What is TMJ Disorder?

TMJ disorder, also known as TMD, is caused by abnormal actions of the jaw. Many times, when an injury is not to blame, the main cause of jaw problems can be an undiagnosed sleep breathing issue. It’s critical that the underlying cause of these problems be the focus of treatment, as opposed to just the symptoms, in order to successfully treat TMD.

Some symptoms of TMD include:

  • Primary Headaches – migraine, tension, and cluster
  • Pain in the Jaw where it Meets the Skull
  • Facial, Neck and Back Pain
  • Jaw Popping or Clicking
  • Difficulty or Restrictive Opening of the Mouth
  • Catching or Locking Jaw
  • Ear Pain or Ringing in the Ears
  • There can be others, as well

We know that even though TMD isn’t life-threatening, it can significantly impact your quality of life. If TMD isn’t treated, symptoms can intensify over time.


Headaches are symptoms of many different underlying causes, two of which are sleep apnea and TMD. We perform a thorough evaluation for our patients to discover the underlying causes and create a treatment plan to relieve those causes.

We treat primary headaches (tension, cluster, and migraine), facial pain headaches, cranial neuralgias, and more. We do not treat secondary headaches, which represent fewer than 10% of headaches and are caused by medical conditions like tumors or brain bleeds.

Your First Appointment with Us for a TMJ Disorder

Before your initial exam, you will fill out comprehensive forms to help Dr. Krish better understand and diagnose underlying issues. At your first appointment with us, we’ll take measurements and photos that relate to the head, jaw, and neck. Dr. Krish will perform motor reflex testing and a physical exam to assist with an accurate diagnosis. Other testing, such as a CBCT scan, may be necessary as well to formulate an effective plan of treatment.

After learning how to relieve her own pain and improve her sleep, Dr. Krish decided to devote all her time to exclusively treating TMD, Craniofacial Pain, and sleep disorders by opening the TMJ & Sleep Therapy Centre of North Texas.

TMJ Treatment

SPG Blocks

A Sphenopalatine Ganglion Block (SPG) can relieve facial and head pain, and is inhaled, making it an excellent non-invasive treatment. It’s a numbing agent that can also provide relief for other symptoms of TMD, like a limited range of motion.

Cold Laser Therapy

Cold Laser Therapy works wonders for patients who suffer from inflammation and pain! This simple therapy increases circulation and oxygen to the site of pain and accelerates the healing process, as well.

Trigger Point Injections

When we constantly over-stimulate certain muscles in the body, it can cause trigger points and generalized pain to the area. A temporary numbing agent can be injected to the site of pain to provide relief for a few hours almost instantly.

Other Available Treatments

Our staff at TMJ & Sleep Therapy Centre of North Texas also has other treatments available for our patients, including oxygen or nitrous oxide inhalation, nutritional counseling, cold and heat packs, muscle relaxant prescriptions, and multi-discipline coordination, as well.

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