Temporomandibular (TMJ) Dysfunction

The temporomandibular joint (TMJ) is used about 1500-2000 times a day. Dysfunction of this joint is caused by the joint, muscles used for chewing or surrounding structures, microtrauma (clenching/bruxing), macrotrauma (whiplash), and degenerative changes.

Symptoms of temporomandibular dysfunction (TMD) include pain, limited opening, joint noises, headaches, dizziness, neck symptoms, earache, tinnitus, and swallowing difficulties. 50-75% of the population suffers from at least one symptom at some point in their lifetime. At Milford Regional’s Rehabilitation and Sports Medicine site in Northbridge, we offer a non-surgical approach to rehabilitation of the TMJ and surrounding muscles which contribute to pain and dysfunction.

The most common conditions we treat include:

  • Woman with TMJ painAnterior and posterior disc displacement
  • Dislocation of condyle
  • Subluxation of condyle
  • Anklyosis
  • Myofascial pain syndrome
  • Osteoarthritis
  • Rheumatoid arthritis
  • Psoriatic arthritis
  • Capsulitis
  • Synovitis


Treatment of TMD is often a team-based approach where a physical therapist works with other medical professionals to address your own unique goals and dysfunction. 

The treatments we offer include:

  • Manual therapy such as massage and joint mobilizations
  • Posture re-education
  • Therapeutic exercise for the TMJ and neck
  • Behavioral strategies geared toward stress reduction
  • Self-management techniques
  • Lifestyle education and modifications to prevent recurrence
  • A thorough home exercise program geared toward prevention and maintenance
  • Electrical stimulation
  • Dry needling 

If you have been diagnosed with any of the conditions listed, one of our specially trained physical therapists may be able to help.  Call our Northbridge location at 508-234-8792 to make an appointment. 

Patient Story

Tom Capuzziello dry needling patient

Dry Needling
Tom had been in nearly unbearable pain for two years and couldn't go up stairs or walk any distance. After undergoing dry needling therapy, Tom was once again able to climb stairs and was back to mowing his own yard. Read Tom's story.

Read more physical therapy patient stories.

Physical Therapy Blog

patient and physical therapist talkingLearn more about some of the conditions our physical therapists treat such as frozen shoulder, dizziness, axillary web syndrome and much more on our blog, Take Care

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