Understanding the Pelvic Floor–TMJ Connection and How Physiotherapy Can Help
Introduction
The pelvic floor and temporomandibular joint (TMJ) might seem unrelated—one governs continence and core support, while the other controls jaw movement. However, emerging research reveals a significant connection between these two regions. Dysfunction in one area can influence the other, affecting posture, muscle tension, and overall well-being. At Integrative Physiotherapy, we recognize this link and offer a collaborative approach: Maria Gayevski performs pelvic floor assessments, while Stacey Stys specializes in TMJ evaluation and treatment.
Causes and Risk Factors
Dysfunction in the pelvic floor or TMJ can arise from various factors:
Postural imbalances: Poor posture can strain both the jaw and pelvic floor muscles.
Chronic stress: Stress can lead to muscle tension in both areas.
Trauma: Injuries to the jaw, neck, or pelvis can disrupt muscle function.
Overuse or strain: Repetitive movements or clenching can overwork these muscles.
A 2021 study found that patients with pelvic floor myalgia were significantly more likely to have TMJ dysfunction, suggesting a functional relationship between these conditions.
Symptoms
Pelvic floor dysfunction may present with:
Incontinence
Pelvic pain or pressure
Pain during intercourse
Constipation
TMJ dysfunction symptoms include:
Jaw pain or clicking
Headaches
Earaches
Difficulty chewing
Patients experiencing both conditions may notice overlapping symptoms, such as chronic pain and muscle tension.
Diagnosis
Diagnosing the interplay between pelvic floor and TMJ dysfunction in physiotherapy settings involves a comprehensive assessment of both areas, evaluating posture, muscle function, and joint mobility.
A 2024 randomized controlled trial demonstrated that TMJ soft tissue therapy could enhance pelvic floor muscle relaxation and function, highlighting the interconnectedness of these regions.
Physiotherapy Approach
Physiotherapy can address both TMJ and pelvic floor dysfunction through:
Myofascial release: Alleviating tension in the jaw, neck, and pelvic floor muscles.
Postural training: Correcting alignment to reduce strain.
Breathing exercises: Enhancing diaphragmatic function to support core stability.
Neuromuscular re-education: Improving muscle coordination and function.
Pelvic floor muscle retraining for coordination and relaxation (not just strengthening)
Stress management strategies such as progressive relaxation or mindfulness
When Maria and Stacey coordinate care, we address the whole system—leading to improved outcomes that last longer and reduce recurrence.
Patient Education and Self-Management
We emphasize patient empowerment through:
Daily diaphragmatic breathing practice
Postural awareness, especially in sitting and sleep positions
Avoidance of jaw clenching and unnecessary pelvic floor contraction
Education about how habits (e.g., shallow breathing, mouth breathing, prolonged sitting) influence both TMJ and pelvic floor function
Personalized home exercise programs from both Maria and Stacey
Understanding how to manage your symptoms daily leads to faster recovery and long-term success.
Conclusion
The connection between the pelvic floor and TMJ highlights the importance of a whole-body approach in physiotherapy. If you are dealing with jaw pain, headaches, pelvic discomfort, or any combination of these symptoms, you may benefit from coordinated care that treats both systems.
Call to Action
At Integrative Physiotherapy, we offer collaborative care to address complex, interconnected conditions. Maria Gayevski specializes in pelvic floor physiotherapy, and Stacy Stys provides expert care for TMJ dysfunction. Contact us to book your assessment and start feeling better with a team that understands the whole you.
References
Sulowska-Daszyk, I., Gamrot, S., & Handzlik-Waszkiewicz, P. (2024). A single session of temporomandibular joint soft tissue therapy and its effect on pelvic floor muscles activity in women—A randomized controlled trial. Journal of Clinical Medicine, 13(23), 7037. https://doi.org/10.3390/jcm13237037
Griffiths, L., Derisavifard, S., Alaiev, D., Funaro, M., Levy, M., Kreshover, J., Moldwin, R., & Bahani, S. (2021). Pelvic floor myalgia and temporomandibular joint dysfunction: A common and clinically important relationship. Journal of Urology, 206, e35–e36. https://doi.org/10.1097/JU.0000000000001965.12
