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Shephard Health

Active Release Technique for TMJ: What Intraoral Soft Tissue Work Involves

Active Release Technique (ART) for TMJ is hands-on treatment for the chewing muscles. Your chiropractor presses on a tight muscle while you slowly open, close or move your jaw, which helps the muscle release and move more freely. It is done from outside the mouth and, with your consent, inside it with gloves, to reach muscles that are hard to get at from outside. At Shephard Health in Kensington, Calgary, TMJ care starts with our $67 new patient exam and treatment, and we direct bill most major insurance providers.

Tight, sore jaw muscles? Start with a $67 new patient visit

A jaw and neck assessment, hands-on treatment on day one when it is safe, and exercises to keep your jaw moving well. Same-day appointments are often available, and we direct bill your benefits. Book online.

What is Active Release Technique?

ART is a hands-on soft tissue method. The practitioner holds tension on a tight or tender part of a muscle while you move it through its range. The combination of pressure and movement is what sets it apart from ordinary massage. We use it all over the body, from shoulders to feet. See Active Release Technique in Calgary and the art of Active Release Technique.

Which muscles ART treats for TMJ

  • Masseter: the thick muscle in your cheek that closes the jaw. A common source of jaw pain and pain that feels like it is in the teeth.
  • Temporalis: the fan-shaped muscle over your temple. A common source of temple headaches.
  • Pterygoids: two deep muscles on the inside of the jaw that help open, close and move the jaw forward and side to side. They are reached best from inside the mouth.
  • Muscles under the jaw: small muscles that help open the mouth.
  • Neck muscles: the upper neck, the muscles at the side of the neck and the upper shoulders, which often tighten along with the jaw.

What intraoral ART feels like

  • We always wear gloves, and we only work inside your mouth with your consent. You can ask us to stop at any time.
  • One gloved finger goes inside your cheek onto the muscle, sometimes with a thumb on the outside.
  • You slowly open and close your mouth, or move your jaw to the side, while the pressure holds.
  • Tight spots feel tender, like pressing on a sore muscle. It should not be sharp.
  • Each area gets a few passes. Mild soreness for a day or so afterward is normal.

If you would rather not have work inside your mouth, we can do a lot from outside, and we will tell you what we can and cannot reach that way.

Does ART work for TMJ?

There is little research on ART by name for TMJ. The evidence is for the techniques it uses. A 2023 clinical practice guideline in The BMJ gave strong recommendations to manual trigger point therapy and therapist-assisted jaw mobilization for chronic TMD pain, and to supervised jaw exercise and stretching. ART is hands-on muscle work with movement, and we pair it with jaw exercises, so it sits squarely in that evidence.

How many sessions will I need?

It depends on how long you have had the pain and what is driving it. Many people feel looser, less painful jaw muscles within the first few visits. We recheck your mouth opening and pain at each visit and adjust the plan, and we refer you if you are not improving.

Who should wait or tell us first

  • Recent dental surgery, an extraction or implant work: wait until your dentist says it is fine
  • A tooth infection or abscess, or open sores in your mouth
  • A recent jaw fracture
  • Blood thinners or a bleeding disorder: tell us, so we can adjust the pressure
  • Braces, dentures or a sensitive gag reflex: tell us, and we will adapt the approach

What goes with ART in TMJ care

ART works best as part of a plan: neck and upper back care, jaw mobilization, home exercises, and changes to clenching and chewing habits. Some patients also get cold laser therapy as an add-on. More on how we put it together as a TMJ chiropractor in Calgary.

Frequently asked questions

Is intraoral TMJ massage the same as ART?

They have the same goal of releasing tight jaw muscles. ART adds movement: you open, close or shift your jaw while the pressure holds.

Does ART for TMJ hurt?

It feels tender on tight spots, like a firm massage on a sore muscle, and we adjust the pressure as we go. It should not be sharp.

Can I do it myself?

You can gently massage your masseter from the outside with your fingertips, in small circles, for a minute or two. Leave work inside the mouth to a trained practitioner.

Is ART for TMJ covered by insurance?

ART is part of chiropractic care, which most extended health plans cover, and we direct bill most major insurance providers. See Active Release Technique cost in Calgary.

How much is a first visit at Shephard Health?

The new patient exam and treatment is $67, and we direct bill most major insurance providers.

Gloved hand working on the jaw muscle of a patient lying on a treatment table

Book your $67 new patient exam and treatment

One hour with a chiropractor: a jaw and neck assessment, hands-on treatment on day one if it is safe, and jaw exercises to start at home. We direct bill most major insurance providers, so there is less to pay at the counter and no paperwork for you. Same-day appointments are often available at 1228 Kensington Road NW.

Book my $67 new patient visit

Prefer to talk first? Call (403) 543-7499.

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