Temporomandibular Joint Disorder (TMD) doesn’t just affect the jaw—it can also lead to chronic neck pain, stiffness, and tension. Many patients experiencing persistent neck discomfort may not realize that their jaw misalignment could be the root cause. The jaw, neck, and spine are closely connected, meaning dysfunction in one area often leads to discomfort in another.

This deep connection between the head, neck, and body is reflected in Dr. Raman’s reconceptualization of TMD as Cranio Cervical Mandibular Dysfunction. His unique CCMD protocol involves a series of Physiologic Neuromuscular Dental procedures and deploys a holistic approach to diagnosing and treating issues previously thought to be confined to the temporomandibular joint.

Understanding the link between TMJ and neck pain is the first step in finding lasting relief. By exploring how these two areas are connected, recognizing common symptoms, and learning about the most effective treatment options, patients can take control of their health and improve their quality of life.

How TMJ and Neck Pain Are Connected

The temporomandibular joint (TMJ) plays a crucial role in jaw movement, but it does not function in isolation. It is biomechanically linked to the cervical spine (neck) and the muscles that support the head and shoulders. When the jaw is misaligned, it creates an imbalance that places excessive stress on the neck muscles and vertebrae. 

Many patients with TMJ disorders experience chronic tension in the upper body, particularly in the neck and shoulders. This is because the muscles responsible for jaw movement are also involved in maintaining head and neck posture. When the jaw is not in proper alignment, these muscles become overworked, leading to discomfort and restricted mobility.

In fact, this impact extends all the way down to the bottom of the feet. This “teeth to toes” connection is intuitive for regular folks but not so much for medical or dental specialists who often focus on just one part of this postural chain.

The Role of Jaw Alignment in Neck Pain

  • The TMJ and cervical spine share nerves and muscles, meaning tension in the jaw can radiate into the neck and upper back.
  • A misaligned bite forces surrounding muscles to overcompensate, leading to tightness, stiffness, and pain.
  • Chronic jaw clenching or teeth grinding (bruxism) places excessive strain on the neck and shoulder muscles.

If left untreated, these imbalances can cause long-term postural issues, further worsening discomfort and making everyday activities more challenging. When it results in herniated discs in the neck or lower back, it is an acute and disabling problem often requiring surgeries with serious consequences.

Common Symptoms of TMJ-Related Neck Pain

Many patients with TMJ issues experience co-occurring symptoms beyond jaw discomfort. While some may seek treatment for chronic headaches, others may report difficulty turning their head or an ongoing sensation of tightness in their shoulders. Recognizing these symptoms can help patients identify whether their neck pain may be linked to TMJ dysfunction.

  • Chronic neck stiffness and tension that does not improve with stretching or massage
  • Pain that radiates from the jaw to the neck, shoulders, and upper back
  • Limited range of motion in the neck, making it difficult to turn the head comfortably
  • Frequent headaches or migraines that originate near the base of the skull
  • Tingling or numbness in the arms, in severe cases where nerve compression is involved
  • Chiropractic adjustments that do not “hold,” requiring frequent/ongoing adjustments

Because TMJ dysfunction can present in a variety of ways, it is essential for patients to undergo a comprehensive evaluation if they suspect their symptoms are related.

How Poor Posture Contributes to TMJ and Neck Pain

Posture plays a major role in jaw and neck alignment. Modern lifestyles—filled with hours of screen time—encourage poor posture habits that place stress on the TMJ and cervical spine. Prolonged periods of looking down at a phone or leaning forward while working on a computer can exacerbate both jaw pain and neck stiffness.

While this is an aggravating factor of our technological age, the root cause often is poor jaw alignment which crowds the room for tongue resulting in reduction of airway space at the throat.  This results in the head being brought forward during waking hours to keep the airway open. Tech habits further aggravate this strain.  

Common Postural Habits That Worsen TMJ Symptoms

  • Forward head posture, which places strain on the neck and jaw
  • Slouching, which disrupts jaw positioning and spinal alignment
  • Jaw clenching from stress, which often leads to muscle tension in the shoulders and neck.  This can be emotional stress as well as physical stress of postural dysfunction.

Simple Adjustments to Reduce Neck and Jaw Strain

  • Keep screens at eye level to lessen the impact of forward head posture
  • Use a supportive chair that encourages good spinal alignment
  • Practice relaxation techniques to prevent unconscious clenching

By making small adjustments throughout the day, patients can help alleviate unnecessary strain on their jaw and neck muscles.

Best Treatment Options for TMJ-Related Neck Pain

Since TMJ disorders impact multiple areas of the body, an integrated treatment approach is often the most effective way to relieve both jaw and neck pain. Patients should seek a provider who is an expert in Physiologic neuromuscular dentistry and understands the complex relationship between jaw alignment and musculoskeletal health.

Physiologic Neuromuscular Dentistry for Jaw Alignment

One of the most effective ways to reduce neck pain from TMJ is to correct jaw/neck misalignment. Physiologic Neuromuscular dentistry focuses on realigning the jaw and neck to their optimal position, which relieves strain on the neck and surrounding muscles.

Custom TMJ Orthotics

A custom orthotic (oral appliance) can stabilize the bite, preventing excess tension in the jaw and neck. Unlike over-the-counter mouthguards, these appliances are designed to gently guide the jaw into proper alignment over time.

Physical Therapy for Jaw and Neck Strength

Physical therapy can help patients strengthen the neck, shoulders, and jaw muscles while improving mobility and posture. To alleviate pain, a therapist may recommend a combination of stretching, postural training, and manual therapy. However, if the root cause of the problem is unaddressed poor jaw alignment, it will be an uphill battle.  Supportive PT after the jaw alignment is addressed is very helpful in correcting poor posture habits.

Chiropractic Care and Massage Therapy

Since TMJ issues often lead to cervical spine misalignment, chiropractic adjustments can help restore balance to the neck and jaw. Soft tissue massage therapy can also release chronic muscle tension that contributes to pain.  Similar to Physical Therapy, correcting poor jaw alignment which is often the root cause, would make chiropractic adjustments to “hold” longer. 

At-Home Remedies for Neck and TMJ Pain

In addition to professional treatments, simple at-home remedies can provide significant relief from TMJ-related neck pain.

  • To relax tight muscles, apply a warm compress to the jaw and neck. For inflammation, use an ice pack.
  • Use a contoured pillow to support neck alignment while sleeping.
  • Perform gentle stretching exercises to improve flexibility and reduce tension.

By combining professional TMJ treatment with consistent home care, patients can significantly reduce discomfort and restore full mobility.

When to Seek Professional TMJ Treatment

If neck pain persists despite self-care or if patients experience jaw locking, clicking, or severe headaches, it is time to consult a TMJ dentist. Delaying treatment can worsen symptoms, making it more difficult to restore proper jaw function.

Signs That Indicate a Need for Professional TMJ Care:

  • Chronic neck pain and stiffness that does not improve with rest
  • Clicking, popping, or locking of the jaw during movement
  • Frequent headaches or migraines linked to jaw tension
  • Pain while chewing or speaking that radiates into the neck and shoulders

A TMJ expert can assess bite alignment, muscle function, and overall joint health to determine the best course of treatment.

Find Lasting Relief for TMJ and Neck Pain

Chronic neck pain and TMJ dysfunction often go hand in hand. If left untreated, these conditions worsen over time, leading to increased discomfort and restricted mobility. The good news is that effective treatment options are available to address the underlying cause of pain, rather than just managing symptoms.

At Raman Center for TMJ & Sleep Dr. Prabu Raman provides advanced, non-invasive treatments that target the root cause of TMJ-related neck pain. Using neuromuscular dentistry techniques, he helps patients restore jaw and cervical spine alignment for long-term relief.

To take the first step toward a pain-free life, call Dr. Raman at (816) 436-4422 for a personalized treatment plan that can help alleviate discomfort and improve overall well-being.