What Is TMJ Pain and Why Does It Happen?

August 01, 20253 min read

What Is TMJ Pain and Why Does It Happen?

If you’ve ever felt pain in your jaw, experienced clicking or popping while chewing, or had difficulty opening your mouth wide, you may have experienced TMJ pain. TMJ stands for temporomandibular joint, and problems in this area are more common than most people realize. Understanding how the joint works and why it can become painful is the first step toward lasting relief.


Understanding the Anatomy of the TMJ

The temporomandibular joint (TMJ) is the hinge that connects your lower jaw (mandible) to the temporal bone of your skull, located just in front of each ear. This small but complex joint allows your jaw to move in multiple directions so you can:

  • Talk

  • Chew

  • Yawn

  • Swallow

The TMJ is unique because it’s a sliding hinge joint. A small disc of cartilage sits between the jawbone and the skull to help the joint glide smoothly and absorb shock. Surrounding muscles, ligaments, and tendons coordinate the jaw’s movement, while the nerves in the area transmit sensory information—including pain.

When everything works properly, you can move your jaw without even thinking about it. But when something disrupts the harmony of this joint, TMJ dysfunction (sometimes called TMD) can develop.


Common Causes of TMJ Dysfunction

TMJ pain and dysfunction can have many underlying causes, and often it’s a combination of factors rather than a single issue. The most common include:

  1. Muscle tension and overuse

    • Clenching or grinding your teeth (often at night, called bruxism)

    • Excessive gum chewing or nail biting

  2. Joint misalignment or disc problems

    • The cartilage disc can shift or become damaged, causing clicking, locking, or pain

  3. Trauma or injury

    • A direct hit to the jaw, face, or head

    • Whiplash injuries that affect the neck and jaw

  4. Posture-related stress

    • Poor neck and upper back posture can place strain on the jaw joint over time

  5. Arthritis or joint degeneration

    • Osteoarthritis or inflammatory conditions can wear down the joint surfaces and cartilage


Symptoms to Watch For

TMJ pain isn’t always confined to the jaw. Because the joint is closely linked to the muscles and nerves of the head and neck, symptoms can show up in several ways, including:

  • Jaw pain, stiffness, or soreness (especially in the morning)

  • Clicking, popping, or grinding sounds when opening or closing the mouth

  • Locking of the jaw or difficulty fully opening your mouth

  • Ear pain, ringing in the ears, or a feeling of fullness without an ear infection

  • Headaches, facial pain, or pain that radiates to the neck and shoulders

Left untreated, TMJ dysfunction can affect everyday activities like chewing, speaking, and even sleeping.


When to Seek Help

If jaw pain or dysfunction is affecting your daily life, it’s important to seek an evaluation from a professional who understands TMJ mechanics. Physical therapy for TMJ can address both the joint and the surrounding muscles, helping to:

  • Reduce pain and inflammation

  • Restore normal jaw function

  • Prevent long-term joint damage


At True Function Physical Therapy, we specialize in personalized TMJ treatment designed to relieve pain, restore motion, and give you lasting control over your symptoms.

If you are interested in seeking treatment with us, please call or text us at 615-882-4882.

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