Jaw pain can be frustrating—especially when it’s persistent, confusing, or doesn’t seem to have a clear cause. If you’re dealing with clicking, headaches, stiffness, or even earaches, there’s a good chance your temporomandibular joint (TMJ) could be involved.

What might surprise you, though, is what’s actually triggering the discomfort. TMJ disorders (TMD) aren’t just caused by dental issues or jaw injuries. In fact, many everyday habits and hidden factors could be quietly making things worse.

Let’s explore seven lesser-known causes of TMJ pain—and more importantly, what you can do about them.

Understanding TMJ Pain: More Than Just a Jaw Ache

What Is TMJ/TMD?

Your TMJ is the small but mighty joint that connects your jaw to your skull, just in front of your ears. It’s responsible for opening and closing your mouth, chewing, speaking—even yawning.

When the TMJ becomes irritated or misaligned, you may develop what’s called a temporomandibular disorder (TMD), which can lead to a surprising range of symptoms beyond jaw pain.

Common Symptoms You Might Not Expect

If you’ve had any of these, TMJ could be to blame:

  • Clicking or popping in your jaw

  • Frequent headaches or tension across your temples

  • Ear pain or ringing (even if your ears are fine)

  • Neck or shoulder tightness

  • Jaw locking or trouble opening wide

  • A tired, sore feeling in your face

1. Chronic Stress & Anxiety

The Link Between Stress and Jaw Clenching

Stress has a sneaky way of creeping into our bodies. If you’re under pressure, you might be clenching your jaw or grinding your teeth without realizing it – especially during sleep.

How Nighttime Grinding Makes Things Worse

Overnight clenching can put enormous strain on the TMJ. Over time, this repeated pressure wears down cartilage, inflames muscles, and leads to stiffness or pain that sticks around well into the day.

What helps: Managing stress is a good first step (easier said than done, we know). Many patients find relief with meditation, light exercise, or simply carving out time to unwind. And if you grind your teeth at night, a custom TMJ mouth guard can protect your jaw while you sleep.

2. Poor Posture (Yes, “Tech Neck” Is Real)

How Your Spine and Jaw Are Connected

Spending hours hunched over a screen can pull your head forward, tighten your neck, and throw off the alignment of your entire upper body—including your jaw.

Why Desk Jobs Can Lead to Jaw Pain

When your posture shifts forward, your jaw has to adapt. Over time, this imbalance can cause the muscles around your TMJ to work overtime, leading to pain, fatigue, or tension.

What helps: Check your workstation setup. Make sure your screen is at eye level, take stretch breaks often, and try not to cradle your phone between your shoulder and ear (your jaw will thank you).

3. Hormonal Fluctuations in Women

Why Women Experience TMJ More Often

TMJ disorders affect women more than men, especially during their childbearing years. One possible reason? Hormones like estrogen can influence the ligaments and joint tissues around the TMJ, making them more prone to inflammation or injury.

When to Bring It Up With Your Doctor

If your TMJ pain flares up during your menstrual cycle, pregnancy, or menopause, it’s worth discussing with a specialist. You’re not imagining it, hormonal shifts could be playing a role.

4. Past Facial Trauma or Whiplash

Even Minor Injuries Can Have Long-Term Effects

Injuries to the head, face, or neck (like whiplash from a car accident or a sports collision) can affect the alignment of your jaw, even if the injury seemed minor at the time.

Signs You Shouldn’t Ignore

Lingering jaw tightness, clicking, or changes in how your bite feels could be signs that your TMJ hasn’t fully recovered.

What helps: If you’ve experienced facial or neck trauma and now have jaw issues, an evaluation can help catch problems early—before they become chronic.

5. Bite Issues and Misaligned Teeth

When Your Bite Isn’t Lined Up Right

If your top and bottom teeth don’t meet the way they should, your jaw ends up compensating. Over time, this added strain can irritate the TMJ and surrounding muscles.

Why a Custom Appliance Can Make a Big Difference

A professionally made oral appliance can gently reposition your jaw to a healthier, more comfortable alignment—often relieving pain without needing orthodontic work or surgery.

6. Sleep Position & Habits

Sleeping on Your Jaw? It Happens More Than You Think

Poor sleeping habits can contribute to worsening TMJ pains. If you sleep on your stomach or curl your hand under your jaw, you may be unknowingly putting pressure on your TMJ for hours every night.

What Side and Stomach Sleepers Should Know

While side sleeping isn’t always bad, consistency matters. Repeated pressure on one side can cause an imbalance. Try alternating sides, or better yet, sleeping on your back with a supportive pillow to keep your head and jaw neutral.

7. Arthritis or Joint Inflammation

The Hidden Role of Inflammatory Conditions

Both osteoarthritis and rheumatoid arthritis can affect the TMJ. In these cases, the cartilage in the joint breaks down over time, leading to stiffness, pain, or clicking.

Non-Surgical Options That Actually Work

While arthritis can’t be cured, symptoms can be managed. Therapies like cold laser treatment, physical therapy, and oral appliances can provide meaningful relief without resorting to surgery.

What You Can Do: Effective TMJ Treatments That Don’t Involve Surgery

Oral Appliance Therapy

A custom-fitted device gently holds your jaw in a more relaxed position, relieving pressure and preventing nighttime clenching, offering a great treatment option for TMJ.

Trigger Point Injections & Cold Laser Therapy

These treatments target inflammation and tight muscles directly—often providing quick, drug-free relief for stubborn pain.

Stress Reduction, Posture Fixes & Lifestyle Tweaks

Sometimes, small daily changes (like jaw stretches, hydration, or cutting back on chewy foods) can make a big difference over time. Pair these with physical therapy and you’ve got a strong foundation for healing.

When It’s Time to See a Specialist

Signs You Shouldn’t Wait Any Longer

  • Daily jaw pain or stiffness

  • Headaches or earaches with no clear cause

  • Clicking or popping that’s getting worse

  • Trouble opening your mouth fully

If any of these sound familiar, don’t wait. TMJ issues are easier to treat when caught early.

What to Expect at Novi Sleep & TMJ

Here at Novi Sleep & TMJ, Dr. Anjoo Ely takes the time to truly understand what’s behind your symptoms. Using advanced diagnostics and years of experience, she crafts a treatment plan that’s just for you—no cookie-cutter fixes here.

Take the First Step Toward Feeling Better

Book a Consultation with Dr. Anjoo Ely

Jaw pain doesn’t have to be your new normal. Let’s get to the root of your discomfort—and find a solution that fits your life.

Let’s Build a Plan That Works for You

From conservative care to advanced therapies, we’ll walk with you every step of the way. Relief is possible—and it starts with a simple conversation.