TMJ / Jaw Physiotherapy

Jaw pain is common. Putting up with it isn't your only option.

TMJ physiotherapy in Burlington, Ontario

Soreness when you chew. A click that has started to hurt. A jaw that won't open all the way, or headaches that begin at your temple. Sit down one-on-one with a registered physiotherapist trained in TMJ management, find out what's driving it, and leave with a plan you understand.

Book onlineNo referral neededDirect billing to most insurersFree on-site parking

What we treat

What we treat.

TMJ stands for the temporomandibular joint, the hinge in front of each ear. Problems there and in the muscles around it are often called TMD or simply TMJ. They rarely stay in one place, so we look at your jaw, neck and daily habits together.

Jaw and Face Pain

An ache in the jaw or cheek, soreness when you chew or talk, or a jaw that's tired by the end of the day.

Painful Clicking or Popping

A click that comes with pain or catching deserves a look. A click with no pain usually needs no treatment, and we'll tell you so.

Limited Opening or Locking

A jaw that won't open fully, catches partway, or feels stuck in the morning. If it's stuck open, go to urgent care.

Clenching and Grinding

Jaw tension from daytime clenching or night-time grinding. We work on habits, muscles and movement, and on the night guard question with your dentist.

Headaches and Ear-Area Pain

Headaches around the temple and pain near the ear can occur alongside jaw problems. We check how they connect, and refer you if something else needs looking at.

Jaw Pain After an Accident

Jaw pain can appear after whiplash, a car accident or a concussion, sometimes weeks later and easy to overlook among other symptoms.

Our approach

Your first visit, step by step.

Your first appointment is 60 minutes. Follow-ups are 30 minutes. You'll know what we found, what we suggest and why, before anything starts.

1
We listen and screen

You complete a short TMJ intake form before you arrive. We go through your history, what sets it off, your dental background, and any signs that you need a dentist or doctor first.

2
We examine jaw, neck and posture

We measure how far and how smoothly your jaw opens, feel the joint and chewing muscles, listen for joint sounds, and check your neck, which often plays a part.

3
Hands-on treatment, with your say-so

Where appropriate, treatment the same day: jaw and neck mobilisation and muscle work outside the mouth, and inside the mouth if it suits your case and you agree.

4
A plan you can do at home

Simple jaw exercises, ways to catch clenching, and an honest estimate of visits. With your permission, we can send a summary to your dentist or family doctor.

Treatment inside the mouth

What it is, what it feels like, and why it's always optional.

It's the part of TMJ care people are most curious about, so here it is plainly. Research on it is still limited, so we treat it as one option alongside exercise and hands-on work outside the mouth. It isn't a cure on its own, and not everyone needs it.

Why it's sometimes used

Some of the muscles you chew with sit deep around the jaw and are easier to reach from inside the cheek than from outside your face. If those muscles look like part of your problem, your physiotherapist may suggest working on them directly.

What actually happens

Your physiotherapist explains the technique first, then wears gloves and uses one finger to apply slow, steady pressure along the inside of your cheek or jaw. It usually takes only a few minutes of the visit.

What it feels like

Expect firm pressure and some tenderness where the muscles are sore, and a strange sensation at first. You can swallow, breathe normally and take breaks. It shouldn't feel sharp, and you only need to raise a hand to stop.

It's your choice

Nothing happens inside your mouth unless you agree, and you can change your mind at any point. If you'd rather not, you can still have treatment from outside the mouth, along with exercises. Tell us about any glove allergy or strong gag reflex.

Who to call first

Some jaw problems need someone else first.

Physiotherapy suits most muscle and joint jaw pain. If any of these sound like you, please don't wait for a physio appointment. We also screen for them on your intake form and at your first visit.

See your dentist or doctor promptly

  • Tooth pain, a suspected tooth infection, or swelling in your face or gums
  • A bite that has suddenly changed
  • Numbness or tingling in your face or tongue
  • A new lump in your face or neck, or unexplained weight loss
  • A history of cancer with new facial pain, or bone medication such as bisphosphonates

Get urgent care the same day

  • Your jaw is stuck open and won't close
  • A blow to the face and a possible fracture
  • Fever with trouble opening your mouth, or difficulty swallowing or breathing
  • New jaw pain when chewing with a new headache or vision changes, especially over age 50
  • A stiff jaw with muscle spasms, especially after a wound (tetanus, sometimes called lockjaw)

Your team

The people you'll actually see

Juhi and Devanshi are registered physiotherapists who have both completed TMJ assessment and management training through APTEI. Both also work in pelvic health, where explaining each step, asking first, and stopping when you say so are part of every visit.

Juhi Israni

Juhi Israni

Registered Physiotherapist

Mondays, Wednesdays & Fridays: 10am – 6pm

  • MPT — Master of Physical Therapy
  • Completed TMJ assessment and management training through APTEI

I take time to know you as a person, not just your symptoms. Every session is one-on-one, unhurried, and built around what actually fits your life.

Devanshi Patel

Devanshi Patel

Registered Physiotherapist

Tuesdays & Thursdays: 9am – 4:30pm

  • MPT — Master of Physical Therapy
  • Completed TMJ assessment and management training through APTEI

My care is one-on-one and patient-centred, grounded in a biopsychosocial, trauma-informed approach. Recovery is rarely only physical — so I pay attention to the emotional and lifestyle factors that shape how you heal, too.

Frequently asked questions

Common questions about TMJ treatment

Who treats TMJ: a TMJ specialist, a dentist or a physiotherapist?+

People often search for a "TMJ specialist", but several professions treat jaw problems. Dentists look after teeth, bite and night guards, and some have further training in jaw and facial pain. Physicians rule out medical causes and manage medication. Physiotherapists assess and treat the muscles, joint movement, neck and habits involved. For most muscle and joint jaw pain you can start with any of them, and it's common to work together. If you have tooth pain or a recent change in your bite, see your dentist first.

What does TMJ physiotherapy involve?+

A detailed assessment, then a mix of hands-on treatment, jaw and neck exercises, and practical changes to habits such as clenching, chewing and posture. Current guidelines for long-lasting jaw pain favour supervised exercise and hands-on therapy over irreversible treatments, though many studies are small, so we'll be straightforward about what to expect.

Do I need treatment inside the mouth?+

No. It's one option, used only when it suits your case and you agree. Many people do well with exercises and treatment from outside the mouth.

How much does it cost, and is it covered?+

The initial 60-minute assessment is $125 and 30-minute follow-ups are $75. Most extended health plans cover physiotherapy, and we direct bill major Canadian insurers. Call us at (905) 635-5711 and we can help you check your coverage before you book.

Do I need a referral?+

No. You can book directly online or by phone. Some insurance plans ask for a doctor's note for reimbursement, so it's worth checking your benefits booklet.

How many visits will I need?+

It depends on what we find and how long you've had it. Research trials have commonly used about 6 to 10 sessions, but that's not a target and some people need fewer. You'll get a realistic estimate after your assessment, and we'll review it as you go.

My jaw clicks but it doesn't hurt. Should I book?+

Usually not. Painless clicking is common and generally doesn't need treatment. Book if it starts to hurt, catches or locks, or if it's getting in the way of eating or talking.

Should I get a night guard or Botox?+

Those are decisions for your dentist or physician, and they're worth discussing with them. Guidelines and studies don't all agree on either for jaw pain. We're happy to work alongside whatever you and your dentist decide.

My jaw started hurting after a car accident. Can you help?+

Yes, we assess jaw pain after whiplash and concussion. We also treat car accident injuries and handle auto insurance paperwork. Call us first so we can look at how your jaw treatment fits with your claim.

Clinically reviewed by Physiotherapy Team

NEXT STEP

Tell us what's going on, and we'll help guide you to the right starting point.

Whether you're booking for yourself, sending a referral, or not sure which service fits, the next step should feel easy.