Treated at all four Suffolk County offices

TMJ and Jaw Pain Treatment on Long Island

Jaw pain is one of the conditions where hands-on treatment has genuinely strong guideline support. We work alongside your dentist at four Suffolk County offices, and we avoid anything that permanently changes your bite.

Does this sound like you?

  • Aching in the jaw, in front of the ear, or across the cheek
  • Clicking, popping, or catching when you open
  • Hard to open wide enough to eat comfortably
  • Worse first thing if you clench or grind at night
  • Headaches or ear fullness with it
  • Neck and shoulder tightness alongside

If you recognized yourself in more than one of those, that is enough to book. You do not need a diagnosis to come in, and you do not need a referral to start.

How we treat tmj and jaw pain

Most people do best on a combination. Your first visit sorts out which of these you actually need, and in what order.

Physical Therapy

Supervised jaw exercise and stretching, plus therapist-assisted mobilization, carry strong recommendations in the 2023 guideline on moderate certainty evidence. This is the core of the plan.

Trigger Point Therapy

Manual trigger point therapy is strongly recommended in the same guideline. Note this is hands-on work, not injections.

Acupuncture

A weaker conditional recommendation in the guideline, on low certainty evidence. We use it as an addition and say so plainly.

Medical Massage

Soft tissue work through the jaw, temple, and neck muscles to make the exercise work more comfortable.

What happens when you come in

1

We work out the cause

A full history and a hands-on exam. We look at how you move, not only where it hurts, so the plan targets the thing driving the pain.

2

Treatment starts the same day

You are treated on the first visit in most cases. No waiting for a second appointment to begin.

3

We reassess as you go

We check progress at set points and adjust. If something is not working we change it or tell you honestly that we are not the right fit.

Your plan probably covers this

We accept The Empire Plan/NYSHIP, BlueCross BlueShield, Aetna, Cigna, Medicare and UnitedHealthcare, and other plans that have out-of-network coverage. We check your benefits before your first visit and tell you what you will owe, so nothing lands on you at the front desk.

We handle the billing. In most cases you pay a co-insurance amount at the visit and we take it from there.

Not every plan covers every service, and coverage depends on medical necessity. A few plans place us outside their network. When that happens we still file the claim for you and give you the cost in writing before you book.

Plans we accept

What the research says

A 2023 BMJ clinical practice guideline for chronic jaw pain gives strong recommendations for supervised jaw exercise and stretching, therapist-assisted mobilization, and manual trigger point therapy, based on moderate certainty evidence. Acupuncture received a weaker conditional recommendation with low certainty evidence. Across the treatments that guideline favoured, average pain reduction ranged from about 1.3 to 2.6 centimetres on a ten centimetre scale. We work alongside your dentist and avoid anything irreversible.

Source: Busse JW, et al. Management of chronic pain associated with temporomandibular disorders: a clinical practice guideline. BMJ, 2023. National Institute of Dental and Craniofacial Research, NIH. TMD, Temporomandibular Disorders.

A jaw that locks and will not release, an inability to close your mouth, or jaw pain with fever and facial swelling needs urgent care. Jaw or facial pain alongside chest pain, arm pain, breathlessness or sweating can be a cardiac event and needs emergency assessment. We do not fit splints, adjust your bite, or provide orthodontic treatment, and we would be cautious about anyone who offers to permanently change your bite for jaw pain.

Questions people ask us

How much will this cost me?

With most plans you pay your co-insurance. We verify benefits before your first visit.

Do I need a night guard?

That is a dental decision, not ours. Worth knowing that the 2023 guideline conditionally recommends against reversible occlusal splints, and strongly against irreversible ones.

Can you realign my jaw?

No, and be wary of anyone who says they can. National guidance warns against treatments that permanently change the jaw joints, teeth, or bite.

Do you work with my dentist?

Yes, and we prefer to. Jaw pain sits across both scopes and the plan works better when both sides know what the other is doing.

How long does it take?

Many people improve within a few weeks of consistent jaw exercise. We reassess early.

Where we treat tmj and jaw pain

Four offices across Suffolk County. Call the one nearest you, or request an appointment and we will route it.

What our patients say

Excellent
Thrive Health of Smithtown4.9
Based on 92 reviews
Mary D.
5 days ago
Love this place
Sheila W.
1 week ago
I love Thrive in Smithtown. The entire team is so professional, wise, kind, and caring! It’s like having an extended family of support for your health. Thank you to Mayra, Stacy, Chris, Monica, Lindsay, Jane, Justin, Carolyn, Jake, Lindsay, Gabby, Sam, Rowland, Gina and if I missed someone it’s because I don’t see them based on my schedule! Even the ultrasound tech’s are the kindest people! The best place for PT, Acupuncture, Massage and so much more!
PhatAndFabulous
1 week ago
Thrive gets my back & shoulders feeling better every time.
Audrey A.
1 week ago
Chris (massage therapist) and Stacy (acupuncturist) are amazingly skilled practitioners and genuinely just lovely, kind people. I’m currently pregnant and Chris has gone above and beyond be able to continue massaging me safely throughout my pregnancy. Stacy has been so sweet and invested in my journey as well, it really makes this place special. I think check-in has taken a hit since losing Sabrina, she was great. But otherwise this place is awesome.
Cami D.
3 weeks ago
Annamaria I.
3 weeks ago
Professional and kind people who truly care for their patients
Melissa N.
3 weeks ago
Very helpful, clean, organized and friendly staff that are effective with treatment for my sciatic and lower back pain.
Mike K.
3 weeks ago
I am a person that has many physical issues. I found Thrive of Smithtown, on an post that Doreen had put up on Facebook. I figured I would give this physical therapy office a shot. All the folks at this office are professionals and have helped me with all my medical issues. You have to put the time in to feel the results. I like the hands on approach at this PT office. The other PT offices I have used, put some heat and stim on the area of concern, then send you to the equipment and see ya later. If you are looking for a change or if you think you should have better results. Check them out!
Melanie S.
8 months ago
Veronica J.
8 months ago

Stop planning your week around it

Tell us what is going on and we will get you in. Most plans accepted, and we check your coverage before you come.

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