Why Physical Therapy Should Be Your First-Line Referral for TMJ Disorders
Most patients with TMD/TMJ-related pain never receive conservative, evidence-based care—even though clinical guidelines consistently recommend physical therapy as the primary first-line intervention.
Physical therapy is:
Evidence-based. Manual therapy, exercise therapy, cervical/TMJ mobility work, and behavioral strategies all have strong support for improving pain, range of motion, and function.
Covered by insurance. PT is usually the most cost-effective and accessible option for patients compared to splints, injections, or surgery.
Bite splints and other dental devices are often not covered or poorly covered (which is ridiculous, personally my health insurance explicitly doesn’t cover them)
Quick to access. In most cases, patients can begin PT within days—not weeks or months.
Compatible with all other treatments. PT complements dental appliances, orthodontic care, Botox, and medical management. It reduces muscular load and joint stress, making other treatments more effective.
Many providers tell me, “I didn’t know PT could treat TMJ disorders,” or “I’m not sure who to send these patients to.” But the reality is simple:
If your patient has jaw pain, headaches, ear fullness, clicking/popping, limited opening, or facial muscle tension—PT should be your first referral.
And despite what some clinicians believe, TMJ disorders are extremely common. On average, 5–12% of your patients have clinically significant TMD symptoms—even if they never volunteer them during routine care.
If you need a trusted referral option in the Richmond/Glen Allen, Virginia area, I’m happy to help. I specialize in TMJ and orofacial pain and work closely with dental and medical providers to ensure fast communication and clear progress updates.
If you’d like referral pads, example notes, or a quick 5-minute overview of what PT for TMJ looks like, I’d be glad to send them.
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The information provided here is for general informational purposes only and does not constitute medical advice. The views expressed are my own and do not necessarily reflect the opinions of my employer. Any health-related information shared should not be used as a substitute for professional medical evaluation, diagnosis, or treatment. Individual health conditions vary, so it is important to consult with a qualified healthcare provider for personalized guidance and care.