Treating TMJ issues: what various professions do to help

What do various healing professions do to treat TMJ issues?

I’m going to try to answer that, to help you be better health-care consumers and know what to expect in terms of results.

By the way, I am a massage therapist who specializes in TMJ work, including intra-oral (inside the mouth) work, in which I’ve had advanced training from three teachers and experience since 2013. I admit, I am biased!

I want to say up front that most massage therapists do not work inside the mouth, which is where the jaw muscles most likely to be causing TMJ pain are located.

Most massage therapists do have the skills to release tension in the external jaw and neck muscles. Maybe that’s all you need, if your jaw pain is mild and intermittent. You will feel better after such sessions.

But if you are really suffering from long-term jaw pain and dysfunction, you definitely need more than that to get relief. You could greatly benefit from intra-oral work, which takes special training and experience to do effectively.

Do not hesitate to ask whether a therapist you are considering working with is trained in releasing tension in the internal jaw muscles.

Whole-body work can also help, when the TMJ pain is related to your posture (for instance, head forward posture) or to muscle tension due to stress.

Here’s a look at results you might expect from working with practitioners in different professions:

  • reducing stress (massage therapist, acupuncturist, yoga teacher, meditation teacher)
  • reducing tension in your external jaw muscles (massage therapist)
  • releasing trigger points in your external jaw muscles (massage therapist)
  • doing myofascial release on your external jaw muscles (massage therapist)
  • releasing neck tension (massage therapist, physical therapist, chiropractor)
  • getting your pelvis aligned and balanced (massage therapist, physical therapist, craniosacral therapist, chiropractor)
  • getting your head aligned on top of your spine (craniosacral therapist, chiropractor)
  • preventing your teeth from cracking due to grinding (dentist or over-the-counter night guard)
  • checking whether grinding in your sleep is related to airway obstruction (sleep specialist)
  • reducing tension in your internal jaw muscles (massage therapist with special training, physical therapist with special training, Rolfer as part of 10-series)
  • restoring alignment in the cranial bones (craniosacral therapist)
  • repairing or replacing a dysfunctional articular disk (oral surgeon)
  • getting whole-body therapy to help with alignment issues and release strain patterns (craniosacral therapist, Rolfer, Zero Balancer, yoga teacher, yoga therapist)

There is one major caveat here: these are generalities based on my own knowledge and experience. Each profession has its specialties. Not all physical therapists work on the jaw or pelvis — in fact, not many do.

Do not hesitate to ask questions and do your own research.

This is a brief and imperfect overview to help you get the results you want, and there are many fine points not mentioned here.


What to do if you have jaw issues? I offer a 30-minute in-person TMJ consultation to gather information and evaluate your issues. I teach clenchers an alternative to clenching as well as the above information to stop grinding.

These habits are major contributors to TMJ issues, and you can change them.

If you’re not in Austin, I can do the above as well as help you learn what to ask about when seeking TMJ relief near you. Just let me know if you need a phone or Zoom consultation.

I offer a combination TMJ Consultation plus TMJ Relief session in person in Austin, Texas. The consultation serves as an intake, so I have a better idea of what your issues are and how we’ll measure progress. Your consultation is free when combined with your first TMJ Relief session. This is a two-hour session.

To be fair, when you’ve had TMJ issues for a long time, or they are acute, you may need multiple sessions to retrain your system to retain the ease and alignment, along with doing your homework to stop clenching or grinding your teeth.

I offer a package of four TMJ Relief sessions for 10 percent off single sessions, best done a week or two apart. These sessions are 90 minutes and integrate various bodywork modalities — including work in your mouth — so that you feel great when you get off the table. They are best done over 4 to 6 weeks.

Treating TMJ issues: foods and nutrients that can make a difference

There are so many things you can do to relieve the stress that usually accompanies TMJ pain and dysfunction. Today I want to write about nutrients that can make a difference.

You can get these nutrients in the form of supplements, and sometimes that’s easiest, but studies are finding that our bodies are not absorbing some of the expensive supplements we take to improve our health.

Fresh and organic foods grown in good soil make it more likely that your body will absorb and integrate these nutrients for your benefit.

You’ll want to first get your digestive system in good shape if it’s not, especially healing any leaky gut issues by consuming prebiotic and probiotic foods daily to build a healthy gut microbiome. (You may be surprised at the health benefits — it’s now proven that regular consumption of fermented foods reduces inflammation anywhere in the body.)

There’s a lot of information available online, and you can also work with a nutritionist.

On to the nutritional foods! The B-complex vitamins are 8 vitamins that often occur together in food sources. They give us energy, and stress depletes them, so when you’re stressed, you need even more B vitamins to avoid fatigue.

Clenching and grinding your teeth are signs of stress, and these habits also stress the muscles involved, creating tension and pain and other jaw issues.

Reducing stress is a key to changing the patterns that result in TMJ issues.

Note that 30-60% of people do not absorb folic acid (B9) and B12 unless they are in the methylated form, so if you’re buying a B vitamin supplement, read the labels. 

Best food sources: meat (especially liver), salmon, dairy, eggs, legumes, brewer’s yeast, spinach, and mushrooms.

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Vitamin C produces collagen (see below), which is present in the cartilage in your joints. The articular disk in your TMJ is made of cartilage, and you want to keep it healthy and undamaged. If your TMJs click or pop or crunch or otherwise make noise, this disk is at risk.

Vitamin C is also easily depleted by stress.

Best food sources: fruits like guava, oranges, kiwi, grapefruit, and strawberries, and veggies like bell peppers, kale, broccoli, and brussels sprouts.

Vitamin D3 helps with bone health and muscle function, decreases pain, and improves feelings of well-being. It’s an antidote to stress.

Most people (except those working outdoors with the sun shining directly on their skin without sunscreen) need to supplement to get enough, although you can get at least some of the D3 you need from sunshine. Outside peak UV hours is best, of course.

Cod liver oil is the highest food source. You can also place store-bought fresh or dried mushrooms in sunshine to absorb Vitamin D from the sun. 

Glucosamine helps preserve joint health, rebuilding cartilage (the disc between your upper and lower jaw bones is made of cartilage), lubricating joints, reducing pain, and improving range of motion. More effective than ibuprofen at reducing pain, it can also help with jaw clicking. It can take 4-8 weeks of supplementation to ease pain. 

This is a nutrient that isn’t easily found in food, except for bone broth made with chicken feet, ox tails, marrow, tendons, knuckle or cartilaginous joints, or shrimp shells. If you decide to supplement, plan on taking 1500 mg daily.

Type II collagen can also help preserve cartilage. Some collagen products also contain glucosamine, so read the label if you take collagen. 

Vitamin K2 helps with calcium absorption, which strengthens bones and nerve function.

Food sources: the Japanese fermented soybean dish natto, grass-fed butter, Gouda, Edam, and Brie cheeses, grass-fed meat, pasture-raised eggs, sauerkraut, and yogurt/kefir.

Magnesium and calcium are essential minerals that many of us are deficient in. Magnesium helps with muscle function (muscle tension causes jaw pain). Calcium helps with bones and nerve signaling.

Food sources for magnesium include leafy greens, dark chocolate, avocados, almonds, pumpkin seeds, and figs. If you supplement, try magnesium threonate or glycinate to bypass bowel distress. 

Food sources for calcium: sardines (with bones), yogurt or dairy kefir, raw milk, and cheese.

Omega 3s have been shown to ease pain and inflammation as effectively as ibuprofen.

Food sources: wild salmon and other fish/seafood like mackerel, herring, sardines, anchovies, and oysters, seaweed, walnuts, chia seeds, flax seeds, and hemp seeds.

New research indicates that grinding during sleep and restless leg syndrome may be related and that both are signs of a dopamine deficiency. Tyrosine is an amino acid that helps your body produce more dopamine.

Good sources are beef (specifically skirt steak, so bring on the fajitas if you eat meat), lean pork chops, salmon, lean chicken breast, and firm tofu.

Do you notice some foods appearing over and over? Wild salmon, pasture-raised eggs, yogurt/kefir, sardines with bones, leafy greens, and cruciferous veggies are particularly nutrient-dense foods that you can incorporate one or more of at every meal.

As always, get the best quality food you can find and afford: grass-fed/grass-finished meat, pasture-raised organic eggs, wild-caught low-mercury fish like salmon and sardines, organic fruits and vegetables, hormone-free organic dairy.

Why? Because the cells in your body are constantly turning over! They die and new ones are born.

What do you think the new cells are made of? The foods and fluids you consume! The better quality of food and drink that you consume, the healthier you become.


Treating TMJ issues: reducing daytime clenching

A new follower of my Facebook business page is working on reducing her daytime clenching.

Along with any kind of helpful stress-reducing practice (4-7-8 breathing, yoga, meditation, epsom salt baths, etc.), you can retrain your jaw and mouth muscles to be more relaxed.

Actually, you can retrain your entire nervous system to be more relaxed — and this may take several years of dedicated effort, including finding less stressful work along with committing to yoga, breath work, and/or meditation practices and other lifestyle changes. I plan to write more about resetting your nervous system in the future.

So for today, one step at a time: how to relax your jaw and mouth muscles when you experience daytime clenching.

The first step is to notice when you are clenching or grinding and deliberately move your teeth apart.

Next, do this to relax your tight jaw muscles: Circle the tip of your tongue on the biting surfaces of your teeth (upper and lower) 5 times in each direction. Gradually add some repetitions each time, up to 15, to help release the muscle tension of clenching by exercising the jaw muscles and tongue.

Then gradually reduce the number of repetitions to whatever it takes to loosen up.

Follow this by working to develop a new habit, because that’s what clenching is, a habit: Visualize a coffee stir stick turned sideways between your upper and lower teeth in front. That’s as far as you need to move your teeth apart.

Imagine your lower jaw hanging loosely from its hinges. Close your lips. You can give your jaw muscles a massage.

Let your tongue flatten and soften so the outer edges protrude slightly into the spaces between your upper and lower molars. Let the tip of your tongue rest gently behind your upper teeth.

This is the new relaxed resting position when you are not using your mouth. If you unconsciously begin to clench again, you will bite your tongue, and that will remind you to move your teeth back apart. (This was passed on to me by a yoga student of Maria Mendola in Tucson, and I want to give her credit.)

At first you will need to practice this a LOT and it will seem tiresome. Keep doing it anyway. Some days will be easier than others.

You may become aware that your clenching is related to suppressing speech. There are so many reasons we might do this: bad boss, difficult situation, consequences you don’t want, etc. Find a way to let those words out, even if just on paper. Discover your own truths.

Seek help if this level of change seems overwhelming.

When you have practiced unclenching and relaxing your mouth enough, one day you will notice that you did it without thinking about it. The old clenching habit may return under stress, but you’ve got the resources now to put it firmly back in the past.

If you can master this one simple change in habits, you can do almost anything. I’m wishing you success.


Treating TMJ issues: using essential oils for pain relief

A couple of weeks ago, I inquired of a Facebook group for women what they do for jaw pain.

A couple of women mentioned specific essential oils they use for jaw pain.

One said she puts lavender oil on her aching jaws. Another mentioned layering marjoram, lemongrass, and wintergreen essential oils.

All of these oils are analgesics and help relieve muscle pain. 

Dr. Axe (one of my favorite internet doctors) recommends peppermint oil for pain, frankincense oil for inflammation, and lavender oil to relax tense muscles.

You need to dilute the essential oils with a carrier oil like olive or coconut oil to reduce the intensity, because some oils are so strong, they can irritate your skin.

Then massage into your jaw muscles. It doesn’t hurt that they smell nice! 

When people come into my office feeling stressed, I often wave an open bottle of Young Living’s Peace and Calming essential oil under their nose to help them relax faster. 

I take a whiff myself, too. I just love this oil. 

If I know someone is going through an unusually stressful period, I rub a drop or two of Young Living’s Valor essential oil into their feet, focusing on the K1 area in the middle of the sole under the balls of the feet. 

This point’s poetic name is Bubbling Spring, and pressing it has a calming influence. 

Do you use essential oils for jaw pain? Please share in the comments what helps you.


Treating TMJ issues: the jaw-pelvis connection

The jaw-pelvis connection is real! When I ask my TMD (temporomandibular disorder) clients if they also have pelvic alignment issues, a lot of them say yes.

If your pelvis is out of alignment, quite often, so is your jaw.

Here’s how that relationship works: The back of your pelvis includes the base of your spine, the triangle-shaped sacrum. Your jaw — mandible — is near the upper end of your spine, and it has a special relationship with the uppermost two vertebrae at the top of your neck, C1 and C2.

Because the opening/closing motion of the jaw is both hinging and gliding (open your mouth slowly and you can feel it hinge, then glide forward as you open wider), the axis of rotation is not in the actual jaw joints but is located between these two vertebrae, according to Guzay’s theorem (Guzay was an engineer interested in neurology).

The images below show the TMJ and the axis of rotation when with jaw closed (left) and open (right). The upper cross-hairs show the TMJ, and the lower cross-hairs show the actual axis of rotation for jaw opening and closing. 

(Image source: The Heart of Listening Volume 2 by Hugh Milne)

When your pelvis is misaligned, it affects these vertebrae, impacting neck and head posture and neurological well-being. (This is why nearly everyone I treat for TMJ issues also has neck issues, which I treat too.) 

How can the pelvis affect the jaw? There is a tough, inelastic membrane surrounding your spinal cord that connects your sacrum with your cranium. The dura mater lines the inside of your neurocranium, includes membranes between the two hemispheres and between the cerebrum and cerebellum of your brain, and forms the dural tube containing cerebrospinal fluid that surrounds the spinal cord, all the way down to your sacrum. 

The dural tube is attached to the C1, C2, and C3 vertebrae and then descends unattached all the way down the spine to the sacrum, where it attaches to bone again. The dura mater continues to the tip of the coccyx.

When the sacrum is not aligned with the other pelvic bones — in other words, when you have sacroiliac joint problems, it torques the inelastic dura mater all the way up to the upper neck vertebrae that affect the movement of the TMJs. 

This torquing of the dura mater may be seen in abnormal spinal curves, pelvic rotation or tilt, head tilt, and cranial bone misalignment, which can affect your fluids, hormones, and central nervous system.

Here’s a little exercise: put your fingertips in front of your ears and open and close your jaw slowly a few times. Notice if your left and right TMJs move differently. You may notice one side opens first and/or protrudes further out or forward than the other. 

This shows your TMJs are unbalanced. Because the mandible is one bone with two joints, even if one joint is out of balance, the other joint is affected, though you may not feel symptoms in both. 

It seems likely to me that this contributes to nine times more women than men suffering from TMJ disorders, since women have more pelvic floor issues than men. (Also more stress.)

The floor of the mouth, viewed from below.
The floor of the pelvis, viewed from above.

Other ways these two areas resonate:

  • The sacrum also crosses the midline and has two joints on either side, the sacroiliac joints. 
  • The pelvic floor and the floor of the mouth are similar in structure, as seen in the images above. Both are horizontal tissues in the more vertical body. The places where vertical and horizontal tissues meet are generally more subject to holding strain patterns.
  • Fascia in muscles and bones connects the pelvis and jaw. Restrictions in the fascia affect the alignment of bones.
  • Many people clench their jaws when stressed and may also tighten their anal sphincters. 
  • At about day 15 in embryological development, two depressions form: one develops into the mouth and the other develops into the openings at the other end of the digestive canal.

Treating TMJ issues: who experiences it?

Did you know that about 12 percent of Americans are experiencing TMJ disorders at any one time? This is from TMJ.org.

Also, did you know that women are 9 times more likely than men to experience severe pain and restricted jaw movement? The majority of women who have TMJ disorders are in their childbearing years — which indicates that hormones, pregnancy, labor, and delivery may play a role. 

Also, many women have full-time jobs and still do the majority of the housework and child care. If that’s not stressful, I don’t know what is! 

Some known causes, according to TMJ.org, are autoimmune diseases, injuries, infections, dental procedures/prolonged mouth opening, pre-surgery breathing tube insertion, and arthritis.

Genetic and environmental factors can increase the risk. A particular gene variant more prevalent among TMD sufferers increases sensitivity to pain. Gum chewing and sustained postures may also play a role.

How about stress, I ask? How about clenching and grinding habits and the resultant muscle tension from overuse of jaw muscles? 

The way I see it, after working on TMJ issues therapeutically as a massage therapist since 2013, in addition to the known factors listed above, these issues can also stem from:

Stress and the accompanying muscle tension

Habits like clenching and grinding the teeth and bracing the jaw 

Dopamine deficiency 

Structure, including skeletal asymmetries as well as poor waking and sleeping posture 

Medications that have jaw pain as a side effect

Family patterns that may be learned or genetic

There’s a sad lack of research and data on this topic, and I note that it’s one of many issues that affect more women than men (like migraines) that do not get much attention from the health care field. 

Imagine that migraines got as much attention from the medical field that erectile dysfunction has gotten. 


What to do if you have jaw issues? I offer a 30-minute in-person TMJ consultation to gather information and evaluate your issues. I teach clenchers an alternative to clenching as well as the above information to stop grinding.

These habits are major contributors to TMJ issues, and you can change them.

If you’re not in Austin, I can do the above as well as help you learn what to ask about when seeking TMJ relief near you. Just let me know if you need a phone or Zoom consultation.

I offer a combination TMJ Consultation plus TMJ Relief session in person in Austin, Texas. The consultation serves as an intake, so I have a better idea of what your issues are and how we’ll measure progress. Your consultation is free when combined with your first TMJ Relief session. This is a two-hour session.

To be fair, when you’ve had TMJ issues for a long time, or they are acute, you may need multiple sessions to retrain your system to retain the ease and alignment, along with doing your homework to stop clenching or grinding your teeth.

I offer a package of four TMJ Relief sessions for 10 percent off single sessions, best done a week or two apart. These sessions are 90 minutes and integrate various bodywork modalities — including work in your mouth — so that you feel great when you get off the table. They are best done over 4 to 6 weeks.

Treating TMJ issues: reducing night grinding

A reader asked about grinding the teeth during sleep (night bruxism). Sleep labs have begun to investigate this.

They found that about 1 in 4 people with sleep apnea also grind their teeth while sleeping. When the apnea is treated, the bruxism goes away. So..if you grind, consider going to a sleep lab.

Most people do a little bit of clenching or grinding while asleep.

When is it a problem? When you wake up with jaw or facial pain, earache, headache, or experience difficulty chewing (TMJ disorder). Or perhaps your dentist sees wear and tear on your teeth. Severe bruxism can crack teeth and require expensive dental work.

Why do people grind their teeth at night more than just a little bit? Stress is the main cause and well worth examining. Reducing stress during the day is likely to result in less grinding at night — but no studies have been done on this that I know of.

However, one of the few people I know who stopped grinding their teeth in their sleep said that when they started a regular, daily meditation practice, their night bruxism gradually stopped. 

If you have personal experience, please share. We need these stories! 

Body mechanics can also play a role. Posture both while awake and asleep influences your nervous system and can produce or relieve stress and tension. Just as with athletic training, learning and practicing good posture may require special training. The Alexander Technique, the Feldenkrais Method, alignment-based hatha yoga (Iyengar and Anusara), and structural integration bodywork (i.e., Rolfing) may all be of help.

A special pillow that keeps your head and spine aligned can be helpful. The Therapeutica Sleeping Pillow comes in different sizes based on the distance from your neck to outer shoulder for side sleepers.

Probably the simplest thing you can try is changing your sleep position. If you have night grinding and sleep on your side, try sleeping on your back. It may take some getting used to but may bring you some relief.

Night bruxism may be an attempt to realign your cranial bones. Several sessions of craniosacral therapy may help.

If you have night bruxism, what has helped you?


Treating TMJ issues: videos of self-care techniques

If you suffer from jaw pain, you may want to try some of these jaw exercises and self-massage techniques.

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TMJ Exercises & Stretches to Relieve Jaw Pain — Ask Dr. Jo. 3:03. Dr. Jo is a physical therapist who demonstrates four simple exercises.

TMJ Massage: Pressure Points for Relief by MassageByHeather.com. 3:43. Massage therapist Heather Wibbels shows you four acupressure points for jaw pain. You hold them bilaterally for 30 seconds up to 2 minutes. If you’re looking for something you can do without attracting a lot of attention, do these.

Absolute Best TMJ Treatment You Can Do Yourself for Quick Relief. 5:48. “Bob and Brad, the two most famous physical therapists on the internet” (as their theme song goes) show you how to massage your external jaw muscles.

10 Best TMJ Exercises to Stop Pain in Your Jaw. 11:57. Bob and Brad show you the standard relaxed position for your jaw along with several exercises. Start saving popsicle sticks!

TMJ Exercises #1, 11:25. Chiropractor Adam Fields demonstrates exercises for the back of the neck, which is often tight when you have TMD, tongue exercises, and massage, ending with a relaxation exercise. In TMJ Exercises #2, 10:07, he focuses on massaging the muscles that open and close your jaw. He helps you tie the jaw exercises and massage into really good posture — a good habit that will help relieve jaw tension.

Yoga to Release Jaw Tension from Grinding Teeth, Clenching, TMJ. 10:26. Karuna demonstrates self-massage to release jaw tension, including a technique you can do right before you go to sleep that may prevent clenching and grinding while asleep.

I’m interested in hearing back from you about which exercises help you the most. If you’ve found other helpful videos about TMJ self-care, please let me know.