TMJ Pain? Here’s What You Should Know (and How We Can Help)

A Quick Patient Story

Let’s call her "Emily."
Emily came to us with constant jaw clicking, headaches that felt like a band squeezing her forehead, and restless nights spent clenching without realizing it. She’d tried mouth guards and massages, but nothing lasted.

After a few sessions of ultrasound-guided dry needling, focused especially on her lateral pterygoid (a deep jaw muscle notorious for causing TMJ misery), her headaches lifted.
Her jaw loosened.
And — maybe best of all — she finally slept through the night for the first time in months.

"It feels like someone turned down the volume on my whole body," she said.

That's the kind of healing we love to see.

If you've ever woken up with a sore jaw, mysterious headaches, or a stiff neck, you might be one of the millions dealing with TMJ dysfunction — and you might not even know it. TMJ stands for temporomandibular joint, the hinge that connects your jaw to your skull. When it isn’t working right, it can cause a ripple effect of issues that go way beyond jaw pain.

At our clinic, we specialize in treating TMJ disorders — and we have a secret weapon that makes a big difference: ultrasound-guided dry needling.

How TMJ Dysfunction Wreaks Havoc

TMJ dysfunction can show up in surprising ways:

  • Chronic headaches

  • Ear pain or fullness

  • Clicking or popping when chewing

  • Neck pain and stiffness

  • Insomnia (especially if pain flares up at night)

  • Even dizziness or shoulder tension

Because the muscles around the jaw — like the masseter, temporalis, and pterygoids — connect into broader systems in the head and neck, a problem here can throw off your whole alignment and comfort.

Why Dry Needling Works for TMJ

Dry needling is a technique where a very thin needle is inserted into muscle trigger points — those tight, painful knots you can sometimes feel under the skin. For TMJ issues, dry needling helps:

  • Release muscle tension

  • Improve blood flow

  • Decrease nerve irritation

  • Speed up healing and pain relief

Clinical studies back this up. In a 2022 systematic review, dry needling significantly reduced pain and improved function in patients with myofascial pain affecting the TMJ region .

Ultrasound Guidance: Our Superpower

Here’s where we do things a little differently:
Most dry needling is done by feel alone. But at our clinic, we use real-time ultrasound imaging to visualize muscles and trigger points with pinpoint precision.

That means:

  • Greater accuracy (especially for small, deep muscles like the lateral pterygoid, which are otherwise hard to reach)

  • Better safety

  • Better outcomes

There are very few clinics in the country that offer this level of expertise. We’re proud to be among them.

In fact, a study published in Frontiers in Neurology found that ultrasound-guided dry needling for craniofacial pain improved outcomes compared to traditional methods . It's like having a GPS for your jaw muscles!

References

  1. Gallego-Sendarrubias GM, Rodríguez-Sanz J, López-de-Celis C, et al. Effectiveness of Dry Needling in the Management of Myofascial Trigger Points Associated with Temporomandibular Joint Disorders: A Systematic Review. Pain Research and Management. 2022. Link

  2. Fernández-Carnero J, et al. Ultrasound-Guided Dry Needling for the Treatment of Myofascial Trigger Points in the Head and Neck: A Pilot Study. Frontiers in Neurology. 2021. Link

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