Unraveling the Knot: When Neck and Shoulder Pain Stems from Your TMJ

Dental Care Burke • October 24, 2025

Your neck and shoulder pain could actually be coming from your jaw. When the temporomandibular joint (TMJ) is strained or out of balance, it can tighten nearby muscles and create discomfort that spreads to the neck, shoulders, and upper back. This connection often goes unnoticed, leaving many people searching for lasting neck pain relief without realizing the root cause lies in the jaw.



According to the American Migraine Foundation, pain related to the TMJ may affect up to 10% of the U.S. population, showing how common this condition is. At Dental Care Burke, Dr. Bernard W. Lynch and our team help patients uncover and treat this link through effective TMJ treatment options designed to ease pain and restore comfort.


In this blog, we'll explore how TMJ issues can create knots in your neck and shoulders, what these knots feel like, and how professional care can bring relief.


TMJ and Its Connection to Neck and Shoulder Pain

The temporomandibular joint, or TMJ, connects your lower jaw to your skull and allows smooth movement when you chew, yawn, and talk. It's one of the most active joints in the body, supported by muscles and ligaments that help guide your jaw's motion. When this joint becomes strained, misaligned, or inflamed, it can affect more than just the jaw itself.


The muscles that control the TMJ also connect to areas around the neck, shoulders, and head. If those muscles become tense or overworked, they can create tightness or referred pain in nearby regions. This is why people with TMJ problems often experience stiffness or soreness that extends beyond the jaw.


Here at Dental Care Burke, Dr. Bernard W. Lynch uses advanced diagnostic techniques to understand how jaw function affects the surrounding muscles. By identifying the underlying source of pain, he can create a treatment plan that targets both comfort and long-term function.

Can TMJ Cause Knots in the Neck?

TMJ dysfunction can absolutely cause knots in the neck. When the jaw joint is not working properly, the surrounding muscles often compensate by tightening to keep the joint stable.


Over time, this strain leads to small, painful spots known as trigger points or muscle knots. These knots can form in the neck, shoulders, and even the upper back, creating tension that feels deep and persistent.


People who clench or grind their teeth are especially prone to this problem. Constant muscle engagement puts pressure on the jaw and nearby muscles, which can cause them to spasm or stiffen. Poor posture, stress, or jaw misalignment can make the discomfort worse.



Many patients assume their neck pain starts with posture or sleep position, but the real issue can come from the jaw. At our clinic, we help to identify this connection so patients can find lasting relief through personalized care and focused TMJ therapy.

What Does a TMJ Knot Feel Like?

A TMJ-related knot often feels like a tight, sore, or aching spot around the neck, shoulders, or base of the skull. The pain may feel deep rather than surface-level, sometimes spreading toward the head or upper back. Many people describe it as a constant dull ache that worsens when they:


  • Chew
  • Yawn
  • Move their jaw


These knots can also create a feeling of stiffness or heaviness in the neck, making it difficult to turn the head comfortably. Some experience tension headaches or sensitivity near the jaw and temples. Unlike ordinary muscle soreness that fades quickly, TMJ-related knots tend to linger because the muscles are constantly working to stabilize the jaw.


The discomfort may increase during times of stress or teeth clenching. Over time, the pain can become more noticeable in both the jaw and neck areas. Recognizing these signs early is important for reducing strain and improving overall muscle balance.

Common Causes Behind TMJ-Related Neck and Shoulder Pain

Several everyday habits and conditions can lead to TMJ-related neck and shoulder pain. One of the most common is teeth grinding or clenching, often linked to stress or anxiety. This constant pressure strains the jaw muscles and radiates tension into the neck and shoulders.


Jaw misalignment or an uneven bite can have a similar effect, forcing nearby muscles to overwork to keep the joint in balance.


Injury or trauma to the jaw, such as from a fall or car accident, may also lead to lasting tension. Arthritis can inflame the joint and surrounding tissues, making movement painful. Poor posture, especially from long hours looking at screens, places extra strain on both the jaw and neck muscles.


Even daily habits like chewing gum, biting nails, or resting your chin on your hand can make the discomfort worse. Because several of these causes often overlap, a professional evaluation is important to identify the main source and guide proper treatment.

How Dental Care Burke Treats TMJ-Related Pain

At Dental Care Burke, we take a personalized and comprehensive approach to treating TMJ-related pain. Our first step is to identify the source of the problem through a detailed exam, X-rays, and joint evaluation. This helps us understand how your jaw moves, how your bite aligns, and how muscle tension may be contributing to discomfort in your neck and shoulders.


Treatment often includes a custom-made mouthguard or splint designed to reduce clenching and grinding while keeping the jaw in a more relaxed position. We may also recommend Dental TENSing therapy, a gentle technique that uses mild electrical stimulation to relax tight muscles and improve circulation. In some cases, restorative dental work helps correct bite alignment and relieve uneven pressure on the joint.


Beyond treatment, we focus on prevention through guidance on posture and stress management. Our goal is to reduce pain, restore balance, and help you return to a more comfortable daily routine.

When to See a TMJ Specialist

Simply put, if you experience ongoing pain or stiffness in your jaw, neck, or shoulders that doesn't go away on its own, it's time to see a TMJ specialist. Frequent headaches, ear pain, or clicking and popping sounds when you open or close your mouth can also point to a TMJ problem.


Some people notice their jaw locking in place or feeling tight when chewing or talking, while others experience pressure around the temples or upper back.


If these symptoms persist or worsen, professional evaluation is important.TMJ issues often start small but can lead to chronic muscle tension, worn-down teeth, and long-term discomfort if left untreated. A specialist can pinpoint the exact cause and create a treatment plan that targets both the joint and the surrounding muscles.


At Dental Care Burke, we offer in-depth TMJ consultations that include imaging, examination, and personalized recommendations to help you find relief and restore normal jaw function before the condition becomes more serious.

Frequently Asked Questions

How Long Does TMJ Pain Last?

TMJ pain can vary from person to person. Some people experience occasional discomfort that lasts only a few days, while others may have chronic pain that continues for months or even years.


The duration often depends on the underlying cause, such as jaw misalignment, teeth grinding, or muscle tension. Early evaluation can help prevent the pain from becoming long-term.

Can TMJ Affect Sleep Quality?

Yes, TMJ issues can interfere with sleep. Clenching or grinding at night may cause discomfort that wakes you up, and muscle tension can make it difficult to find a comfortable sleeping position. Addressing TMJ problems can improve both rest and overall daily energy levels.

Are Children Susceptible to TMJ Disorders?

Children can develop TMJ problems, although it is less common than in adults. Early signs may include difficulty chewing, frequent headaches, or jaw clicking. Pediatric TMJ treatment often focuses on gentle interventions and monitoring growth to prevent long-term issues.

Can TMJ Lead to Ear Problems?

Yes, TMJ dysfunction can cause ringing in the ears, pressure, or even temporary hearing changes. The joint's close proximity to the ear means inflammation or muscle tension can create these uncomfortable sensations.

Is Physical Therapy Helpful for TMJ Pain?

Physical therapy can support TMJ treatment by improving posture, strengthening jaw and neck muscles, and reducing tension. Targeted exercises and stretches may complement dental interventions for long-term relief.

What Role Does Stress Play in TMJ?

Stress often worsens TMJ symptoms because it increases muscle tension and encourages clenching or grinding. Managing stress with relaxation techniques or mindfulness can reduce strain on the jaw and surrounding muscles.

How Do Dental Clinics Approach Pain Relief?

Dental clinics may use a combination of strategies for dental pain management, including custom mouthguards, joint therapy, and non-invasive treatments. Personalized care ensures the source of discomfort is addressed rather than just masking symptoms.

Schedule Your TMJ Consultation With Us

Neck and shoulder pain caused by TMJ issues can make daily activities uncomfortable and frustrating. The good news is that with the right care, relief is possible.


At Dental Care Burke, we focus on identifying the root cause of your discomfort and providing personalized treatment plans that address both the jaw and surrounding muscles. Early intervention can prevent chronic tension and improve overall comfort.


Call us at (703) 596-1555 or schedule an appointment online to start your journey toward lasting relief from neck and shoulder pain.

Dr. Bernard Lynch

D.M.D 
Dr. Bernard Lynch, DMD, FAGD, LVIF is focused around giving his patients the best possible dental care towards the end of long-term, overall good oral health, beautiful smiles, all while maintaining patient comfort. Dr. Lynch routinely keeps up-to-date with most cutting-edge dental technology and advances so as to cultivate a feeling of safety and comfort when his patients sit in the dental chair. He is broadly recognized for the continuous attention to his patients feelings, and of their mind-sets while they are under his care.

Joshua Kibrom

Treatment Plan Coordinator
Joshua Kibrom grew up in Saint Paul, Minnesota where he attended the University of Minnesota for Marketing and Business Management. Upon moving to Northern Virginia, he began providing services at Dental Care Burke as a Treatment Plan Coordinator. To fully understand the needs of the patients, he obtained certification as a dental assistant. His main objective is to help the patients achieve the necessary treatment and fully understand the financial aspects of the plan. Joshua will work with patients to ensure all of your questions are answered appropriately.

Michael Gebre

Registered Dental Assistant
Micheal Gebre graduated from Northern Virginia Community College with a major in biology. He later received his Dental Assistant II (DAII) degree from Germana Community College, under Mary Washington University in Fredericksburg, Virginia in 2016. Michael works as Registered DAII, which is the new version of Dental Physician Assistant. He had over 10 years experience as a Dental Assistant before becoming a Registered DAII.
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According to research published by the TMJ Association, up to 27% of temporomandibular joint disorder (TMD) pain cases appear to be genetic. That's more than one in four people who suffer from jaw pain, stiffness, or clicking. If you've asked yourself, "Is TMJ hereditary?". Well, science is starting to answer. The above statistic grabs attention because jaw pain often seems random. You might think your daily stress or posture is to blame, but sometimes, it's already written in your DNA. The discomfort you feel may be passed down, not picked up. We'll explore the research, discuss the genetic link to joint disorders, and help you understand the symptoms and solutions. If your jaw pain keeps coming back, you deserve real answers. Read on to see what your genes might be saying. How Genetics Plays a Role Genes shape a lot of what happens in your body, including how your joints work. Some people are born with joint structures that don't align well. Others inherit issues like weak cartilage or overactive pain receptors. These can all raise your risk for TMJ problems. A genetic predisposition to TMJ doesn't mean you'll get it for sure, but it means your chances are higher than someone without those traits. If your parents or siblings have jaw issues, pay close attention to your own symptoms . Look for: Clicking or popping Morning jaw stiffness Pain while chewing Frequent headaches Limited jaw movement Some genes linked to joint disorders may also affect how your body handles stress and inflammation. People with TMJ pain often share certain genetic markers. These markers also appear in conditions like arthritis and fibromyalgia. That's why scientists believe there's a genetic link to joint disorders. Knowing your family's history helps you spot patterns early. The sooner you act, the easier it can be to manage symptoms or avoid flare-ups altogether. Risk Factors Beyond Genetics Even if your genes set the stage, other things can trigger TMJ pain. Every day habits, stress, injuries, and certain health conditions all play a role . These outside forces often work with your genetics, turning a minor issue into lasting discomfort. You might not notice the damage right away. But over time, the joint wears down, and symptoms creep in. Some behaviors are more harmful than they seem. Watch for: Teeth grinding Jaw clenching Poor posture Nail biting Long chewing Small habits can quietly cause major stress in the joint. Hormonal changes may also make TMJ worse. Research shows more women than men report TMJ pain, which could point to estrogen as a possible factor. Arthritis, especially rheumatoid or osteoarthritis, often targets the jaw joint as well. Sports injuries, car accidents, or even a fall can damage the joint directly. Left untreated, the pain often spreads . It might start in your jaw but end up causing ear pain, neck tension, or facial soreness. Knowing the factors causing TMJ pain helps you avoid common triggers. That means fewer flare-ups and better control over how you feel every day. Spotting the Symptoms Early Catching TMJ symptoms early can make a big difference. When the joint first starts acting up, pain may be mild or irregular. But without care, discomfort builds and spreads fast. Some symptoms might be mistaken for other problems. Jaw pain might seem like a dental issue, and earaches might get blamed on the sinuses. But the signs of TMJ are unique. Watch for: Jaw clicking Locking jaw Pain near the ears Headaches Tight facial muscles TMJ pain has a rhythm, flare-ups often follow stress or poor sleep. People with a genetic predisposition to TMJ might feel these symptoms sooner or more often. That's why knowing your family history matters. You can track your pain and spot patterns that others miss. Treatment That Actually Helps Here is the good news. There are solutions to TMJ pain. The right care can calm symptoms even if you have a strong genetic predisposition. Most people improve without surgery, and many find relief with small, steady changes . The best treatment options for TMJ match the cause. Stress habits? Use a night guard. Inflammation? Try heat, ice, and anti-inflammatory meds. A weak jaw? Physical therapy might help realign and relax the joint. You may try: Jaw exercises Mouth guards Anti-inflammatory meds Physical therapy Low-stress habits Long-term relief comes from consistent, small adjustments, not quick fixes . Some dentists also offer custom bite splints. These hold the jaw in a more comfortable position. Here is a dental tensing treatment to check out. In rare cases, injections or surgery may be used. But only when everything else fails. TMJ care isn't one-size-fits-all. What works for one person may not work for another. That's why tracking symptoms and testing treatments is key. Over time, you'll learn what soothes your jaw and what sparks pain. If you're looking for a professional to help you with this, Dr. Bernard Lynch utilizes advanced neuromuscular dentistry techniques . Why Genetics Still Matter Even if you manage your habits, your DNA still counts. Genes help shape your joint structure, tissue strength, and how your body processes inflammation and stress. If TMJ runs in your family, you're working with a different rulebook. A genetic link to joint disorders means the issue may be just around the corner, even if you avoid common triggers. That doesn't mean you're stuck with pain forever. But it means you need to pay extra attention. Helpful reminders: Track jaw symptoms Know your triggers Use jaw-friendly tools Get regular checkups Ask about family history Genetics give you a starting point, but habits decide the outcome . The "Is TMJ Hereditary?" Question Answered Research shows that the answer to "Is TMJ hereditary?" is yes. Genes do play a part. But habits, stress, and injuries have just as much influence over how it shows up and how bad it gets. At Dental Care Burke, Dr. Bernard Lynch utilizes advanced neuromuscular dentistry techniques to pinpoint and address the root causes of TMJ disorders, offering personalized, non-invasive treatment plans tailored to each patient's needs. With comprehensive consultations that include in-depth exams and customized care strategies, you can find lasting relief and improve your quality of life. Schedule your TMJ consultation now and experience expert care designed to restore comfort and function to your jaw.
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