Disc displacements
Articular disc displacement with or without reduction. May progress to chronic locking if untreated.
Characteristics
Disc displacement is characterized by displacement of the TMJ meniscus. With reduction, the disc repositions upon opening (audible click). Without reduction, the blockage can become chronic. Disc recapture is only possible within 3-4 weeks of acute displacement. Beyond this critical window, physiotherapy focuses on optimizing joint mobility and stabilizing the joint through targeted muscle work.
- Painful clicking during opening/closing
- Intermittent or permanent locking
- Mandibular trajectory deviation
- Localized joint pain
Physiotherapy treatment
- Progressive joint mobilizations
- Disc recapture (if < 4 weeks)
- Stabilizing muscle strengthening
- Motor control exercises
Progress with treatment
Progress varies according to the condition and individual factors. Conservative options may be discussed after assessment, without a promised result or timeline.
Questions About TMJ Disorders
Characteristics
Articular disc displacement with or without reduction. May progress to chronic locking if untreated.
Physiotherapy treatment
Progressive joint mobilizations Disc recapture (if < 4 weeks) Stabilizing muscle strengthening Motor control exercises
How many sessions are needed?
The number and spacing of visits depend on assessment, response and goals. No duration or result can be guaranteed.
Scientific sources
- Effectiveness of manual therapy for TMD (PubMed)
- TMJ and cervical spine connection (PMC)
- Therapeutic exercises for TMD (PubMed)
- Conservative approach to TMJ disorders (PubMed)
- Intra-oral techniques - systematic review
- Bruxism and physiotherapy (PubMed)
- Physiopedia practical guide - TMD
- HAS recommendations on TMD