About ActiveCare PT:

  • Our therapists are licensed in New York State and active members in the American Physical Therapy Association. We have advanced training in joint mobilization and myofascial release techniques.
  • We are dedicated practitioners with a passion for the profession and a comprehensive, holistic approach to treatment and healing. We treat each patient as an individual and treat the whole person, with a plan of care designed to meet the patient’s set goals for health, functionality and a return to work, tasks and activities. We network with a team of physicians, chiropractors, acupuncturists and massage therapists in order to provide guidance to other modalities that may be effective in the patients’ care.
  • Physical Therapist and owner Karena Wu is a graduate of the Program in Physical Therapy at Columbia University and is affiliated with several healthcare organizations in New York City. She is certified as a Strength and Conditioning Specialist, Kinesio Taping Practitioner and Pilates Instructor, and uses SpiderTech Taping.
  • ActiveCare is primarily an out-of-network facility. We accept all insurance with out-of-network benefits and file for most major insurance plans. We work with all prospective patients to create workable payment plans regardless of insurance coverage.
  • ActiveCare accepts Medicare, No-Fault and Workers’ Compensation patients depending on schedule availability.
  • ActiveCare’s administrators provide seamless and efficient concierge-style client service to all of our patients. And the whole ActiveCare team makes sure your time with us is a beneficial, productive and enjoyable experience.

Get Help for Your Temporomandibular Joint Dysfunction

Temporomandibular Joint Dysfunction, TMD or TMJD, often goes by the name Temporomandibular Disorder today. This is a serious disorder affecting the jaw joint. This joint includes the temporal bone that goes from the skull to the ears and connects with the jaw muscles. The jaw is, as you can imagine, one of the most important parts of the human body, and where there is something wrong with this area, having physical therapy treatment to get things back in order is important. Consider for a moment just how essential the jaw is in our everyday lives.Temporomandibular Joint. Physical Therapy 01

Without proper jaw movement, we would not be able to open our mouths when we had to yawn, or even when we had to speak. It would be impossible to chew and eat. Temporomandibular Disorder can make life miserable rather quickly. This issue is more common in women than it is in men, and it is more common for those who are between 20 and 40 years old.

The Causes of Temporomandibular Disorder

A number of different things can cause this disorder, bruxing among them. This is an excessive grinding of the teeth. Most of the time, this grinding is subconscious and people are not even aware that they are doing it. Teeth grinding as someone sleeps is a real problem. Having an uneven bite can cause the issue as well. Trauma and stress can be a significant contributing factor; the stress one feels can cause the muscles to tighten and that can then lead to teeth grinding.

Any type of inflammation could cause the issue to begin, as could an accident, or even certain types of dental work. Arthritis is yet another cause, even though most people do not immediately associate this with the jaw; the inflammation of the joints from arthritis could indeed affect your jaw.

Temporomandibular Joint. Physical Therapy 03The Symptoms of Temporomandibular Disorder

A number of symptoms surround this condition, and knowing the symptoms can give you an idea of whether you might have the disorder. Of course, only the specialists will be able to tell you with certainty. Here are some of the symptoms that you will want to watch for.

  • Trouble opening the mouth without pain
  • Pain in the head and the neck area
  • Pain around the ears, face, teeth, jaw, or shoulders
  • Clicks and pops in the jaw
  • A jaw that locks
  • Migraine headaches
  • Tinnitus
  • Sleep apnea or snoring could occur


Depending on the severity of the disorder, different treatments might work. In some of the most severe cases, restructuring of the jaw might be necessary. However, in other cases, some quality physical therapy is all that’s needed. Soft tissue massage to the cranial muscles, joint mobilization, exercise, ultrasound, ice, bite guards, and electronic stimulation are all options that your physical therapy specialist might suggest.Temporomandibular Joint. Physical Therapy 02

Temporomandibular Disorder is serious and is not something that should go without treatment for long. Talk with medical professionals about finding help. Some of the best physical therapists are the therapists at ActiveCare, and they will be able to help you with this disorder and other issues.

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