Understanding TMJ Treatment: A Comprehensive Approach with Dr. Leigh Miller

In a recent episode of Triangle Dentistry Talk, we had the privilege of speaking with Dr. Leigh Miller, founder of Miller Concierge Physical Therapy, a board-certified TMJ specialist who brings a unique perspective to treating temporomandibular joint disorders. As one of only 40 board-certified specialists nationwide in this field, Dr. Miller offers invaluable insights into the comprehensive treatment of TMJ disorders.

Key Insights from Our Discussion

The Multidisciplinary Approach

Dr. Miller emphasizes that successful TMJ treatment requires a comprehensive, multidisciplinary approach. “You cannot treat TMJ if you’re only looking at the muscles. You cannot treat TMJ if you’re only looking at the teeth and the occlusion,” she explains. This holistic perspective includes:

• Physical therapy interventions
• Dental collaboration
• Psychological considerations
• Postural assessment

Understanding TMJ Symptoms

Common symptoms that might indicate TMJ disorders include:

• Ear pain or fullness
• Tinnitus
• Headaches in a “ram’s horn” pattern
• Temple pain
• Popping or clicking in the jaw
• History of jaw locking

Treatment Philosophy

At Miller Concierge Physical Therapy, the approach differs from conventional treatments in several key ways:

• Minimum 8-week treatment protocol
• Comprehensive evaluation including dental history
• Custom exercise programs
• Integration of multiple treatment modalities including:
  • Laser therapy
  • Dry needling
  • Manual therapy
  • Intraoral work

“It is physically impossible to treat TMD on any platform with a one and done session. What that does is symptom treatment, and I am not a big fan of symptom treatment because you’re always a dog chasing its tail.”

The Role of Splints

Dr. Miller strongly advocates for hard acrylic splints as part of a comprehensive treatment plan:

• Provides better control of clenching forces
• Custom-prescribed based on patient needs
• Integrated with physical therapy progress
• Regular adjustments as needed

Who Needs TMJ Treatment?

The demographic most affected by TMJ disorders includes:

• Women between 35-60 years old
• Individuals with high stress levels
• Patients with previous orthodontic work
• Those with anxiety or depression
• Patients taking certain medications (particularly SSRIs)

The Importance of Early Intervention

Dr. Miller stresses the importance of not normalizing jaw discomfort: “At the end of the day, there’s no reason a patient should normalize discomfort.” Early intervention can prevent chronic issues and lead to better treatment outcomes.

Looking Forward

With three locations across the Durham-Raleigh area, Miller Concierge Physical Therapy continues to advance the field of TMJ treatment through their comprehensive, evidence-based approach. Their success lies in their commitment to collaborative care and individualized treatment plans.

Ready to Address Your TMJ Concerns?

Visit Miller Concierge Physical Therapy at one of their three convenient locations:

• Durham – 55 and 54
• Raleigh – Glenwood Avenue and Lake Boone Trail
• Fuquay-Varina – Judd Street

For the full interview and more insights into TMJ treatment, watch the complete episode on our YouTube channel and subscribe for more expert discussions on dental health.