CMD therapy

Finally speak and laugh freely again – Without jaw pain

Discover our successful CMD/TMJ therapy approaches. Schedule a consultation and take the first step towards well-being.

What is CMD therapy?

CMD therapy stands for the treatment of Craniomandibular Dysfunction, a disorder affecting the jaw joint and masticatory muscles. This dysfunction manifests through symptoms such as jaw pain, headaches, ear noises, or difficulty opening and closing the mouth. CMD can result from various causes, such as dental misalignment, stress, prolonged poor posture, or injuries.

CMD therapy encompasses various approaches tailored to the patient’s specific needs. Treatment methods include manual therapy techniques to relax and stretch the masticatory muscles, exercises to strengthen and coordinate the jaw muscles, and measures to improve jaw joint function. CMD therapy is often conducted interdisciplinary, involving dentists, physiotherapists, and, if necessary, psychologists, to holistically address the various aspects of the dysfunction.

CMD/TMJ therapy at ANDRUKONIS

At ANDRUKONIS Physiotherapy, we offer a wide range of specialized therapy methods. We emphasize a family-like atmosphere and high-quality therapy. Our dedicated team of experienced physiotherapists currently consists of nine therapists, including those passionately specializing in highly specialized CMD therapy (Craniomandibular Dysfunction). This provides the advantage of personal care and the availability of direct contacts for questions and your individual concerns.

CMD therapy is characterized by a holistic approach that not only aims to alleviate symptoms but also addresses the causes of Craniomandibular Dysfunction to ensure sustainable and individualized treatment. We believe that the combination of the highest therapy quality and a family-like, inviting atmosphere distinguishes us as a health center.

Our CMD expert: Mag. Justyna Szczesniak

Our practice in Vienna

Our practice boasts good public transport connections and personal care. The friendly team and warm atmosphere ensure that patients feel well cared for both medically and personally. With a green courtyard, wood elements, and pleasant lighting, the practice provides a relaxing environment. The receptionists work closely with the therapists for effective communication and enhanced patient well-being.

CMD therapy costs

Our CMD therapists are highly specialized experts with extensive experience and numerous training sessions in the treatment of Craniomandibular Dysfunction (CMD) and manual therapy. Therefore, the prices for CMD therapy differ from the standard rates of physiotherapy to reflect the special qualifications and specialized treatment methods of our therapists.

Despite the differentiated pricing, reimbursement by health insurance follows the same process as for regular physiotherapy, so our patients are subject to the same reimbursement rates.

What we are proud of: Our customer reviews

The numerous positive feedbacks from our customers testify to the outstanding quality of our CMD therapy and underscore the professional approach of our therapists. These testimonials reflect our commitment to providing knowledgeable and individually tailored treatment that significantly contributes to alleviating symptoms and enhancing our patients‘ well-being.

Physiotherapie Patient
Physiotherapie Patient
Physiotherapie Patientin
Patientin bei ANDRUKONIS Physiotherapie
Physiotherapie Patientin
Ратко Зликовац
Ратко Зликовац
2024-04-18
I am very satisfied, I can only recommend this place for physiotherapy and Mr. Kovac is very professional and does a good job.
Gerda König
Gerda König
2024-04-10
kompetent, freundlich, sehr gepflegt
Ulrike Pochman
Ulrike Pochman
2024-03-23
Nach einer Knieendoprothese wurde mir eine Physiotherapie empfohlen, nach kurzer Suche im Internet fiel die Entscheidung auf Andrukonius. Ich wollte einen Hausbesuch, es war super. Die Physiotherapie mit Herrn Julian war jedesmal mit soviel Empathie und Professionalität ausgeführt. Jede Woche war eine Herausforderung und war immer durch Erfolg erfüllt. Freue mich auf weitere Therapien.
Sandra Jakubek
Sandra Jakubek
2024-03-20
Sehr netter Empfang uns sehr freundliche und kompetente Physiotherapeutin
Gabriele Angerer
Gabriele Angerer
2024-03-17
Nach meinen sehr schmerzhaften Ischiasnerv und LW Vorfall war ich nach der 6. Behandlung durch Linda beschwerdefrei. Linda ist sehr einfühlsam gibt gute Tipps für die Übungen zuhause und fragt auch interessiert nach wie es damit gegangen ist. Ich kann das Institut Andrukonis nur zu 100% weiterempfehlen und gebe 5* plus nochmal 5* - ich kann wieder ausgedehnte Spaziergänge mit meinem Hund machen !! Danke Linda, man spürt auch den Zusammenhalt und die positive Energie im Institut - alle Mitarbeiter plus Chef sind sehr zuvorkommend.
Sylvia Kheil
Sylvia Kheil
2024-03-11
Kann ich nur jedem empfehlen. Sehr freundlich und kompetent. Das Einzige das bei meiner Arthrose mal wirklich was gebracht hat. DANKE an ds ganze Team. :-)
Ilse Anreitter
Ilse Anreitter
2024-02-22
Ich war sehr zufrieden mit o.a. Physiotherapie. Meine Therapeutin Lena war besonders nett und kompetent. Sie hat sich sehr um mich bemüht, hat Alternativen gesucht und gefunden wenn ich etwas nicht geschafft habe. Ich kann das Institut nur empfehlen !!!

CMD/TMJ symptoms

Headaches and/or migraines

Headaches and migraines are common symptoms of CMD, often caused by tension in the jaw and surrounding muscles. These headaches typically manifest in the forehead, temples, or back of the head and can extend to the neck. They frequently occur in conjunction with other CMD symptoms such as jaw pain and can vary in intensity from dull, constant aches to throbbing, migraine-like pain. These headaches can be exacerbated by stress, poor posture, or bruxism (teeth grinding) and often impair the daily activities of those affected.

Jaw pain

Jaw pain is a primary symptom of Craniomandibular Dysfunction (CMD) and can manifest as persistent or intermittent pain in the jaw joint area. This pain may intensify with chewing, yawning, or speaking. It can be felt on one or both sides and often radiates to surrounding areas such as the ears, cheeks, or temples. Jaw pain in CMD can range from mild discomfort to severe impairment, significantly affecting the daily life and quality of life of those affected.

Ear pain and tinnitus

Ear pain and tinnitus are other common symptoms of Craniomandibular Dysfunction (CMD). These symptoms arise from the close anatomical and functional relationship between the jaw joint and the ear area. Ear pain in CMD is often described as dull and pulling, radiating to the jaw and face. Tinnitus, a ringing or buzzing in the ear, can also occur. These symptoms are typically not associated with a direct ear condition but reflect tensions and dysfunctions in the jaw area. They can be intermittent or constant and vary in intensity, significantly impacting the quality of life of those affected.

Dizziness and balance disorders

Dizziness and balance disorders are also common symptoms of CMD. These occur when dysfunction of the jaw joint impairs normal head and neck positioning, affecting the balance system. Patients often report a feeling of unsteadiness when standing or walking, or a sensation that the environment is spinning or swaying. These symptoms can be exacerbated by movements of the head or jaw. Dizziness in CMD can be episodic or persistent and often impairs daily life by increasing the risk of falls and limiting the ability to perform everyday tasks.

Restricted jaw movement

Restricted jaw movement is a characteristic symptom of Craniomandibular Dysfunction (CMD), manifesting as difficulty in opening, closing, or moving the mouth sideways. This restriction can range from mild discomfort to noticeable blockages, interfering with daily functions such as speaking, chewing, or yawning. Patients may experience stiffness in the jaw joint or even a „locking“ sensation, where the mouth temporarily cannot fully open or close. These movement restrictions can be intermittent or constant and often result from muscle tension, misalignment, or structural changes in the jaw joint.

Clicking or grinding in the jaw joint

Clicking or grinding in the jaw joint are typical signs of Craniomandibular Dysfunction (CMD). These sounds often occur when jaw movements are no longer smooth, indicating misalignment or overuse of the jaw joint. Patients often report audible and palpable clicking or grinding when opening, closing, or chewing. While these sounds may be painless, they are often associated with other symptoms such as pain or restricted jaw movement. Clicking or grinding can be sporadic or a regular phenomenon and is considered an indicator of mechanical irregularities in the jaw joint.

Interesting facts about CMD therapy

CMD therapy (Craniomandibular Dysfunction) is a specialized treatment approach focused on diagnosing and treating functional disorders of the jaw joint and related structures to relieve pain and functional impairments.

Diagnosis

The diagnosis of Craniomandibular Dysfunction (CMD) is typically made by a dentist or a specialized orthodontist. In some cases, an ENT doctor or a physiotherapist with relevant expertise may also be involved. The diagnosis is based on a thorough examination, including a history of symptoms, a clinical examination of the jaw joint and masticatory muscles, and a review of dental occlusion (bite alignment). Imaging techniques such as X-rays or MRI may also be used to assess the structure of the jaw joint and rule out other causes of the symptoms. Interdisciplinary collaboration is often crucial for a comprehensive CMD diagnosis.

Causes of CMD

Craniomandibular Dysfunction (CMD) is a complex condition with multiple and often interconnected causes. Understanding these causes is essential for effective treatment. The main causes of CMD include:

  • Dental misalignments: Uneven stress on the jaw joint due to misaligned teeth.
  • Bruxism: Teeth grinding and clenching, leading to increased stress on the jaw joint.
  • Stress and psychological factors: Psychological stress can lead to unconscious tension in the jaw area.
  • Trauma: Injuries to the jaw joint or surrounding muscles.
  • Poor posture: Prolonged poor body posture, especially in the neck and shoulder area.
  • Degenerative joint diseases: Wear and tear in the jaw joint.
  • Muscle tension: Persistent tension in the jaw and neck muscles.

Measures: Physiotherapy for your jaw joint

For CMD patients suffering from Craniomandibular Dysfunction, physiotherapy for the jaw joint offers several specialized measures aimed at alleviating symptoms and improving jaw joint function:

  • CMD manual therapy of the jaw joint: Targeted manual techniques to relax and mobilize the jaw joint and surrounding muscles.
  • Trigger point treatment: Releasing tension in the masticatory muscles and adjacent areas.
  • Stretching exercises: Improving jaw joint mobility through specific stretching techniques.
  • Strengthening exercises: Strengthening the jaw muscles to better support the jaw joint.
  • Relaxation techniques: Methods to reduce stress and promote relaxation, which can positively impact CMD symptoms.


In treating CMD, physiotherapists use a combination of manual therapy and targeted exercises (jaw physiotherapy). They work closely with the patient to develop individual therapy plans and comprehensive approaches tailored to the specific needs of each person.

Frequently asked questions

The healing duration for CMD varies widely and depends on the cause, severity of the dysfunction, and individual response to therapy. Generally, significant improvement can take several weeks to months. Complete healing can take longer and often requires ongoing therapy and self-management.

Patients with CMD should avoid behaviors that add stress to the jaw joint or worsen pain. These include:

  • Excessive chewing of hard or tough foods.
  • Frequent chewing gum.
  • Teeth grinding and clenching.
  • Extreme yawning or wide mouth opening.
  • Persistent stress without relaxation techniques.
  • Poor posture, especially in the neck and shoulder area.

The frequency of physiotherapy for CMD depends on the individual situation and the severity of symptoms. Typically, one to two sessions per week are recommended, with the treatment plan regularly adjusted to the patient’s progress.

The cost of CMD therapy varies depending on the extent of treatment, therapy duration, and location. Prices can also differ based on the treating professionals and the types of therapies applied. It is advisable to inquire about cost reimbursements and exact prices with the relevant health insurance provider or therapist before starting treatmen