The Link Between TMJ Pain and Posture

Understanding the Connection for Better Client Outcomes

How Poor Posture Can Contribute to TMJ Pain

TMJ (temporomandibular joint) pain is a common issue seen by manual therapy practitioners, particularly among desk workers and clients with high stress levels. But what many therapists may not fully appreciate is the link between TMJ pain and posture—specifically, how chronic forward head posture and thoracic kyphosis can contribute to or exacerbate symptoms in the jaw.

Understanding the Connection Between TMJ Pain and Posture: Illustration shows side skull view with jaw muscles and posture diagrams highlighting neutral versus forward head positions.

When posture is compromised—such as when the head juts forward and the shoulders round (Upper Cross Syndrome)—the cervical spine undergoes significant strain. This altered head and neck alignment can increase tension in the masticatory muscles, reduce jaw mobility, and place additional stress on the temporomandibular joint. Over time, this may lead to pain, clicking, restricted movement, or referral patterns that present as headaches, earaches, or facial discomfort.

TMJ Pain and Posture in Desk Workers

The rise in remote work and long hours spent in front of screens has highlighted the connection between TMJ pain and posture. Clients who sit at a desk with poor ergonomics often present with muscle imbalances, tightness in the neck and shoulders, and increased jaw tension—creating a perfect storm for TMJ dysfunction.

This relationship is particularly important for manual therapy practitioners to understand, as treating the jaw in isolation may provide only temporary relief. By addressing postural dysfunction as part of a broader treatment strategy, therapists can offer more lasting results and improve overall client wellbeing.

What Manual Therapy Practitioners Can Do

Understanding the link between TMJ pain and posture allows massage therapists, myotherapists, and Bowen therapists to approach treatment from a more holistic perspective. This might involve:

• Assessing cervical and thoracic alignment

• Releasing overactive postural muscles

• Educating clients on ergonomic set-up and self-awareness

• Offering referral pathways if dental or psychological factors are involved

Postural correction and awareness can be powerful adjuncts to hands-on therapy for TMJ symptoms. Manual therapy practitioners who stay informed about these multidimensional connections will be better equipped to support their clients long term.

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