Temporomandibular Disorders

The Temperomandibular Joint (TMJ) is a complex joint of the Temporal and Mandible bones with a disc in between…

The Temperomandibular Joint (TMJ) is a complex joint of the Temporal and Mandible bones with a disc in between. The disc allows the joint to move in two different ways: hinge and slide. This allows the jaw to move up and down, backwards and forwards and side to side, all important movements when talking and chewing. There are ligaments which attach the disc to the bones and muscles which move the joint.

Temperomandibular Disorders is a collective term for problems that affect the joint and musculoskeletal structures (e.g. ligaments, muscles, tendons and connective tissue) and the surrounding area. You may see it written as TMJD or TMD. Problems can be due to:

  • Disc displacement
  • Arthritis
  • Muscle spasm, weakness or tightness.

Symptoms include:

  • Pain or tenderness from the joint or surrounding structures
  • Sensations such as numbness or pins and needles
  • Joint clicking or grinding
  • Headaches or earache
  • Reduced jaw movement or locking
  • Bruxism (grinding of the teeth)

Physiotherapy

Physiotherapy helps restore function and manage pain through movement and exercise, manual therapy, education and advice. Physiotherapy is a science-based profession and takes a holistic approach to health and wellbeing. Integral to this is involving the person in their own care from expectations, goal setting and empowerment.
Temporomandibular disorders and Physiotherapy


On your first visit, a detailed assessment will take place to clarify issues and establish goals. From this, best-practice treatments are done. This may include joint and soft tissue manual techniques, education, advice and specific exercises to stretch or strengthen the muscles.

The frequency of Physiotherapy will be dependent on the presentation, your goals and best practice; appointments will include treatment and you will be given exercises and advice to complete at home.

The physiotherapy treatment will be done in conjunction with your dentist or doctor as required.

Get In Contact

Find out more about any of our Physiotherapy, Ergonomic or Occupational Health services.

Holly Bulletproof
I can definitely recommend Bespoke Wellbeing Physiotherapy - I was first introduced to Clare who came to my work to carry out an assessment of my work place after being... Read Full Review »
Akanksha Petrancosta
Clare and her team are fantastic - I came in with fairly acute symptoms, and through months of regimented treatment, a strong focus on targeted exercises, and continued support on... Read Full Review »
James Goodrich
I can highly recommend Clare. She really cares about getting you better and is lovely to work with!
Maud Perrier
I recommended Bespoke Physiotherapy and especially Oisin O'Reilly who's helped me from Day 1 of recovery from my ACL rupture to be back on the slopes 9 months later. Very... Read Full Review »
Alec Zetter
Conveniently located for those who work in Central London, Danielle was an excellent Consultant for a back injury I sustained. Would recommend highly. Quick, Efficient and Friendly.

Explore Bespoke for You

Online Physiotherapy, using a video call, is an easy to access and effective way of providing Physiotherapy in your home or workspace…
Covid-19 Update: we are now OPEN for face to face appointments at our Covent Garden, London, physiotherapy clinic. Please book your appointment online.
Physiotherapy treatment in the comfort of your own home.
Online assessment of your work area to ensure you are sitting comfortably and are well set up at your desk to avoid injury or discomfort.
Physiotherapy is a healthcare profession that focuses on a holistic, person-centred approach to enhance an individual’s physical, mental, and social wellbeing.
Online Physiotherapy, using a video call, is an easy to access and effective way of providing Physiotherapy in your home…