What TMJ disorder actually is
TMJ disorder is dysfunction in the temporomandibular joint — the hinge connecting your jaw to your skull. It can involve the joint itself, the chewing muscles, or both. Common drivers are clenching and grinding (bruxism), poor head and neck posture, prior dental or orthodontic work, and stress. The good news: most cases are mechanical and resolve with structured PT and behavioral changes.
Signs you have a TMJ problem
Jaw pain on one or both sides, clicking or popping when opening or chewing, limited mouth opening (trismus), lockjaw (open or closed), tension headaches behind the eyes or temples, ear pain or fullness without an ENT cause, and neck pain that travels into the jaw.
What evaluation looks like at DCPT
60-minute evaluation with a Doctor of Physical Therapy. We assess jaw mobility, muscle tenderness, neck range of motion, and posture. We screen for red flags that need a dentist or oral surgeon. First treatment happens the same visit. A typical course is 6–10 visits over 4–8 weeks.
Treatment approach
Hands-on manual therapy of the jaw and surrounding muscles, dry needling of the masseter, temporalis, and pterygoid muscles when indicated, soft palate and intraoral techniques (with consent and proper hygiene), neck and upper-back mobility work, and re-training of tongue posture, breathing, and jaw mechanics. We coordinate with your dentist or orthodontist if you're working with one on a splint or appliance.
Costs and insurance
Medicare, CareFirst, Aetna, United, and Tricare typically cover PT for TMJ disorders. Self-pay is $150 per session. Direct access in DC, MD, and VA.