TMJ Treatment in Dallas and Richardson

Reviewed by OneRehab · Last reviewed: 2026-11-02

Jaw pain, painful clicking, or trouble opening your mouth all the way can make eating, talking and even sleeping harder. These are common signs of a temporomandibular disorder, often just called TMJ. Conservative care, including physical therapy, is the recommended first step for most people, and our physical therapists treat TMJ disorders at our Dallas and Richardson clinics. You can start without a doctor’s referral.

Woman holding her forehead and neck in discomfort

Signs it could be TMJ

Your temporomandibular joints (TMJs) connect your lower jaw to your skull, one in front of each ear. TMD is the name for a group of more than 30 conditions that cause pain and problems in these joints and in the muscles that move your jaw. Common signs include:

  • Pain or tenderness in your jaw, or in front of your ear
  • Aching pain in and around the ear
  • Pain or difficulty when you chew
  • Painful clicking, popping or grating when you open or close your mouth
  • A jaw that locks, or won’t open or close all the way
  • Neck pain or headaches along with the jaw pain

Clicking or popping without pain is common and usually doesn’t need treatment. Often there’s no single cause. An injury to the jaw can play a part, and so can teeth clenching or grinding, gum chewing, nail biting, stress, and conditions such as arthritis. Many TMJ problems last only a short time and get better on their own.

Hands-on soft tissue work on the upper back and neck

How physical therapy helps TMJ

Experts advise starting with simple, conservative care and avoiding treatments that permanently change your teeth, bite or jaw. Research suggests that manual therapy, where a therapist uses their hands to stretch the soft tissues and muscles around the joint, can help improve function and relieve pain. According to the American Physical Therapy Association, physical therapy for TMJ usually combines:

  • Education about what’s driving your pain and the habits that make it worse, such as clenching
  • Hands-on soft tissue work for tight jaw, face and neck muscles
  • Joint mobilization to ease stiffness in the jaw and neck
  • Exercises you repeat through the day to improve jaw movement and the posture of your head and neck
  • Heat or ice and other treatments to settle sore muscles
  • Stress management and posture habits for work, phone and computer use

Your plan is built around your evaluation and draws on the methods our physical therapists use every day, including manual therapy, soft tissue mobilization, exercise, ice and heat, and patient education. We also offer dry needling, which we use for mouth and jaw problems among other conditions. Your therapist will tell you whether it suits you. If your teeth or bite may be part of the problem, a physical therapist will refer you to a dentist to check them.

What happens at your first visit

Your first visit is an evaluation with a physical therapist. We’ll go over your medical history, ask about your symptoms and what makes them better or worse, and check your strength, range of motion and posture. For jaw pain, that includes how your jaw opens and moves, and how your neck moves. Then we’ll explain what we found and build a treatment plan around your needs and goals.

It helps to write down your symptoms before you come, including what makes them worse or better. Wear loose, comfortable clothes.

Patient Wellbeing is Our Primary Concern

Call Dallas (469) 646-6796 or Richardson (972) 845-7875.
Therapist’s hands on a woman’s neck, with the spine drawn over it

Do you need a referral?

No. Texas law lets you see a physical therapist for up to 30 days without a doctor’s referral, although some insurance plans still ask for one before they’ll pay. Not sure physical therapy is right for you? Book a free screen with one of our licensed physical therapists or certified athletic trainers, who’ll assess your pain, answer your questions and recommend next steps.

We accept most insurance plans, including Medicare and Medicaid, and offer affordable options if you have a high-deductible plan or no insurance. See our insurance page or call either clinic. Both clinics offer physical therapy, and either one can refer you to the other if it’s more convenient for you.

When to get medical help first

Jaw pain can also be a sign of a heart attack. Seek medical care immediately if jaw pain comes with chest pain, shortness of breath, dizziness, nausea, or pain or numbness in your left arm.

See your doctor or dentist if you have constant pain or tenderness in your jaw, or if you can’t open or close your jaw completely. Pain in the mouth, jaw or face isn’t always TMJ, so they may need to rule out other conditions first.

Dry needling on the upper back

Common questions

Should I see a dentist or a physical therapist for TMJ?

Often both. A dentist or doctor can diagnose TMJ disorders and may suggest a night guard. Physical therapists treat the muscles, joint movement and habits behind the pain. A team approach is especially important when TMJ pain keeps coming back.

Will I need surgery?

Most people don't. Surgery is usually a last resort after conservative treatment hasn't worked, and experts advise trying simpler treatments first.

Is jaw clicking a problem?

Not on its own. Clicking or popping without pain is common and normal. Get it checked if it hurts, or if your jaw locks or won't open fully.

What can I do at home?

The American Physical Therapy Association suggests eating softer foods when pain is bad, avoiding gum and very hard or chewy foods, not opening your mouth too wide when you yawn, and resting your tongue on the roof of your mouth with your lips closed and teeth apart. Your therapist will add exercises chosen for you.

Where to find us

ClinicAddressPhoneHours
Dallas6080 N Central Expy #125, Dallas, TX 75206(469) 646-6796Mon–Fri 7 AM–7 PM, Sat 8 AM–2 PM
Richardson1761 International Pkwy Ste 135, Richardson, TX 75081(972) 845-7875Mon–Fri 7 AM–7 PM, Sat 8 AM–2 PM

OneRehab Dallas

6080 N Central Expy #125, Dallas, TX 75206
(469) 646-6796

Email Us

info@onerehab.com

OneRehab Richardson

1761 International Pkwy Ste 135, Richardson, TX 75081
(972) 845-7875

Working Hours

Mon–Fri 7 AM–7 PM
Sat 8 AM–2 PM

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