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TMJIn Portland & Surrounding Cities

The temporomandibular joint (TMJ) guides jaw movement. Problems with the TMJ are known as temporomandibular joint disorder or dysfunction (TMD).

TMD is very common; more than 10 million people in the United States have it. TMD can be caused by:

  • Bad posture habits. One of the reasons TMD is so common is because many of us spend a great deal of time sitting at a desk, where we often hold our head too far forward as we work. But there are many other kinds of bad posture. Sitting in the car for a long commute, working at a checkout station, cradling a telephone receiver against the same shoulder for long periods of time, always carrying your child on the same hip—all can place the head in an awkward position and cause jaw problems. The “forward head position” puts a strain on the muscles, disk, and ligaments of the TMJ. The jaw is forced to “rest” in an opened position, and the chewing muscles become overused.
  • Chronic jaw clenching at night (“bruxism”). Many people clench their jaws at night while they sleep, usually because of stress. This puts a strain on the TMJ because of the constant strain on the joint and surrounding muscles.
  • Problems with teeth alignment (“malocclusion”). If your teeth come together in an unusual way, greater stress is placed on your TMJ.
  • Surgery. Following surgery to the face and jaw, there may be a loss in mobility and function of the TMJ.

How can a PT help?

Your physical therapist can help restore the natural movement of your jaw and decrease your pain. If the physical therapist determines that your jaw pain is not related to teeth alignment, the physical therapist will select treatments that will work best for you. Treatments used by physical therapists for TMD include:

Posture education. If your physical therapist finds that you sit with your head in an increased forward position, this means that you are placing a greater strain on the muscles beneath your chin, causing the lower jaw to pull back and the mouth to be in an open position even when resting, and increasing stress on the TMJ. You also might be overworking the jaw muscles to force the jaw closed so your mouth isn’t open all the time. Your physical therapist will teach you to be aware of your posture so that you can improve the resting position of your jaw, head, neck, breastbone, and shoulder blades when you’re sitting and walking.

Improve jaw movement. Physical therapists use skilled hand movements called manual therapy to increase movement and relieve pain in tissues and joints. Your therapist also might use manual therapy to stretch the jaw in order to restore normal joint and muscle flexibility (how supple your muscles are) or break up scar tissues (“adhesions”) that sometimes develop when there is constant injury.

Your physical therapist will teach you special “low-load” exercises—exercises that don’t exert a lot of pressure on your TMJ but that can strengthen the muscles of the jaw and restore a more natural, pain-free motion.

Maintaining good sitting posture is key to preventing TMJ problems. Your physical therapist will show you how to maintain a good sitting posture to prevent future episodes of TMD.

What are the symptoms of TMJ?

Symptoms include:

  • Jaw pain
  • Jaw fatigue
  • Difficulty opening your mouth to eat or talk
  • Ringing in your ears
  • Headache
  • Popping sounds in your jaw
  • Neck pain
  • Locking jaw
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TMJ Treatment Locations

Battle Ground, WA Physical Therapy

1902 SW 9th Avenue
#101
Battle Ground, WA 98604
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Bend, OR Physical Therapy

61470 S. Highway 97
Suite 3B
Bend, OR 97702
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Camas, WA Physical Therapy

3400 Southeast 196th Avenue
Suite 101
Camas, WA 98607
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Canby, OR Physical Therapy

308 North Ivy Street
Canby, OR 97013
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Estacada, OR Physical Therapy

372 S Broadway St
Estacada, OR 97023
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Gresham, OR Physical Therapy

25500 Southeast Stark Street
Suite 103
Gresham, OR 97030
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Oregon City, OR Physical Therapy

1630 South Beavercreek Road
Suite A
Oregon City, OR 97045
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Portland, OR – Gateway Physical Therapy

1307 NE 102nd Avenue
Suite T-1
Portland, OR 97220
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Prineville, OR Physical Therapy

1470 NE 3rd St
Prineville, OR 97754
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Redmond, OR Physical Therapy

450 NW Greenwood Avenue
Redmond, OR 97756
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Ridgefield, WA Physical Therapy

4318 S. Settler Drive
Suite 110
Ridgefield, WA 98642
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Sherwood, OR Physical Therapy

16555 SW 12th Street
Suite G
Sherwood, OR 97140
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Tualatin, OR Physical Therapy

19767 Southwest 72nd Ave
Suite 105
Tualatin, OR 97062
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Vancouver, WA – East Physical Therapy

1900 NE 162nd Ave
Suite B-101
Vancouver, WA 98684
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Vancouver, WA – Salmon Creek Physical Therapy

2415 Northeast 134th Street
Suite 201
Vancouver, WA 98686
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Vancouver, WA – West Physical Therapy

100 East 33rd Street
Suite 204
Vancouver, WA 98663
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Frequently Asked Questions

  • A physical therapy visit lasts about 40-60 minutes. The actual contents of the visit vary based on your diagnosis/need, but typically what happens is:

    1. You check in with the receptionist, make any appointments necessary, and we discuss your health insurance benefits with you.
    2. You go into the gym. You can change clothes if you need to, then begin therapy.
    3. You perform 6-8 various exercises and stretches. These can include therapeutic band exercises, light body weight exercises, or minimal weights. The stretches will promote strength, stability, improved range of motion, and pain relief.
    4. We can initiate other techniques to include manual work, taping, cupping, and dry needling as needed.
    5. The therapist makes recommendations based on your progress. These can include altering the frequency of visits, making additions/alterations to your home exercise plan, or things to do before your next visit.
  • We recommend budgeting 40-60 minutes for a typical therapy session. The only exception to this will be your first visit, which can take about 20 minutes longer due to the physical therapy evaluation your therapist will provide. We also recommend showing up about 10-15 minutes early to your first visit. This way, you can complete the paperwork before your visit time and streamline the process.

  • If we are asking you to do something that is hurting too much, let us know! Physical therapy should not be severely painful. It is not common to be so sore that patients are in pain or it affects their daily life. If this ever happens during or after an appointment, let us know and we will adapt your program.

  • During your initial evaluation, your therapist may ask you a number of questions to determine what the cause of your pain is. This can include questions about your sleep habits, activity level, and work environment. They will also ask for a medical history, and then typically ask direct questions about where and when you experience pain.

Have more questions? Contact Us

People in Portland & Surrounding Cities Trust ProActive

Hear from patients that reclaimed their lives.

Wonderful staff, very helpful, competent and professional. They listen to what I say and are working with me to meet my goal.

5 stars

Barbara E.

ProActive PTS Patient

After a double mastectomy and breast reconstruction I didn't want anyone touching me but I also felt very weak and knew I needed help getting my strength and mobility back.  My plastic surgeon recommended ProActive PTS because of Julie's expertise in physical therapy for women who have undergone breast cancer surgeries.  I'm almost a year past my surgery now, and I have my exercises and stretches clearly laid out for me to help me keep working towards my goals.

5 stars

Becky G.

ProActive PTS Patient

From the first time I met Julie and Jessica, it was clear that concern for my total care was their priority. Upon learning of their focus on all aspects of this targeted program, I knew I was in the right place and on the path to full healing. Honestly, when my doctor suggested PT for breast cancer recovery, I initially had no intention of going and felt it would be a waste of my time. Today I am beyond grateful and thankful for the outstanding care provided by Julie and Jessica at ProActive PTS.

5 stars

Beth S.

ProActive PTS Patient

After just 4 visits...I feel like a brand new person. Before, I could barely walk for 15 minutes without my back screaming in pain. Now I'm zooming through therapy and going on walks at home.

5 stars

Christy F.

ProActive PTS Patient

I couldn't have wished for a better place to go for my knee replacement therapy! They know what they are doing to get you back in the swing of things so you can go on with your life!

5 stars

Gene O.

ProActive PTS Patient

After a long recovery from a mastectomy, chemo, radiation, and reconstructive surgery with implants, I still suffered from pain in my ribs below my breast and pain in my breast area from radiation. Julie was so comforting and really wanted to help me right from the start. I do these exercises religiously now, even after my graduation from physical therapy. Julie and her team helped me get my normal life back and I can't say enough good things about ProActive PTS.

5 stars

Jill L.

ProActive PTS Patient

Amazing service. They have gone out of their way to call and follow up with me while doing my at-home exercises. Highly recommend.

5 stars

Josh F.

ProActive PTS Patient

I recently had knee replacement surgery.  I decided to do my physical therapy at ProActive PTS in Verona because it would be convenient.  I am so glad I made that decision.  Nash made me feel comfortable right away. He is very knowledgeable and has a calm, encouraging manner.  My experience with ProActive PTS was so positive that I decided to refer my husband.

5 stars

Mary M.

ProActive PTS Patient

We rate Proactive PTS a 10; we are extremely happy! After having received excellent PT in the past, we had no doubt this was the only place we would trust with our son's recovery. The warm, welcoming environment makes it a comfortable place to receive therapy. This puts him at ease allowing for the most effective treatment. Thank you!

5 stars

Mary Y.

ProActive PTS Patient

My husband was skeptical of my choice to use physical therapy to treat my back pain instead of medications. After seeing my results from working with the ProActive PTS team, my husband is a believer now too.

5 stars

Tiffany B.

ProActive PTS Patient

Thank you so much! I love you guys and the care I received!

5 stars

Zoe

ProActive PTS Patient
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