comfortable than traditional braces.

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