What is TMJ Dysfunction or Jaw Pain?
TMJ Dysfunction (jaw pain) is a common condition affecting the jaw. It can make things like eating and chewing difficult. Patients with this condition may clench their jaw or grind their teeth at night. Maybe you have been prescribed a night guard for your jaw pain. This only helps to save your teeth, and may not address the underlying TMJ dysfunction. As highly trained Physiotherapists we look at the root cause of the issue, and use our expert TMJ treatment to fix the problem for good.
What Causes Jaw Pain?
There are several muscles involved in chewing that might be the culprit. Masseter, temporalis and lateral pterygoid. There is also a disc in there that may get stuck, making it difficult to open your mouth. The condition is called anterior disc displacement. Interestingly, the lateral pterygoid is attached to this disc and can cause it to get stuck or not move like it should.
What Types of TMJ Treatment are Available?
As your go to Physiotherapy Clinic in Barrie for TMJ treatment, we utilize techniques such as manual joint glides, dry needling, muscle release techniques, as well as exercises. We empower our patients to take rehabilitation into their own hands. We find this yields better results than months of passive treatments. At Excite Physiotherapy you won’t get hooked up to any machines, or sit with a heating pad. You’ll be learning about the root causes of your TMJ related jaw pain & headaches and how you can accelerate the healing process.
What Else May Be Causing TMJ Pain?
The upper neck is intimately related to the TMJ, with direct nerve connections in close proximity to each other. In some cases the C1 is so rotated that it is almost touching the mandible. We believe that having your neck assessed and treated in conjunction with your jaw is imperative to full symptom resolution.
This Rocabado 6×6 exercise guide (PDF) was created by expert Mariano Rocabado and offers a series of exercises to help with TMJ pain.
Click the button below to open a printable flyer for easy referral

About Us:
Barrie’s Best TMJ Treatment
If you are in Barrie, or the surrounding area, and are currently suffering from jaw, neck or head pain, then you may be suffering from Temporomandibular Joint Disorder (TMD) and should take action right away.
Click the PDF Referral Form button to get a referral form
Contact Excite Physio
If you have more questions, or need assistance with setting up a consultation, then please click the button to contact us directly!
Frequently Asked Questions About TMD and TMJ Pain
What is the difference between TMJ and TMD?
TMJ stands for temporomandibular joint — the hinge joint connecting your jaw to your skull, located just in front of each ear. TMD (temporomandibular disorder) refers to the group of conditions that cause pain and dysfunction in that joint and the surrounding muscles. In everyday conversation, people often use “TMJ” to mean the condition itself, but the correct clinical term is TMD.
What are common symptoms of TMD?
TMD symptoms vary but commonly include:
- Jaw pain or soreness, especially in the morning or after eating
- Clicking, popping, or grinding sounds when opening or closing the mouth
- Limited jaw opening or the jaw locking open or closed
- Headaches and migraines, particularly at the temples
- Ear pain, fullness, or ringing (tinnitus) without an ear infection
- Neck pain and upper shoulder tension
- Pain or difficulty chewing tough foods
- Tooth sensitivity or grinding (bruxism)
Can physiotherapy help with TMJ pain?
Physiotherapy is a common conservative option for managing TMD. At Excite Physiotherapy, treatment may include manual therapy, dry needling (IMS), exercise prescription, and postural retraining. These approaches aim to reduce jaw pain, support normal joint mechanics, and address contributing factors such as neck dysfunction and muscle tension. Response to treatment varies by person, and your physiotherapist will work with you to build a plan suited to your specific situation.
What does a TMD physiotherapy appointment look like?
Your first appointment includes a thorough assessment of your jaw, neck, and posture. We assess jaw range of motion, muscle tenderness, joint sounds, and the relationship between your jaw and cervical spine. Treatment in the same visit may include joint mobilization, soft tissue release, dry needling of jaw and neck muscles, and a home exercise program. Appointments typically run 45–60 minutes.
How many sessions will I need?
Most patients with TMD see meaningful improvement within 4–8 sessions, though this depends on the duration and severity of your symptoms, the underlying cause, and how consistently you do your home exercises. Chronic or complex cases may require a longer course of treatment. Your physiotherapist will give you a realistic estimate at your initial assessment.
Is TMD connected to neck pain and headaches?
Very often, yes. The jaw, neck, and upper back share nerve pathways and muscle groups, so dysfunction in one area frequently affects the others. Many people with TMD also have cervical spine stiffness, poor posture, or upper trapezius tension that contributes to their jaw symptoms. Treating the full picture — not just the jaw in isolation — is central to our approach at Excite Physiotherapy.
Can I book a physiotherapy appointment for TMD in Barrie?
Yes. Excite Physiotherapy at 105 Collier Street in downtown Barrie offers TMD assessment and treatment. You can book directly online through Jane App, and no physician referral is required. We also offer virtual physiotherapy consultations for patients outside the Barrie area.
Does TMD treatment hurt?
Some aspects of treatment, such as dry needling or joint mobilization, may cause brief discomfort, but treatment should never be excessively painful. Your physiotherapist will always explain techniques in advance, work within your comfort level, and adjust the approach based on your feedback. Most patients feel significant relief and improved jaw movement immediately after their first treatment.

Christine Pratt
Registered Physiotherapist, Clinic Owner
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Emilie Guy
Orofacial Myofunctional Therapist
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EGraduated from Dental Assisting in 1999
Graduated from Dental Hygiene in 2006
Completed my first Myofunctional Therapy Course in
2020 with MyoMentor and Sarah Hornsby
Completed my second Myofunctional Therapy Course in
2021with MyoMentor with affiliation now with The
Breathe Institute
Working on my Myofunctional Therapy Certification

Jeanine Ryan
Registered Physiotherapist
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Jeanine Ryan, B.Sc.Kin, M.Sc.PT, FCAMPT
Jeanine Ryan is an experienced physiotherapist specializing in orthopeadic rehabilitation, soft tissue mobilization, and intramuscular stimulation (IMS)/dry needling. She earned her Honours Bachelor of Science in Kinesiology (B.Sc.Kin) from McMaster University before completing her Masters in Physiotherapy (M.Sc.PT) at Queen’s University.
A Fellow of the Canadian Academy of Manipulative Physiotherapy (FCAMPT), Jeanine has honed her skills through years of practice, becoming a trusted expert in her field. She began her career at Nose Creek Sport Physical Therapy in Calgary, Alberta, where she worked from 2012 to 2017. During her time in Calgary, Jeanine was able to immerse herself in the mountain lifestyle, which she thoroughly enjoyed.
In 2017, Jeanine moved back to Ontario to start a family and began working at Resolution Physiotherapy and IMS Clinic in Barrie. In addition to her role there, she is also currently serving patients at Excite Physiotherapy Clinic in Barrie.
Jeanine’s approach to physiotherapy emphasizes personalized care, drawing on her expertise in musculoskeletal health to create tailored rehabilitation programs. She is passionate about helping her patients regain function and live pain-free. With a family of three young children, Jeanine understands the importance of a balanced approach to health and wellness, and she brings this understanding into her clinical practice.

Jerin Louis
Counselling/Psychotherapy
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Jerin Louis - Psychotherapy/Counselling, MSW
With over 12 years of experience as both a therapist and pastor, Jerin brings a grounded, compassionate presence to his work with clients. His practice is rooted in empathy, practical insight, and a deep respect for each individual’s story.
Jerin holds a Master’s degree in Social Work and has additional training in Cognitive Behavioural Therapy (CBT). His background in theology, philosophy, and film gives him a unique, creative approach to Psychotherapy - one that honours both emotional depth and real-life challenges.
He works with individuals facing anxiety, depression, grief and loss, burnout, addictions, trauma, and relationship concerns. Jerin’s experience spans a wide range of settings, including live-in treatment centres for youth and supportive housing programs for adults. He offers both individual and group therapy, with a focus on emotional regulation, resilience, and personal growth.
Clients often describe Jerin as calm, insightful, and easy to talk to. Whether you're feeling stuck, overwhelmed, or searching for meaning, Jerin is here to support your journey toward healing and change.

Ryan Farr, RMT
Registered Massage Therapist
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Ryan Farr, RMT
Ryan studied at York University from 2013 to 2019, earning a Bachelor of Arts in Humanities while competing as a member of the university’s football team. He later completed his Diploma in Massage Therapy at Georgian College.
Through years of training and working through his own injuries, Ryan developed a strong interest in sports-focused massage therapy and rehabilitation.
He is passionate about helping clients not only recover from injury and restore function, but also improve mobility, enhance performance, and support their overall well-being.

Anthony Giorgianni
Registered Physiotherapist
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MClScPT, MPT, BScKin, FCAMPT, MCPA
- Masters of Clinical Science in Manipulative Physiotherapy
- Fellow Canadian Academy of Manipulative Physiotherapy
- IMS/Dry Needling
- Soft Tissue Release
- Mulligan Mobilization with Movement
- First Responder

Margi Patel
Registered Physiotherapist
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Margi is a Registered Physiotherapist treating a mixed caseload of orthopaedic and pelvic health conditions. She takes a compassionate, evidence-informed approach to care, helping patients with everything from musculoskeletal injuries to pelvic pain, bladder concerns, and postpartum recovery. Margi creates a safe, supportive space where patients feel heard and can get back to doing what they love.
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Experience. Exceptional Skills. Results.
Whether you are experiencing back pain for the first or have been suffering with pain for years, we have the experience and the skills necessary to help you get relief quickly. Located downtown Barrie, Ontario.
Land Acknowledgement
We acknowledge that we are on the traditional territory of Anishinaabeg people, which include the Odawa, Ojibwe, and Pottawatomi Nations collectively known as the Three Fires Confederacy. We are dedicated to moving forward in the spirit of respect and reconciliation by honoring the history and culture of Indigenous people.
Safe Space
At Excite physiotherapy we are committed to creating a safe space that serves a diverse community. In a culture of connectedness, we can empower each other to thrive and grow.
