{"id":452,"date":"2020-10-25T22:52:43","date_gmt":"2020-10-25T22:52:43","guid":{"rendered":"https:\/\/integrativa.pt\/?p=452"},"modified":"2026-02-08T16:09:59","modified_gmt":"2026-02-08T16:09:59","slug":"temporomandibular-joint-physiotherapy-and-osteopathy-in-temporomandibular-dysfunction","status":"publish","type":"post","link":"https:\/\/integrativa.pt\/en\/articulacao-temporomandibular-fisioterapia-e-osteopatia-na-disfuncao-temporomandibular\/","title":{"rendered":"Temporomandibular joint: Physiotherapy and Osteopathy in temporomandibular dysfunction"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p data-start=\"75\" data-end=\"481\">Temporomandibular joint (TMJ) disorders affect approximately 25%% of the world's population, making them the second most prevalent musculoskeletal clinical condition, after low back pain, according to the <em>National Institute for Dental and Craniofacial Research<\/em> (NIDCR). Despite the high prevalence, many people are unaware that there are effective conservative approaches to managing this condition.<\/p>\n<h4 data-start=\"483\" data-end=\"527\">A articula\u00e7\u00e3o temporomandibular (ATM) \u00e9 a articula\u00e7\u00e3o que liga o maxilar inferior (mand\u00edbula) ao osso temporal do cr\u00e2nio, localizado \u00e0 frente de cada ouvido.<\/h4>\n<p data-start=\"529\" data-end=\"893\">The temporomandibular joint is responsible for the movements of the mandible, connecting the jaw to the skull. This movement is essential for daily functions such as chewing, speaking, smiling and even yawning. The TMJ is moved, on average, around 2,000 times a day, but many people only become aware of it when symptoms such as pain, clicking or difficulty opening the mouth appear.<\/p>\n<h4 data-start=\"895\" data-end=\"956\">Structure and complexity of the temporomandibular joint<\/h4>\n<p data-start=\"958\" data-end=\"1096\">The TMJ is made up of several components that work together to guarantee the mobility and functionality of the mandible:<\/p>\n<ul>\n<li data-start=\"1098\" data-end=\"1954\"><span style=\"text-decoration: underline;\">Bone components<\/span>: The mandibular condyle and the temporal fossa form the base of the joint.<\/li>\n<li data-start=\"1098\" data-end=\"1954\"><span style=\"text-decoration: underline;\">Ligaments<\/span>: They stabilise the joint and control excessive movements.<\/li>\n<li data-start=\"1098\" data-end=\"1954\"><span style=\"text-decoration: underline;\">Fibrocartilaginous components<\/span>The articular disc, located between the mandibular condyle and the temporal fossa, acts as a shock absorber, allowing for smooth temporomandibular joint (TMJ) mobility. When the biomechanics of the articular disc are altered, it can compromise TMJ function, causing pain and limitations in jaw movement.<\/li>\n<li data-start=\"1098\" data-end=\"1954\"><span style=\"text-decoration: underline;\">Synovial components<\/span>: The synovial membrane and synovial fluid ensure the lubrication of the joint and facilitate its efficient functioning.<\/li>\n<li data-start=\"1098\" data-end=\"1954\"><span style=\"text-decoration: underline;\">Muscular components<\/span>The muscles of mastication, such as the masseter, temporalis, and pterygoids, are essential for jaw movement and for stabilising the joint during functions like chewing and speaking.<\/li>\n<\/ul>\n<h4 data-start=\"1956\" data-end=\"1995\">The importance of TMJ muscles<\/h4>\n<p data-start=\"1997\" data-end=\"2422\">The function of the Temporomandibular Joint (TMJ) relies heavily on the coordinated action of the masticatory muscles. When there are imbalances or excessive tension in these muscles, such as the masseter and the temporalis, the temporomandibular joint can be overloaded, resulting in pain and limitations in jaw movement. Furthermore, alterations in the biomechanics of the articular disc, often associated with these muscular tensions, further aggravate TMJ dysfunction.<\/p>\n<h4 data-start=\"2424\" data-end=\"2476\">Signs and symptoms of temporomandibular dysfunction<\/h4>\n<p data-start=\"2478\" data-end=\"2557\">Temporomandibular joint (TMJ) disorders can manifest through several symptoms, such as:<\/p>\n<ul>\n<li data-start=\"2559\" data-end=\"3433\">Joint pain: Can occur during jaw movements as well as at rest.<\/li>\n<li data-start=\"2559\" data-end=\"3433\">Difficulty opening the mouth: Limitations in jaw movement make daily tasks like speaking and eating difficult.<\/li>\n<li data-start=\"2559\" data-end=\"3433\">Clicking or popping: Popping sounds can occur during jaw movement, suggesting the temporomandibular joint disc is not gliding correctly.<\/li>\n<li data-start=\"2559\" data-end=\"3433\">Temporary TMJ blockages: In severe cases, the joint can \u201clock up\u201d, preventing normal jaw movements.<\/li>\n<li data-start=\"2559\" data-end=\"3433\">Headaches: Pain in the head, particularly in the frontal and temporal regions, can be related to TMJ dysfunction.<\/li>\n<li data-start=\"2559\" data-end=\"3433\">Neck and facial pain: Tension in the muscles of the face and neck can radiate pain to these areas.<\/li>\n<li data-start=\"2559\" data-end=\"3433\">Stiffness and tiredness in the jaw: After chewing or performing repetitive movements, the muscles can become tense, resulting in fatigue or stiffness.<\/li>\n<\/ul>\n<p data-start=\"3435\" data-end=\"3621\">These symptoms can vary in intensity and can be aggravated by factors such as <em>stress,<\/em> bruxism (clenching or grinding of the teeth) and imbalances in the masticatory and cervical muscles.<\/p>\n<h4 data-start=\"3623\" data-end=\"3671\">Factors influencing TMJ disorders<\/h4>\n<p data-start=\"3673\" data-end=\"3773\">Various factors can cause or aggravate TMJ dysfunction, including parafunctional habits, such as:<\/p>\n<ul>\n<li data-start=\"3775\" data-end=\"4337\"><em>Stress<\/em> and anxiety: They contribute to muscle tension, especially in the cervical region and the muscles responsible for chewing.<\/li>\n<li data-start=\"3775\" data-end=\"4337\">Trauma: Traumatic injuries to the joint or jaw can cause temporomandibular disorders.<\/li>\n<li data-start=\"3775\" data-end=\"4337\">Harmful habits: Bruxism (grinding or clenching of the teeth), resting the hand on the face during rest or sleep, and excessive chewing of chewing gum are behaviours that can keep the chewing muscles in continuous tension, creating muscular imbalances and favouring episodes of temporomandibular dysfunction.<\/li>\n<\/ul>\n<p data-start=\"4339\" data-end=\"4461\">These factors can overload the TMJ, resulting in pain, inflammation, and other symptoms such as headaches and neck pain.<\/p>\n<h4 data-start=\"4463\" data-end=\"4517\">Conservative approaches to TMJ disorders<\/h4>\n<p data-start=\"4519\" data-end=\"4659\">Conservative management of TMD aims to alleviate symptoms and improve joint function. Conservative approaches may include:<\/p>\n<ul>\n<li data-start=\"4661\" data-end=\"5247\"><span style=\"text-decoration: underline;\">Physiotherapy<\/span>Rehabilitation techniques to improve mobility and relieve muscle tension.<\/li>\n<li data-start=\"4661\" data-end=\"5247\"><span style=\"text-decoration: underline;\">Osteopathy<\/span>Manual therapies to enhance the structural balance of the TMJ and adjacent structures.<\/li>\n<li data-start=\"4661\" data-end=\"5247\"><span style=\"text-decoration: underline;\">Relaxation techniques<\/span>Exercises to reduce muscle tension and <em>stress.<\/em><\/li>\n<li data-start=\"4661\" data-end=\"5247\"><span style=\"text-decoration: underline;\">Psychotherapy<\/span>: Therapy to manage <em>stress<\/em> and the anxiety that contribute to muscle tension.<\/li>\n<li data-start=\"4661\" data-end=\"5247\"><span style=\"text-decoration: underline;\">Use of oral protectors<\/span>only when indicated by the dentist<\/li>\n<\/ul>\n<p data-start=\"5249\" data-end=\"5397\">The aim of these approaches is to relieve pain and restore the functionality of the TMJ, while also treating underlying causes such as <em>stress<\/em> and bruxism. The selection of therapeutic strategies depends on the specific needs of each case.<\/p>\n<h4 data-start=\"5399\" data-end=\"5482\">Integration of Physiotherapy and Osteopathy in TMD<\/h4>\n<p data-start=\"4692\" data-end=\"5068\">Based on clinical assessment, different therapeutic approaches can be integrated for temporomandibular dysfunction. These include exercises targeting the involved musculature, intended to improve coordination and reduce muscle tension, and myofascial release techniques, which help relieve soft tissue tension and promote flexibility. Specific temporomandibular joint mobilisations can also be used to improve mobility and alleviate joint pain. These approaches aim to enhance function, reduce mechanical overload, and promote functional adaptation over time, providing immediate relief and long-term benefits.<\/p>\n<p data-start=\"5940\" data-end=\"6360\">The fact that Integrativa's Physiotherapists also have training in Osteopathy allows for a more comprehensive therapeutic approach. When indicated, Cranial Osteopathy techniques and sacrocranial approaches can be incorporated, considering the global relationships between the skull, jaw, cervical spine, and the rest of the musculoskeletal system, which are fundamental for an effective assessment and treatment of TMD.<\/p>\n<p data-start=\"6362\" data-end=\"6813\">While Osteopathy focuses on the structural relationships that influence the function of the TMJ and the musculoskeletal system, Physiotherapy concentrates on assessing this function and optimising it through movement, motor control, and muscle rehabilitation. The integration of these two areas allows for a coherent therapeutic approach tailored to the complexity of craniomandibular dysfunctions and orofacial pain, promoting a personalised treatment adapted to your needs.<\/p>\n<h4 data-start=\"6815\" data-end=\"6877\">Understanding TMJ dysfunctions from an integrated perspective<\/h4>\n<p data-start=\"6879\" data-end=\"7231\">TMJ is a multifactorial condition, frequently associated with pain and discomfort in the jaw, neck and cranial region. Factors such as muscle tension, changes in dental occlusion, trauma, poor posture and the <em>stress<\/em> can be directly related to your development and worsening.<\/p>\n<p data-start=\"7233\" data-end=\"7728\">Physiotherapy and Osteopathy can be an effective approach for relieving muscle tension, promoting TMJ mobility, and improving cranial dynamics. Furthermore, Osteopathy contributes to the balance of the nervous system, which is essential for pain management and improving temporomandibular joint function. By focusing on the interaction of musculoskeletal and neurological structures, Osteopathy offers a comprehensive treatment that can help restore function and reduce symptoms.<\/p>\n<p data-start=\"7730\" data-end=\"8125\" data-is-last-node=\"\" data-is-only-node=\"\">An individualised assessment is essential, considering not only the musculoskeletal structures but also the interaction between the skull, cervical spine, and nervous system. In this context, Cranial Osteopathy can be applied to comprehensively treat the various structures involved, providing a more complete and personalised approach to the treatment of TMJ dysfunction.<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p data-start=\"0\" data-end=\"576\">At Integrativa, the <a href=\"https:\/\/integrativa.pt\/en\/specialities\/physiotherapy\/physiotherapy-specialising-in-the-temporo-mandibular-joint-atm\/\">specialised consultations for the TMJ and orofacial pain <\/a>They form part of a global clinical assessment, where the body is analysed in an integrative way, through Physiotherapy and Osteopathy, considering the interactions between the musculoskeletal (Structural Osteopathy), visceral (Visceral Osteopathy), and cranial (Cranial Osteopathy) systems. A complete and personalised clinical assessment allows each situation to be framed in detail and strategies tailored to individual needs to be defined.<\/p>\n<p data-start=\"578\" data-end=\"777\" data-is-last-node=\"\" data-is-only-node=\"\">The assessment consultation with a specialised Physiotherapist \u2013 Osteopath allows for a careful and individualized understanding of how this integrative approach can be beneficial for your case.<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid vc_custom_1680169461443\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element  vc_custom_1769906076264\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p style=\"text-align: right;\"><a title=\"Osteopath - Physiotherapist David Brand\u00e3o\" href=\"https:\/\/integrativa.pt\/en\/osteopata-fisioterapeuta-david-brandao\/\"><strong>David Brand\u00e3o<\/strong> <\/a>| Osteopath and Physiotherapist<\/p>\n<p style=\"text-align: right;\">Specialising in Cranial Osteopathy for TMJ, Orofacial Pain and Headaches<\/p>\n<h6 style=\"text-align: right;\">Physiotherapist Card: 3652 | Order of Physiotherapists \/\/ Osteopath Card: C-0031697 | ACSS<\/h6>\n\n\t\t<\/div>\n\t<\/div>\n<style type=\"text\/css\" data-type=\"the7_shortcodes-inline-css\">.dt-shortcode-soc-icons.soc-icons-d45686d09a63baba6497efe6c6ad3c1e a {\n  margin-right: 4px;\n}\n.dt-shortcode-soc-icons a.soc-icons-d45686d09a63baba6497efe6c6ad3c1e {\n  margin-right: 4px;\n}\n.dt-shortcode-soc-icons a.soc-icons-d45686d09a63baba6497efe6c6ad3c1e:last-child {\n  margin-right: 0;\n}\n.dt-shortcode-soc-icons a.soc-icons-d45686d09a63baba6497efe6c6ad3c1e:before,\n.dt-shortcode-soc-icons a.soc-icons-d45686d09a63baba6497efe6c6ad3c1e:after {\n  padding: inherit;\n}\n.dt-shortcode-soc-icons a.soc-icons-d45686d09a63baba6497efe6c6ad3c1e.dt-icon-border-on:before {\n  border:  solid 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class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><strong>Reference articles<\/strong><\/p>\n<ul>\n<li>NIDCR. (2014). Facial Pain. Retrieved 29 November 2015, from National Institute of Dental and Craniofacial Research: http:\/\/www.nidcr.nih.gov\/DataStatistics\/FindDataByTopic\/FacialPain\/ (accessed 29\/11\/2015)).<\/li>\n<li>Rashid, A., Matthews, N., &amp; Cowgill, H. (2013). Physiotherapy in the management of disorders of the temporomandibular joint\u2014perceived effectiveness and access to services: a national United Kingdom survey. British Journal of Oral and Maxillofacial Surgery, 52-57.<\/li>\n<li>Packer, A., Pires, P., Dibai-Filho, A., &amp; Rodrigues-Bigaton, D. (2014). Effects of Upper Thoracic Manipulation on Pressure Pain Sensitivity in Women with Temporomandibular Disorder. *American Journal of Physical Medicine &amp; Rehabilitation*, 93, 160-168.<\/li>\n<li>McNeely, M., Armijo-Olivo, S., &amp; Magee, D. (2006). A Systematic Review of the Effectiveness of Physical Therapy Interventions for Temporomandibular Disorders. Physical Therapy, 86, 710-725.<\/li>\n<\/ul>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid vc_custom_1680169461443\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element  vc_custom_1680169468507\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><a title=\"Home\" href=\"https:\/\/integrativa.pt\/en\/\"><strong>Integrativa<\/strong><\/a> | Health and well-being as a lifestyle<\/p>\n\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"wpb_text_column wpb_content_element  vc_custom_1769967903560\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h6>This website and its content are for information purposes only and are not a substitute for medical or health professional advice. In all cases, treatments should be individualised and guided by health professionals. Do not make any changes to your treatment without contacting the doctor or health professional accompanying you.<\/h6>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner vc_custom_1678987635945\"><div class=\"wpb_wrapper\"><div class=\"vc_separator wpb_content_element vc_separator_align_center vc_sep_width_100 vc_sep_pos_align_center wpb_content_element vc_separator-has-text\" ><span class=\"vc_sep_holder vc_sep_holder_l\"><span style=\"border-color:#1b9193;\" class=\"vc_sep_line\"><\/span><\/span><h4>Related articles<\/h4><span class=\"vc_sep_holder vc_sep_holder_r\"><span style=\"border-color:#1b9193;\" class=\"vc_sep_line\"><\/span><\/span>\n<\/div><style type=\"text\/css\" data-type=\"the7_shortcodes-inline-css\">.blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e.dividers-on.classic-layout-list article {\n  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10px;\n}\n.dt-icon-bg-on.blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e .gallery-zoom-ico {\n  background: rgba(255,255,255,0.3);\n  box-shadow: none;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e .gallery-zoom-ico > span,\n.blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e .gallery-zoom-ico:before {\n  font-size: 32px;\n  line-height: 44px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e .gallery-zoom-ico > span,\n.blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e .gallery-zoom-ico:before {\n  color: #ffffff;\n  background: none;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e .entry-title,\n.blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e.owl-carousel .entry-title {\n  margin-bottom: 5px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e .entry-meta {\n  margin-bottom: 15px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e .portfolio-categories {\n  margin-bottom: 15px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e .entry-excerpt {\n  margin-bottom: 5px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e:not(.centered-layout-list) .post-entry-content {\n  padding: 15px 20px 20px 20px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e:not(.centered-layout-list):not(.content-bg-on):not(.mode-list) .no-img .post-entry-content {\n  padding: 0;\n}\n@media screen and (max-width: ) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e article {\n    -ms-flex-flow: column nowrap;\n    flex-flow: column nowrap;\n    margin-top: 20px;\n  }\n  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0px;\n}\n.dt-arrow-hover-border-on.blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e.owl-carousel .owl-nav div:hover:after {\n  border-width: 0px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e.owl-carousel .owl-nav div.owl-prev {\n  top: 50%;\n  transform: translateY(calc(-50% + 0px));\n  left: -43px;\n}\n@media all and (-ms-high-contrast: none) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e.owl-carousel .owl-nav div.owl-prev {\n    transform: translateY(-50%);\n    margin-top: 0px;\n  }\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e.owl-carousel .owl-nav div.owl-prev i {\n  padding: 0px 0px 0px 0px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e.owl-carousel .owl-nav div.owl-next {\n  top: 50%;\n  transform: translateY(calc(-50% + 0px));\n  right: -43px;\n}\n@media all and (-ms-high-contrast: none) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e.owl-carousel .owl-nav div.owl-next {\n    transform: translateY(-50%);\n    margin-top: 0px;\n  }\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e.owl-carousel .owl-nav div.owl-next i {\n  padding: 0px 0px 0px 0px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e.owl-carousel .owl-nav i {\n  font-size: 18px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e.owl-carousel .owl-nav div:not(:hover) i,\n.blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e.owl-carousel .owl-nav div:not(:hover) i:before {\n  color: #ffffff;\n  background: none;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e.owl-carousel .owl-nav div:hover i,\n.blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e.owl-carousel .owl-nav div:hover i:before {\n  color: rgba(255,255,255,0.75);\n  background: none;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e .owl-dots {\n  top: calc(100% + 20px);\n  left: 50%;\n  transform: translateX(calc(-50% + 0px));\n}\n@media all and (-ms-high-contrast: none) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e .owl-dots {\n    transform: translateX(-50%);\n    margin-left: 0px;\n  }\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e .owl-dot {\n  width: 10px;\n  height: 10px;\n  margin: 0 8px;\n}\n@media screen and (max-width: 778px) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e.hide-arrows .owl-nav a {\n    display: none;\n  }\n}\n@media screen and (max-width: 778px) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e.reposition-arrows .owl-nav div.owl-prev {\n    top: 50%;\n    transform: translateY(calc(-50% + 0px));\n    left: 10px;\n  }\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e.reposition-arrows .owl-nav div.owl-next {\n    top: 50%;\n    transform: translateY(calc(-50% + 0px));\n    right: 10px;\n  }\n}\n@media screen and (max-width: 778px) and all and (-ms-high-contrast: none) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e.reposition-arrows .owl-nav div.owl-prev {\n    transform: translateY(-50%);\n    margin-top: 0px;\n  }\n}\n@media screen and (max-width: 778px) and all and (-ms-high-contrast: none) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e.reposition-arrows .owl-nav div.owl-next {\n    transform: translateY(-50%);\n    margin-top: 0px;\n  }\n}<\/style><div class=\"owl-carousel blog-carousel-shortcode dt-owl-carousel-call blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e classic-layout-list scale-img dt-icon-bg-off dt-arrow-border-on dt-arrow-hover-border-on meta-info-off bullets-small-dot-stroke reposition-arrows arrows-bg-on disable-arrows-hover-bg arrows-hover-bg-on\" data-scroll-mode=\"1\" data-col-num=\"3\" data-wide-col-num=\"4\" data-laptop-col=\"3\" data-h-tablet-columns-num=\"3\" data-v-tablet-columns-num=\"2\" data-phone-columns-num=\"1\" data-auto-height=\"true\" data-col-gap=\"30\" data-stage-padding=\"0\" data-speed=\"600\" data-autoplay=\"false\" data-autoplay_speed=\"6000\" data-arrows=\"true\" data-bullet=\"false\" data-next-icon=\"icon-ar-017-r\" data-prev-icon=\"icon-ar-017-l\"><article class=\"post post-3512 type-post status-publish format-standard has-post-thumbnail hentry category-osteopatia category-atm category-dores-de-cabeca category-osteopata-david-brandao category-osteopatia-craniana tag-fisioterapia tag-osteopatia tag-pilates-clinico category-17 category-41 category-52 category-33 category-42 description-off\" data-name=\"Osteopatia na Articula\u00e7\u00e3o Temporomandibular (ATM) e Dor Orofacial\" data-date=\"2024-06-22T13:00:37+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/osteopatia-na-articulacao-temporomandibular-atm-e-dor-orofacial\/\" class=\"post-thumbnail-rollover layzr-bg\"><img fetchpriority=\"high\" decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2024\/06\/ATM-Fisioterapia-Osteopatia-Bruxismo-Osteopatia-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2024\/06\/ATM-Fisioterapia-Osteopatia-Bruxismo-Osteopatia-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2024\/06\/ATM-Fisioterapia-Osteopatia-Bruxismo-Osteopatia-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"TMJ Physiotherapy Osteopathy Bruxism Osteopathy\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/osteopatia-na-articulacao-temporomandibular-atm-e-dor-orofacial\/\" title=\"Osteopathy in the Temporomandibular Joint (TMJ) and Orofacial Pain\" rel=\"bookmark\">Osteopathy in the Temporomandibular Joint (TMJ) and Orofacial Pain<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/osteopatia-na-articulacao-temporomandibular-atm-e-dor-orofacial\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Osteopathy for the Temporomandibular Joint (TMJ) and Orofacial Pain\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-1802 type-post status-publish format-standard has-post-thumbnail hentry category-osteopatia category-osteopata-david-brandao category-osteopatia-craniana category-osteopatia-integrativa tag-fisioterapia tag-osteopatia tag-pilates-clinico category-17 category-33 category-42 category-32 description-off\" data-name=\"Osteopatia Craniana no tratamento da sinusite cr\u00f3nica: uma abordagem complementar\" data-date=\"2023-01-29T19:26:48+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/osteopatia-craniana-no-tratamento-da-sinusite-cronica-uma-abordagem-complementar\/\" class=\"post-thumbnail-rollover layzr-bg\"><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2023\/01\/ATM-Fisioterapia-Osteopatia-Bruxismo-Osteopatia-Craniana-Sinusite-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2023\/01\/ATM-Fisioterapia-Osteopatia-Bruxismo-Osteopatia-Craniana-Sinusite-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2023\/01\/ATM-Fisioterapia-Osteopatia-Bruxismo-Osteopatia-Craniana-Sinusite-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"TMJ Physiotherapy Osteopathy Bruxism Cranial Osteopathy Sinusitis\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/osteopatia-craniana-no-tratamento-da-sinusite-cronica-uma-abordagem-complementar\/\" title=\"Cranial osteopathy in the treatment of chronic sinusitis: a complementary approach\" rel=\"bookmark\">Cranial osteopathy in the treatment of chronic sinusitis: a complementary approach<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/osteopatia-craniana-no-tratamento-da-sinusite-cronica-uma-abordagem-complementar\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Cranial Osteopathy in the treatment of chronic sinusitis: a complementary approach\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-452 type-post status-publish format-standard has-post-thumbnail hentry category-atm category-fisioterapia category-osteopata-david-brandao category-osteopatia tag-articulacao-temporomandibular-atm category-41 category-6 category-33 category-17 description-off\" data-name=\"Articula\u00e7\u00e3o temporomandibular: Fisioterapia e Osteopatia na disfun\u00e7\u00e3o temporomandibular\" data-date=\"2020-10-25T22:52:43+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/articulacao-temporomandibular-fisioterapia-e-osteopatia-na-disfuncao-temporomandibular\/\" class=\"post-thumbnail-rollover layzr-bg\"><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2020\/10\/ATM-Fisioterapia-Osteopatia-Cefaleias-Integrativa-Dor-de-cabeca-Enxaqueca-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2020\/10\/ATM-Fisioterapia-Osteopatia-Cefaleias-Integrativa-Dor-de-cabeca-Enxaqueca-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2020\/10\/ATM-Fisioterapia-Osteopatia-Cefaleias-Integrativa-Dor-de-cabeca-Enxaqueca-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"TMJ Physiotherapy Osteopathy Integrative Headache Migraine\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/articulacao-temporomandibular-fisioterapia-e-osteopatia-na-disfuncao-temporomandibular\/\" title=\"Temporomandibular joint: Physiotherapy and Osteopathy in temporomandibular dysfunction\" rel=\"bookmark\">Temporomandibular joint: Physiotherapy and Osteopathy in temporomandibular dysfunction<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/articulacao-temporomandibular-fisioterapia-e-osteopatia-na-disfuncao-temporomandibular\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Temporomandibular Joint: Physiotherapy and Osteopathy in Temporomandibular Dysfunction\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-4926 type-post status-publish format-standard has-post-thumbnail hentry category-nervo-vago category-osteopata-david-brandao category-osteopatia-craniana category-osteopatia-integrativa-osteopatia category-osteopatia-integrativa tag-fisioterapia tag-osteopatia tag-pilates-clinico category-58 category-33 category-42 category-34 category-32 description-off\" data-name=\"Inflama\u00e7\u00e3o, dor e Nervo Vago: a vis\u00e3o da Osteopatia Integrativa\" data-date=\"2025-10-16T13:46:35+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/inflamacao-dor-e-nervo-vago-a-visao-da-osteopatia-integrativa\/\" class=\"post-thumbnail-rollover layzr-bg\"><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/ATM-Fisioterapia-Osteopatia-Bruxismo-Osteopatia-768x512.jpg\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/ATM-Fisioterapia-Osteopatia-Bruxismo-Osteopatia-768x512.jpg 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/ATM-Fisioterapia-Osteopatia-Bruxismo-Osteopatia-1152x768.jpg 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"TMJ Physiotherapy Osteopathy Bruxism Osteopathy\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/inflamacao-dor-e-nervo-vago-a-visao-da-osteopatia-integrativa\/\" title=\"Inflammation, pain and the vagus nerve: the Integrative Osteopathic view\" rel=\"bookmark\">Inflammation, pain and the vagus nerve: the Integrative Osteopathic view<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/inflamacao-dor-e-nervo-vago-a-visao-da-osteopatia-integrativa\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Inflammation, Pain, and the Vagus Nerve: An Integrative Osteopathy Perspective\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-5255 type-post status-publish format-standard has-post-thumbnail hentry category-nervo-vago category-osteopatia-craniana category-osteopatia-integrativa tag-fisioterapia tag-osteopatia tag-pilates-clinico category-58 category-42 category-32 description-off\" data-name=\"Dor: uma experi\u00eancia complexa e multifatorial\" data-date=\"2025-10-23T17:09:02+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/dor-mecanismos-influencias-e-a-abordagem-integrativa-na-sua-reabilitacao\/\" class=\"post-thumbnail-rollover layzr-bg\"><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Dor-de-cabeca-Enxaqueca-Integrativa-ATM-Fisioterapia-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Dor-de-cabeca-Enxaqueca-Integrativa-ATM-Fisioterapia-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Dor-de-cabeca-Enxaqueca-Integrativa-ATM-Fisioterapia-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Headache Migraine Integrative TMJ Physiotherapy\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/dor-mecanismos-influencias-e-a-abordagem-integrativa-na-sua-reabilitacao\/\" title=\"Pain: a complex and multifactorial experience\" rel=\"bookmark\">Pain: a complex and multifactorial experience<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/dor-mecanismos-influencias-e-a-abordagem-integrativa-na-sua-reabilitacao\/\" class=\"post-details details-type-link\" aria-label=\"Learn more about Dor: a complex and multifactorial experience.\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-3782 type-post status-publish format-standard has-post-thumbnail hentry category-dores-de-cabeca category-nervo-vago category-osteopata-david-brandao category-osteopatia-craniana category-osteopatia-integrativa tag-fisioterapia tag-osteopatia tag-pilates-clinico category-52 category-58 category-33 category-42 category-32 description-off\" data-name=\"Osteopatia Craniana e o Nervo Vago: uma abordagem para o equil\u00edbrio fisiol\u00f3gico\" data-date=\"2025-04-08T19:02:58+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/osteopatia-craniana-e-o-nervo-vago-uma-abordagem-para-o-equilibrio-fisiologico\/\" class=\"post-thumbnail-rollover layzr-bg\"><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/04\/ATM-Fisioterapia-Osteopatia-Bruxismo-Osteopatia-Craniana-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/04\/ATM-Fisioterapia-Osteopatia-Bruxismo-Osteopatia-Craniana-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/04\/ATM-Fisioterapia-Osteopatia-Bruxismo-Osteopatia-Craniana-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"TMJ Physiotherapy Osteopathy Bruxism Cranial Osteopathy\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/osteopatia-craniana-e-o-nervo-vago-uma-abordagem-para-o-equilibrio-fisiologico\/\" title=\"Cranial osteopathy and the vagus nerve: an approach to physiological balance\" rel=\"bookmark\">Cranial osteopathy and the vagus nerve: an approach to physiological balance<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/osteopatia-craniana-e-o-nervo-vago-uma-abordagem-para-o-equilibrio-fisiologico\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Cranial Osteopathy and the Vagus Nerve: an approach to physiological balance\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><\/div><\/div><\/div><\/div><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Temporomandibular joint (TMJ) disorders affect approximately 25% of the world's population, and are the second most prevalent musculoskeletal clinical condition after low back pain, according to the National Institute of Dental and Craniofacial Research (NIDCR). Despite its high prevalence, many people are unaware that there are effective conservative approaches to managing this condition. O...<\/p>","protected":false},"author":1,"featured_media":4646,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[41,6,33,17],"tags":[24],"class_list":["post-452","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-atm","category-fisioterapia","category-osteopata-david-brandao","category-osteopatia","tag-articulacao-temporomandibular-atm","category-41","category-6","category-33","category-17","description-off"],"_links":{"self":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/posts\/452","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/comments?post=452"}],"version-history":[{"count":0,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/posts\/452\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/media\/4646"}],"wp:attachment":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/media?parent=452"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/categories?post=452"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/tags?post=452"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}