Exercise to Prevent Clicking
of the Jaw Joint
This exercise should be carried out sitting in an erect posture in
front of a mirror.

It should be done at least twice daily in this position until the art
of contracting the muscle beneath the chin has been completely

1. Clasp both hands behind the nape of the neck to provide a

2. With the mouth closed and the teeth lightly touching, contract
the muscle beneath the chin; attempting to pull the chin back into
the neck without opening the mouth.

By observing the chin and neck in the mirror, it is possible to see
the actual contractions of these
suprahyoid muscles.
3. It is essential not to move the jaw or teeth when doing the exercise.  Once the
art of muscle contraction is learned it should be done for 3 - 5 minutes each hour,
not necessarily sitting or in front of a mirror.

4. With practice, a definite sensation of tension will be noted in the
and in the region of the jaw joints.

5. Once the essential exercise has been learned, it can be done with small mouth
opening movements, learning to open the jaw with a backward pull and avoiding the
`click'.  Day by day, the extent of the mouth opening is increased, always with the
jaw positively retruded.

6. Gradually increase the extent of mouth opening until it can be opened to the full
normal extent without producing a `click'.  Always keep the
suprahyoid muscles

If you keep practising this exercise for at least 2 - 3 weeks, it will become second
nature and the click will not return.
Last Updated 3rd December 2013
Treatment Algorithm for 'Clicking' TMJ's

American Dental Association Patient Smart Patient Education Center.  TMD -
Temporomandibular Disorders

Ashford & St Peter's Hospital NHS Foundation Trust.  Temporomandibular Joint

British Association of Oral Surgeons.  Temporomandibular (Jaw) Joint Problems

Complementary Healthcare Clinic.  Jaw Stabilisation Exercises

DurhamDDS.  TMJ & Associated Musculature Physical Therapy

East & North Hertfordshire NHS Trust. Managing Temporomandibular Joint (TMJ)

East Chesire NHS Trust.  Temporomandibular Joint (TMJ) Dysfunction

Heatherwood & Wexham Park Hospitals NHS Foundation Trust.  Jaw Joint

King's College Hospital NHS Foundation Trust. Temporomandibular Joint Pain
Dysfunction Syndrome (TMJPDS)

Orthopaedic Manipulative Physiotherapy Group.  Temporomandibular Disorders.  
Patient Info Sheet

Oxford University Hospitals NHS Trust.  Specialist Surgery.  TMJ Exercises.  
Information for patients

Patient.co.uk.  Temporomandibular Joint Disorders

Royal Berkshire NHS Foundation Trust.  Physiotherapy Management of
Temporomandibular Joint (TMJ) Pain

Royal Surrey County Hospital NHS Foundation Trust.  Physiotherapy Management
of Temporomandibular Joint (TMJ) Pain

Temporo-Mandibular Joint Complex Exercise Suggestions

The Ipswich Hospital NHS Trust.  Temporomandibular Joint (TMJ) Dysfunction &
Myofacial Pain

The Newcastle upon Tyne Hospitals NHS Foundation Trust.  Temporomandibular
Disorder – TMD

The Patient Education Institute.  Temporomandibular Joint Disorders

The Royal Liverpool & Broadgreen University Hospitals NHS Trust.  
Temporomandibular Joint Exercises

University Hospital of South Manchester NHS Foundation Trust.  A Relaxation
Regime for Jaw & Facial Pain

University Hospitals of Leicester Oral & Maxillofacial Surgical Services.  
Temporomandibular Joint (TMJ) Dysfunction Syndrome

University of Bristol.  Temporo-Mandibular Joint Exercises

Western Sussex Hospitals NHS Trust.  St Richard's Hospital.  Jaw Joint Disorders