Blog Post

How Regular Treatment Helped Manage TMJ and Upper Back Issues

November 3, 2024
For many people, the daily demands of life—work, family, and other responsibilities—can lead to physical tension and chronic pain. In this case, a 51-year-old mother of seven and full-time homemaker found herself struggling with persistent TMJ (temporomandibular joint) syndrome and upper back pain. These issues were compounded by the physical and emotional stresses of her busy household, impacting her ability to move comfortably and perform daily tasks without pain.
Through consistent treatments and a carefully designed exercise plan at Good Health Group Clinic, she has seen a significant reduction in her neck and shoulder pain. Now, she visits Sam once every two weeks to manage her symptoms and maintain her progress.

Understanding TMJ Syndrome and Upper Back Pain

TMJ syndrome is a condition that affects the jaw joint and muscles around it, often leading to headaches, jaw clicking, and facial pain.
This client experienced
TMJ symptoms that worsened with stress, including tightness in the masseter (jaw) muscles, jaw clicking, and occasional headaches.

She also had chronic tension in her upper back, neck, and shoulders, which was likely exacerbated by her posture and household duties.

She reported additional symptoms of anxiety, depression, and digestive issues, which contributed to her overall stress. Managing these symptoms required a comprehensive approach that addressed both her physical and emotional needs.

Initial Assessment and Treatment Plan

When she first visited Good Health Group Clinic on 28 August, 2024, Sam conducted a thorough assessment, noting tightness in her upper back and neck as well as around her pectoral muscles and biceps. This tightness contributed to a rounded shoulder posture, further aggravating her TMJ and upper back symptoms.


To relieve her discomfort, Sam implemented a customised treatment plan that included:

  • Deep Tissue Massage (DTM): Targeted areas included her lower back, trapezius, neck, infraspinatus, levator scapulae, glutes, and hamstrings to address chronic tension.

  • Dry Needling (DN): Applied to the quadratus lumborum, mid-trapezius, cervical muscles, and infraspinatus to relieve deeper muscle tension.

  • Cupping: Used on the mid and upper trapezius and infraspinatus to improve circulation and release tightness.

  • Instrument-Assisted Soft Tissue Mobilisation (IASTM): Performed on the lower back, trapezius, and cervical area to break down scar tissue and improve mobility.

  • Trigger Point Therapy (TrP): Focused on the medial hamstrings, gastrocnemius, tibialis posterior, masseter, and pterygoid muscles to reduce TMJ tension.

This comprehensive treatment aimed to alleviate her jaw discomfort, release upper back tension, and improve her overall range of motion. Additionally, Sam provided her with shoulder and chest mobility exercises to perform daily, supporting her progress at home.

11th September, 2024: Addressing TMJ and Upper Back Tension

During this visit, she reported jaw clicking and upper back tension, along with a headache. Sam performed intraoral trigger point release on her masseter muscle, targeting her TMJ symptoms with active jaw movement to enhance effectiveness. The treatment also included deep tissue massage and trigger point therapy for her upper traps, rhomboids, and temporalis muscles. Her exercise plan was modified to include a pectoral stretch to support upper body mobility.

25th September, 2024: Shoulder Tension and Family Commitments

With family obligations for a special occasion, her gym routine was temporarily replaced by regular walks. She presented with right-sided shoulder tension and neck stiffness. Treatment was adjusted to include deep tissue massage for her trapezius and cervical muscles, along with trigger point therapy for the temporalis muscle. A new exercise plan was provided to incorporate more upper body stretching and mobility exercises.

9th October, 2024: Managing Increased Stress

After a period of increased stress due to family gatherings and additional responsibilities, her TMJ symptoms had intensified, with increased neck and shoulder tightness. Sam focused on deep tissue massage for her lower back, neck, and upper back, and performed intraoral trigger point therapy for the temporalis muscle to relieve jaw tension. Her exercise plan remained unchanged, emphasising the importance of consistency.

Customised Exercise Program for TMJ and Upper Back Support

To complement her treatment sessions, Sam developed a personalised exercise program to help manage her TMJ and upper back pain between visits. The exercises focused on enhancing mobility, improving posture, and reducing jaw and upper back tension:

Mobility Exercises

  • Arm Swings: 15-20 swings, 2-3 sets
  • Rhomboid Stretch: 20-30 seconds, 2-3 sets
  • Extended Puppy Pose: 20-30 seconds, 2-3 sets
  • Thoracic Cat Camel: 10-12 reps, 2-3 sets

Strength and Stability

  • Scapular Protraction and Retraction against the Wall: 8-10 reps, 3 sets
  • Kneeling Scapular Push-Ups: 8-10 reps, 3 sets
  • Bird Dog: 8-10 reps, 3 sets
  • Foam Roller Wall Slide: 8-10 reps, 3 sets

Daily Breathing Exercise

  • Rock Back Breathing: 10 deep breaths, 3 sets

Since she maintained a regular gym routine, Sam recommended integrating these exercises into her workouts to reinforce posture, upper body flexibility, and TMJ relief.


Outcome and Reflections

Through consistent bi-weekly treatments and an evolving exercise plan, she has seen a significant reduction in her neck and shoulder pain. Now, she visits Sam every two weeks to manage her ongoing symptoms and maintain her upper body mobility and jaw health.

A combination of deep tissue massage, trigger point therapy, dry needling therapy, and intraoral release techniques has helped relieve her TMJ tension, while mobility exercises support her shoulder and upper back alignment.

Conclusion

This case highlights the benefits of a holistic approach in managing TMJ syndrome and chronic upper back pain, particularly for clients balancing physical and emotional stress. Regular follow-ups with Sam allow her exercise plan to be adjusted according to her lifestyle and stress levels, ensuring her ongoing progress and comfort.

If you’re experiencing TMJ or upper back pain, consider exploring a customised treatment plan that incorporates both in-clinic care and at-home exercises. A comprehensive approach can make a world of difference in managing pain and achieving lasting relief.


Ready to Find Relief from TMJ and Upper Back Pain?


Our personalised treatment plans can help you manage pain, improve mobility, and get back to feeling your best.
Whether you're dealing with TMJ issues, back tension, or other discomforts, we’re here to support you.


Book your appointment today and start your journey to relief!




Book Now

Blogs

February 11, 2025
Let me tell you about something weird I saw the other night while scrolling through YouTube. Lately, I’ve been really into watching other therapists work, checking out different approaches on Instagram and YouTube. Last night, I stumbled across a video on a fitness celebrity’s channel in the U.K. He was getting an IASTM (Instrument-Assisted Soft Tissue Mobilisation, also known as Graston technique) treatment from a sports therapist, and everything seemed normal, until the therapist made a pretty bold claim. As soon as redness started appearing on the guy’s skin, the therapist confidently said it was because “toxins were coming out.” No explanation, no scientific backing, just a statement that made it sound like IASTM was some kind of detox miracle. And of course, in the comments section, people ate it up, believing it just because the practitioner is a health expert and the channel owner is a well-known fitness personality.  But let’s set the record straight: IASTM is NOT a detox therapy, and there’s no such thing as a manual “detox” treatment.
February 4, 2025
At Good Health Group Clinic Brighton , we often hear clients say, "I've been stretching my tight muscles, but they just won’t loosen up!" Recently, a viral social media post caught my attention, claiming that stretching makes muscle knots worse and that stretching fascia doesn’t work. The video compared stretching a muscle with trigger points to pulling on a knotted rubber band, it supposedly makes the knot even tighter. The post gained a lot of traction, with many people commenting, "No more stretching for me!" But is this really true? As a clinic that specialises in myotherapy, chiropractic care, and remedial therapy , our practitioners, myotherapist Ian Selvarajoo , chiropractor Dr. Tanja Nishibata , and remedial and dry needling therapist Sam Noh , understand that while stretching alone isn’t always the solution, dismissing it entirely is misleading. So, let’s explore what the science actually says about stretching, trigger points, and flexibility. What Are Trigger Points? Trigger points, commonly known as muscle knots , are hyperirritable spots in the muscle that can cause local and referred pain. They develop due to: Chronic overuse Repetitive strain Poor posture Stress and nervous system tension Inadequate recovery after workouts A muscle with trigger points is often tight but weak , contracted and stiff, yet lacking strength. This explains why simply stretching the muscle may not provide relief. Does Stretching Really Make Trigger Points Worse? The viral video suggested that stretching a tight muscle is counterproductive because it worsens the "knotting" effect. While this analogy may seem logical, the reality is more complex. In some cases, aggressive stretching can aggravate tight muscles, especially when: The muscle is in a highly contracted state (such as after prolonged stress or poor posture). The nervous system is hypersensitive , causing muscles to tighten further in response to a stretch. You hold static stretches for too long without first addressing the root cause of the tension. However, this does not mean stretching is inherently bad, it just needs to be done correctly . What Does the Science Say About Stretching and Trigger Points? Contrary to the claim that stretching is harmful, research shows that when performed properly, stretching can actually help alleviate muscle tightness and improve function . Stretching Increases Blood Flow and Oxygenation Studies have shown that stretching enhances circulation , reducing muscle ischemia (lack of oxygen), which is one of the primary causes of trigger points. Stretching Helps Regulate Muscle Tension When you stretch, you activate the Golgi tendon organs , which help relax overactive muscles and reduce excessive tension. Stretching Restores Functional Muscle Length Chronic muscle tightness can lead to adaptive shortening , making muscles more prone to pain and dysfunction. Stretching helps counteract this. How to Stretch the Right Way Without Making It Worse Instead of avoiding stretching altogether, here’s how to incorporate it safely and effectively : 1. Start With Soft Tissue Work First Before stretching, release the muscle tension using: Self-massage (hands or massage ball) Foam rolling (avoiding excessive pressure on painful spots) Trigger point therapy, dry needling, or myotherapy , which our practitioners at Good Health Group Clinic Brighton offer. 2. Use Active and Dynamic Stretching Instead of prolonged static stretching, opt for controlled, movement-based stretches to encourage blood flow and mobility. Example: Instead of a deep static hamstring stretch, try hamstring swings or single-leg Romanian deadlifts . 3. Avoid Overstretching Painful Muscles Pain is a signal from your body— forcing a stretch won’t fix the issue . If stretching worsens your symptoms, it’s time to adjust your approach. 4. Strengthen Weak Muscles Trigger points often form because a muscle is both tight and weak . That means stretching alone isn’t enough—you also need strength training . Example: Instead of constantly stretching tight hip flexors, incorporate glute and core strengthening exercises . How Good Health Group Clinic Brighton Can Help At Good Health Group Clinic Brighton , we take an evidence-based approach to muscle health and mobility. Our team of skilled practitioners can help with: Myotherapy : Our myotherapist Ian Selvarajoo specialises in releasing muscle knots using advanced soft tissue techniques. Chiropractic S ports and Spinal rehab : Dr. Tanja Nishibata can assess your posture and spinal health, ensuring your nervous system and musculoskeletal system function optimally. Remedial Massage & Dry Needling : Sam Noh provides expert remedial therapy and dry needling to address chronic muscle tension and improve flexibility. Stretching Is Not the Enemy The idea that "stretching makes knots worse" is an oversimplification . While improper stretching can sometimes aggravate muscle tightness, when done correctly , stretching is a powerful tool for reducing discomfort and improving mobility. The key is how you stretch. By combining stretching with soft tissue release, active movement, and strengthening exercises , you can effectively manage muscle tension and enhance performance. If you’re struggling with persistent muscle tightness, book an appointment at Good Health Group Clinic Brighton , where our expert team can help you find the best approach to mobility and recovery.
February 2, 2025
Baseball is not the most popular sport in Australia, but as someone who grew up in South Korea and in a KIA Tigers supporting family, I’ve been watching KBO (Korean Baseball Organization) games since I was born. This year, I noticed an interesting development from one of the team’s top young players, Do-young Kim, who has dramatically improved his hitting performance. In the 2023 season, Kim was already a talented batter, but he only hit 7 home runs with a slugging percentage (SLG) of 0.453. For those unfamiliar with baseball, a home run is when a batter hits the ball over the outfield fence, allowing them to score instantly. Slugging percentage (SLG) measures the total bases a player earns per at-bat, indicating their power-hitting ability. Fast forward to 2024, and Kim’s stats have skyrocketed, he has hit 38 home runs with an SLG of 0.647. That’s an incredible leap! So, what changed? After closely watching his batting stance and swing, I realised he had enhanced his hip internal rotation (HIR) , allowing him to generate more torque and power in his hitting mechanics. This got me thinking, the same principle applies to improving my clients’ daily movements and sports performance.
January 31, 2025
When clients walk into Good Health Group Clinic after a musculoskeletal injury, most have one goal in mind, getting stronger. Strengthening exercises have long been seen as the gold standard for recovery, but in reality, jumping into strength training too soon can often make things worse rather than better . Over the years, I’ve noticed a common pattern, more than half of my clients experience aggravation when they begin strengthening exercises early in rehab . Their pain flares up, movement feels unnatural, and their body starts compensating in ways that lead to more dysfunction. This got me thinking 'Is there a better way?' 
January 31, 2025
When I was a sports trainer for the Ferntree Gully Football Club, I worked with many young athletes pushing their limits to perform at their best. One of them, a talented midfielder, came to me with a problem, he felt "stuck" when kicking the footy. His range of motion was limited, and his leg didn’t extend fluidly in the follow-through. He had no pain, just the feeling that something was holding him back. After assessing him, I found that his adductors were excessively tight. When I released them, he immediately felt lighter, more mobile, and his kicking mechanics improved. The issue? Adductor overactivity, a common but often overlooked factor affecting footy players.
January 20, 2025
Have you ever experienced that annoying tingling or numbness in your hand, particularly in your ring and pinky fingers? It might feel like your arm fell asleep, but if it keeps happening, you could be dealing with ulnar nerve entrapment. Don’t worry, this is more common than you think, and your posture could be playing a bigger role than you realise. Let’s break it down in a way that’s easy to understand.
January 16, 2025
If you’re dealing with tendinopathy, you know how frustrating it can be. Tendinopathy causes pain and stiffness in the tendons, making it hard to move and do the things you love. Understanding how to manage it effectively can make a significant difference in your recovery and long-term function.
January 15, 2025
Pain from injuries or daily strain is incredibly common, and if you’re dealing with it, you’re not alone. At Good Health Group Clinic , we work with clients every day to help them feel better and get back to doing the things they love. Our team combine expertise to create personalised treatment plans that make a big difference in your recovery. Let’s break it down so it’s simple and easy to understand.
January 14, 2025
Shoulder pain is something many people face at some point, and rotator cuff-related pain is one of the most common causes. Whether you’re struggling to lift your arm or finding it difficult to sleep on your side, shoulder pain can interfere with daily life. The good news? For most people, this pain improves with a combination of the right advice, treatment, and exercises. Let’s explore what causes rotator cuff pain, its symptoms, and how you can take steps to recover and regain your shoulder strength.
January 9, 2025
In May 2024, a 70-year-old retired woman with a passion for travelling the world faced an unexpected challenge. While on holiday in Italy, she suffered a serious ankle injury, a trimalleolar fracture. After returning to Australia for surgery, she was determined to recover quickly. Believing that doing more exercise would help her heal faster, she worked hard to follow a long and intense routine. Unfortunately, her progress stalled. The pain continued, walking was still a struggle, and her mobility hadn’t improved. When she visited Good Health Group Clinic, I realised that the problem wasn’t her effort, it was her approach. This story shows how understanding your injury, doing the right amount of exercise, and having a proper recovery plan can make all the difference.
Share by: