TMJ Pain & headaches

Helping you feel better
and smile wider.

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At Resolution Physiotherapy & IMS Clinic, Barrie, we have Physiotherapists with post-graduate training in TMJ dysfunction and Cervicogenic Headaches. Using a combination of advanced manual therapy and Gunn IMS, our goal is to help you feel better and smile wider. 


Why choose Resolution Physiotherapy for treatment of TMJ & Headaches? 

At Resolution Physiotherapy, we hire only experienced, highly motivated, post-graduate educated Manual Physiotherapists who are passionate about accelerating our clients' recovery from injury. Our Physiotherapists have post-graduate training in TMJ, headaches, upper cervical spine dysfunction, and are trained in Gunn IMS, a dry needling technique that is effective at improving neuropathic muscle tension which often accompanies TMJ dysfunction.

Whether this is the first time you have experienced TMJ pain or you have longstanding TMJ dysfunction, our team of TMJ trained Physiotherapists look forward to maximizing your recovery and helping you return to function. 

 

“We first met Mandi at a professional event after we relocated to Barrie many years ago and were immediately smitten with her level of passion and knowledge of the body and its workings and how Gunn IMS and physiotherapy can maximize the body’s wellness and healing. My husband and I are general dentists and worked closely with Mandi to best serve our temporomandibular joint dysfunction patients until our retirement.
When I sustained a spinal injury while out of country a few years ago, Mandi was one of the first people I considered to become part of my recovery team.
I can honestly say that Mandi’s expertise guided me on my path to recovery, when a wheel chair seemed like my only option. She and her team worked tirelessly with me to regain my mobility and independence. Jenny always assured I had follow up appointments, and Mandi helped me set personal goals and tweaked my system as it required over the years to help minimize my discomfort and roadblocks.
We are incredibly grateful for all Mandi and her highly skilled team have done for us and our patients over the years!!”

— Dr. Alice Jackes

What is the TMJ?

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TMJ stands for the Temporomandibular Joint, and it is a hinge type joint that connects the mandible (lower jaw bone) to the temporal bones in your skull. The Temporomandibular Joints are complex and include a boney attachment, an articular disc, and numerous muscles which act to open and close the jaw. 

It is estimated that 1 in 10 adults will experience TMJ dysfunction. The TMJ is one of the most used joints in the body. We use our TMJ every time we chew, bite down, swallow, speak or laugh and pain in this joint can significantly impact quality of life. Symmetry of movement is crucial for normal function of the TMJ. This requires perfect disk alignment, as well as balanced flexibility, co-ordination and strength in all the TMJ muscles.

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What does TMJ Dysfunction feel like?  

  • Pain in your jaw at rest or with jaw motions including chewing, swallowing, yawning, or speaking

  • Clicking, popping, or grinding with jaw motion

  • Reduced ability to fully open or close jaw

  • Headache pain into face, temples, eyes, or base of skull

  • Ear pain or ringing

I love treating clients with TMJ dysfunction. I had the honour of completing advanced post-graduate training with PhD Physiotherapist, Dr. Mariano Rocabado, who is highly respected world wide for his knowledge about TMJ. The advanced assessment and manual therapy skills I learned from him have significantly improved my understanding of how to treat clients with complicated TMJ dysfunction and headaches.
— Mandi Hayes, Physiotherapist

How can our TMJ Trained Physiotherapists help?

 Resolution’s team of TMJ Trained Physiotherapists will help resolve your TMJ pain using: 

  • TMJ SYMMETRY & MOBILITY ASSESSMENT & TREATMENT

  • UPPER CERVICAL SPINE ASSESSMENT & TREATMENT

  • TRIGEMINOCERVICAL NEUROPATHIC ASSESSMENT & TREATMENT

  • POSTURAL RETRAINING

  • MOTOR CONTROL, CORE STRENGTH & FLEXIBILITY TRAINING

  • ROCABADO TMJ EXERCISE PROGRAM

  • ROCABADO DISC RELOCATION PROTOCOL

  • SELF MYOFASCIAL RELEASE AND JOINT MOBILIZATION TRAINING

  • THERAPEUTIC MODALITIES INCLUDING RADIAL SHOCKWAVE THERAPY, NEUROMODULATION,
    ULTRASOUND, TENS, IFC, AND MUSCLE STIMULATION

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How we help restore normal TMJ alignment & reduce pain.


Normal function of your jaw requires good TMJ alignment and normal disc position. Our TMJ Physiotherapists will evaluate your facial symmetry, TMJ position, and disc alignment.

We use Gunn IMS, advanced manual therapy, myofascial release, and therapeutic exercise to help restore neutral TMJ position, alleviate pain, and maximize TMJ function. 


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How we help resolve TMJ related headaches.

Headaches, which are so commonly associated with TMJ dysfunction, are related to compression of the trigeminal nucleus, which is a group of nerves that supply the jaw and upper neck. Full resolution of headaches and TMJ related pain requires decompression of these nerves. Nerve compression occurs when upper neck joints are poorly aligned and when TMJ or neck muscles tighten. Our TMJ Physiotherapists use Gunn IMS treatment and advanced manual therapy techniques to realign the upper cervical spine and reduce nerve compression, which helps normalize TMJ and upper neck function, improving TMJ related headaches. 




How we help maximize functional strength & flexibility.

The TMJ is one of the most used joints in the body and needs to be strong and flexible in order to function normally.

Our TMJ trained Physiotherapists use client specific video programs which include self-myofascial release techniques, self-mobilization techniques, postural education, core strengthening, Rocabado TMJ exercises and disc relocation protocol, and flexibility training allowing for a more complete and permanent return to function. 

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Click on the image to see full size document of these TMJ home exercises.

Our TMJ trained Physiotherapists will evaluate the cause of your TMJ symptoms through the examination of:

  • Quality and Quantity of your TMJ movement

  • Palpation to determine whether your TMJ is clicking, popping or making grating noises, which indicate derangement or damage to the articular disk

  • TMJ muscle length, strength and co-ordination

  • Cervical spine joint function and alignment

  • Cervicogenic and TMJ related headaches

  • Neurological sensitivity and tension testing for TMJ and Cervical spine

  • Postural evaluation

After determining the cause of your TMJ pain, our Physiotherapists use hands on, results oriented treatments including:

  • Gunn IMS, which is unique to our clinic, and provides excellent and rapid results with resolution of pain, restoration of joint function, and resolution of headaches

  • Active Myofascial Release of TMJ and Cervical Muscles

  • Joint Mobilizations and/or Manipulations of TMJ and Cervical Spine Joints

  • TMJ and Cervical muscle stabilization, proprioception (position sense), and co-ordination training

  • TMJ muscle flexibility program

  • Radial Shockwave Therapy

  • Ultrasound

  • Interferential Current

  • Biofeedback

  • Postural Education

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IT TAKES A VILLAGE to permanently resolve TMJ dysfunction. Our TMJ trained Physiotherapists work closely with Dentists, Orthodontists, and Surgeons to ensure that bite alignment corresponds with TMJ alignment, allowing for a more permanent recovery of TMJ dysfunction.  

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