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Best Treatment For The Slipped Disc In The Jaw

CSC’s clinical research-based teams of chiropractors and physiotherapists provide the best non-invasive conservative treatment for a slipped disc in the jaw. Call us today to get advanced slipped disc in the jaw treatment to fix TMJ problems

Is It Possible To Get A Slipped Disc In The Jaws?

temporomandibular joint motion & articular disc of jaw joint

Believe it or not, yes, you can have a slipped disc in the jaw. Moreover, a jaw’s slipped disc is a relatively common disorder in those who suffer from jaw pain. A disc, by definition, is a thin circular object. There are two main types of discs or disks in the human body:

  1. Articular discs
  2. Spinal discs or vertebral discs

Spinal discs, as the name apply are in the spine. They lay between the neck, upper back, mid-back, and lower back. The spinal disc’s functions are to bear the body’s weight, connect spinal bones, provide shock absorbance and allow mobility. The Articular discs or Articular Disks also provide shock absorbance, connect bones, and allow mobility. Articular discs are in several joints, such as the wrist joint, sternum, and of course, the jaw joint. In this section, we will concentrate on the articular discs of the jaw joints.

Is there A “Disc” Or “Disk” In The Jaw Joint?

close in view of jaw joint anatomy and articular disc

Your jaw joints have paddings or cushions called Articular Discs or Articular Disks. The Articular discs or the jaw joints are oval-shaped plates made of fibrous connective tissues found between the mandibular fossa of the temporal bone and the mandibular or jaw joints’ condyle.

An articular disc or articular disk connects to the Pterygoideus muscle, articular capsule, and the jaw joints’ retrodiscal tissues. An articular disk or disc is much thicker towards the rims or edges where it connects to the articular disc’s soft tissues of the jaw joint.

They separate the jaw joint; the spacer provides cushioning or shock absorbance as needed during chewing or talking. Articular discs of the jaw joints are fibrocartilagenous structures that run anteroposteriorly (front-to-back) and superoinferiorly (top-to-bottom).

Articular discs of the jaw joints are the most common causes of TMJ pain. The good news is that we can treat it. This unique arrangement enables it to provide the shock assurances needed during daily functions. However, when subjected to trauma or increased stress, they can get damaged. The exact mechanisms of injury to the jaw discs (articular disks) are not fully understood.

However, the damage is possible due to excessive stretching of the directions that collagen fibers do not reinforce the disc. As mentioned earlier, the collagen fibers run front-to-back and top-to-bottom. But, it must be said that the top-to-bottom or the supero-inferior directions of the cartilage fibers are limited in numbers. Frequent or repetitive motions, such as those experienced when chewing gum can damage the superoinferior cartilage fibers.

A damaged or injured fibrocartilage fiber leads to internal disorders known as a derangement. Internal derangement of the articular disc is the leading cause of a slipped disc in the jaw.

What Is Internal Derangement?

lady in pain with slipped disc in the jaw

Internal derangement refers to the malpositioning, subluxation, or misalignment of the jaw disc. The most common cause of a slipped disc in the jaws is an internal derangement of the jaw joint (TMJ or Temporomandibular Joint) is an anterior misalignment, displacement, or slippage of the articular disk. Symptoms of slipped jaw discs are often localized jaw pain, and audible popping sounds with jaw movement.

Diagnosis of an internal derangement or slipped disc in the jaw is based on patient presentation, history, familial history, and precise jaw joint and neck examination. X-ray films are of some use, but MRI assessment is the best means of confirming a slipped jaw disc diagnosis.

The best treatment method is through conservative physiotherapy, physical therapy, chiropractic, and splinting (night guards). We are adamantly opposed to any form of invasive procedures as they are too risky and often fail to provide the long-term relief patients need. However, if the joint soft tissues are severely damaged or fractures or complete dislocation coupled with ligaments’ avulsions, surgery may be required. We will discuss these in greater detail in the appropriate sections below.

There are two types of internal disc derangements or slipped disc in the jaw: Internal derangement with reduction and internal derangement without reduction. Both of which are described below under signs and symptoms.

What Are The Signs & Symptoms Of A Slipped Disc In The Jaw?

head and neck deviation

As mentioned earlier, there are two types of a slipped discs in jaws with reduction and reduction. Internal derangements with reduction are the type of slipped disc in the jaw in which the jaw disc (articular disc) returns to a normal position.

Slipped disc in the jaw with reduction (internal Derangement with Reduction) is the more common one. It accompanies a painless clicking or popping of the jaws with the opening of the mouth. However, pain can be present when chewing or biting on hard foods like meats or nuts. The popping or clicking sounds are always louder for the patient. Often a sufferer with an internal derangement with reduction feels annoyed or embarrassed by the clicking during quiet meals.

A neglected internal derangement with reduction can progress to an internal derangement without reduction. A slipped disc in the jaw without reduction or internal derangement without reduction is often the opposite. It is a condition where the jaw disc slips but does not return to normal position upon opening or closing the mouth. And as such, they are termed “internal derangement without reduction.”

Sufferers often complain of jaw pain and restriction during the opening of the mouth. The average normal range for an open mouth is about 45-50 mm (the distance between the upper and lower incisors). An Internal Derangement without reduction reduces this range to 30 mm or lower. It can lead to severe jaw pain, tinnitus, nausea, neck issues, headaches, and even locked jaws in the morning if neglected.

What Are The Most Common Symptoms Of Jaw Pain When The Articular Disc Slips?

The presenting symptoms of a slipped disc in the jaw pain often vary depending on the type and severity. However, we have included some of the common symptoms for your review below:

  • Jaw pain
  • Pain in the face that worsens when you open your jaw
  • Pain in the upper neck or at the base of the skull
  • A limited range of motion when opening the mouth
  • Jaw misaligns when you open your mouth
  • Popping or clicking sounds with opening or closing of the mouth
  • Fullness in the ears
  • Tinnitus or ringing in the ears
  • Earaches
  • Headaches and even Migraines
  • Eye pain or sinus pain
  • Dizziness
  • Jaw locking
  • Vertigo
  • A toothache
  • Nerve pain or burning like sensations
  • Swelling of jaws or side of the face

Noteworthy points for patients who suffer from jaw pain or a TMD (Temporomandibular Joint Dysfunction) often have neck pain. And, the opposite is true as well. Neck pain patients who suffer from slipped discs in the neck often have associated TMD (jaw pain or Temporomandibular Joint Dysfunction). Therefore, if you suffer from a slipped disc in your neck or have a slipped disc in the jaw, get treated by our experts who have a better understanding of both conditions. The best clinical non-surgical center for jaw pain and neck pain is our center. We offer the best slip-disc treatment for the neck or jaws in Malaysia.

What Is The Best Treatment For A Slipped Disc In The Jaw?chiropractor assessing x-rays

The best means of treating any jaw pain is a conservative measure. Jaw disorders, including the slipped disc in the jaw, can be effectively treated with timely care. Chronic or neglected conditions are also treatable through our conservative methods of treatment but require more therapy sessions. For best results, try to get treated through our clinical teams within the first six months. As with any condition, the longer it goes untreated, the harder it is to fix it.

NSAID’s (Non-Steroidal Anti-Inflammatory Drugs) such as ibuprofen can help with symptoms of swelling and capsulitis. However, before taking medication, you must speak with your medical doctor to make sure it is the right option for you. Some with chronic conditions opt for steroid injections. But, we would discourage you from this route.

Steroidal injections are beneficial to pharmaceuticals and not the sufferers. Therefore, we are adamantly opposed to this useless procedure. In fact, you may get more harm than relief, as the chemicals injected cause further damage to your jaw’s soft tissues, including the articular disc (jaw disc or jaw disk). Therefore, surgery should be the absolute last option. So, opt for our targeted physical therapy methods, chiropractic, physiotherapy, and rehabilitation to avoid surgery today.

We mentioned earlier that slipped jaw discs or internal derangements can cause neck pain. In fact, there will be some neck involvement in almost all cases of slipped discs in the jaws. Therefore, when you opt for jaw pain treatments, always seek centers that excel in jaw pain and neck pain treatments. In short, we should be the first on your list.

Why Our Jaw Treatment Work Better?

We succeed when others fail—our clinical successes in treating patients with jaw pain result from our research-based system of integrative treatment approaches. In our centers, we combine the clinical benefits of chiropractic, physiotherapy, physical therapy, nutrition, and splints.

Each has its importance. When it comes to jaw malfunction, there are no silver bullets. In other words, there isn’t a single method that can fix it or a magic pill that corrects the problem. It takes knowledge, skills, and technology to treat a slipped disc in the jaw effectively.

In addition to the physical therapy (a manual form of physiotherapy), chiropractic combined with physiotherapy treatment, we may refer you to a dentist for a customized jaw splint (dental guards, mouth guards, or night guards). In this manner, you get the best holistic treatment for faster recovery.

Dental guards, mouth guards, night guards, or splints are devices customized and made by dentists for patients who grind their teeth at night — grinding teeth (bruxism). Bruxism is an involuntary or habitual grinding of teeth during sleep. It is relatively common in patients with a slipped disc in their jaws.

Splints or guards help relieve symptoms of capsulitis by raising the bite and re-positioning the jaw joint. Furthermore, it protects the jaws of patients who grind their teeth during sleep. If you have a dentist with whom you feel comfortable, by all means, contact them for this splint. If not, we can refer you to a dentist whom we have worked with before. In short, our level of jaw pain treatment is the most comprehensive of all methods provided in Malaysia. Visit our center today to learn more about our jaw pain treatment options.

What Type Of Treatment Do We Offer?

healthy mother and child with big smile

As mentioned, ours is a holistic approach. Slipped disc in the jaw is always present with inflammatory processes and soft tissue damage. In other words, jaw pain patients will have some degree of capsulitis or synovitis. Synovitis is an inflammatory process in which the lining of the jaw joint 9synovium) becomes inflamed (synovitis).

Capsulitis is the inflammatory process that impacts the connective tissues. Inflamed articular disc and soft tissues of the jaw joint (ligaments) are casualties of capsulitis. Why is this important? Competing therapy centers often neglect treatments for synovitis or capsulitis.

Medical centers prescribe medication, while some entirely ignore this simple fact. However, in our centers, we will recommend nutritional supplements that enhance the therapeutic benefits of our physical therapy, chiropractic, and physiotherapy treatment.

When your jaw joint ligaments or synovium are damaged, specific nutrients can help the recovery process. Our clinical teams may recommend some food supplements to complements the manual and modality-assisted treatment they provide you.

Our treatments incorporate the best methods of physical therapy, physiotherapy, and chiropractic. The physiotherapy part of your procedures includes therapy on specialized devices along with the stretch and exercise program we provide for you. Physiotherapy devices such as ultrasound, Interferential current therapy, shockwave therapy will help repair damaged or injured tissues. And chiropractic treatments are specific for the realignment of your jaw joints and neck joints when needed.

CSC’s clinical teams can fix and repair your jaw problems through holistic non-invasive therapy methods. So, call us and get the best treatment for your slipped disc in the jaw today!

This Post Has 14 Comments

  1. Eve

    Hi, my jaw has been out of place for the past week. I suspect a displacement of my jaw’s disc. I’ve been to many places like the doctors and the dentist who has given me a splint but won’t receive of for two weeks, and my osteopath who has just massaged my jaw, neck, and head. Do you have any advice for me? I’m not in any pain apart from trying to open my mouth fully, which I cannot do. I’ve been looking at what to do and came across this website and was hoping for some advice.

    Thanks

    1. Dr. Yama Zafer, D.C.

      Dear Eve,

      Thanks for posting. Jaw problems (TMD) are relatively common. A displaced articular disc of the jaw joint is a common source of jaw issues, including jaw pain, ringing in the ears, dizziness, headaches, and vertigo. The majority of jaw patients will also have upper neck issues. The most common cause is teeth grinding during sleep (bruxism). Nightguards will help prevent further damage. However, you will need focused treatment for the jaw joints and neck, if needed. You may need ultrasound therapy, myofascial release, electrotherapy, and gentle manipulations of the jaw and neck. In the meantime. It would help if you refrain from the following:

      Avoid hard candy and gum.
      Take smaller bites
      Avoid opening your mouth too big when yawning.

      We can provide you with more accurate information and advice after assessing you. Please call our main center on 03 2093 1000 to schedule a consultation.

  2. Alastair

    Twenty-five years ago, In a motor vehicle accident, the seatbelt hit my right jaw. The right TMJ was damaged, and a maxillo-facial surgeon gave me cortisone injections to ease the pain. The pain in my right ear and jaw region flared up occasionally but has now become a chronic problem. My doctor referred me to my dentist, who made an excellent mouthguard which I use every night and then to an ENT specialist, who referred me first to an audiologist and then to a maxillo-facial surgeon.

    All medical tests and scans have shown no ear damage, but the articular disc does not move to cushion my jaw against my skull. The maxillo-facial surgeon told me that he refuses to operate on the TMJ and will not inject anything into it. He strongly advises me never to go that route with anyone else. He referred me to a physiotherapist specializing in TMJ problems, but his treatment aggravated the pain. I am left with pain management. I cannot use the Tramacet-family of drugs or NSAIDs, so my options are limited. Codeine helps for two or three hours but has addiction problems, and paracetamol is useless. What pain-management measures can I take?

    1. Dr. Yama Zafer, D.C.

      Dear Alastair,

      Recovering from chronic TMJ pain impacts the articular disc causing them to degenerate and slip. They are challenging but are treatable through the focused holistic treatments combining chiropractic with physical therapy (physiotherapy).

      Invasive treatments for the jaw joint have poor outcomes, often causing significant issues later. According to a published study in the Journal of Radiology, steroid injection into joints or muscles damages soft tissues, cartilage, and bones. I agree with your maxillo-facial surgeon, who rightfully refused to inject or operate on your jaw.

      Jaw issues, especially chronic TMJ pain, will always impact the upper neck. Also, chronic neck issues cause jaw problems. In other words, chronic neck or jaw patients will always present with co-conditions. As such, I suspect that you have issues with your occiput (base of the skull, upper neck, and jaw joints. To recover, you need comprehensive treatments targeting the jaws, the occiput, and your neck simultaneously. Just focusing on the jaw joint and neglecting the base of the skull and neck will not produce desirable effects.

      What are your best non-invasive options for jaw pain?

      For jaw pain treatment to succeed, it must be holistic and comprehensive. Jaw pain patients with neck and occiput issues need extensive holistic therapy for the occiput, upper neck, and TMJ.

      The first step is to get a thorough assessment of your jaws, occiput, and neck. Diagnostic imaging such as x-rays and cervical MRI (MRI of your neck) will help identify the location and severity of any possible damaged. The second step focuses on repairing them through therapy methods that combine chiropractic with physical therapy (physiotherapy). There are no shortcuts in treatment or recovery.

      The physiotherapy portion of a patient with neck and jaw issues may include the following:
      1). Ultrasound therapy of both jaws and upper neck
      2). Ultrasound therapy for the sternocleidomastoid (SCM) muscle
      3). Laser therapy of the upper neck
      4). Shockwave therapy of the trapezoid muscles if needed
      5). Gentle manual and soft tissue mobilization of the neck and jaw muscles
      6). Electrotherapy through micro-current (tens stimulation) on both jaws
      7). ELectrotherapy via interferential current therapy for the neck
      7). Focused exercises once the jaw and neck are stable

      The chiropractic part of a patient like you may include:
      1). Non-rotatory chiropractic treatment of the occiput and neck
      2). Mild and tolerable internal and external TMJ manipulations

      Chiropractors and physiotherapists (physical therapists) familiar with jaw pain are the primary non-invasive caregivers for TMD (Temporomandibular Disorder). For better results, try to find an integrative clinic that treats jaw pain and injury through the combined efforts of chiropractors and physical therapists.

      Regardless of who treats you, the care you get must not be painful or uncomfortable. Pain or discomfort during therapy is indicative of aggressive therapy approaches. I suspect the physical therapists who treated you may have adopted an aggressive therapy approach.

      What are the best practices and home remedies for patients with chronic TMJ problems?

      First and most important, prevention is better than cure. Therefore, avoid taking big bites, chewing gum, and eating har food. Also, refrain from opening your mouth too wide, especially when eating or yawning. Mouthguards or night guards are essential. You will need to replace them frequently if you grind your teeth or when they show signs of wear and tear.

      Recovery is best by decreasing harmful activities and increasing beneficial actions such as focused therapy. Start with ice therapy first, as I suspect chronic inflammatory reactions in your jaws and neck. You may also try icing your jaw joints and neck. If icing increases pain or discomfort, switch to heating them.

      How to ice the TMJ?
      Fill a few small party balloons with water until they are slightly bigger than a golf ball. Gently massage your jaw joints with the ballons for 5-7 minutes using a circular motion. It would be best to get a friend or your significant other to do this for you two-three times a day. It would help to avoid icing your jaw sooner than once every two hours

      How to ice the neck?
      Get a reusable ice pack. Ice for 15-minutes using the timer on your cell phone. Icing for less than 7-minutes is a waste, and going over 20-minutes will make you worse. Also, wrap the ice pack before putting it on your neck.

      I hope this helps. If you live in Malaysia, please visit our center in Kuala Lumpur for your jaw pain and articular disc disorder. You may call us on 03 2093 1000.

  3. Tony

    Hello, about a year or two ago, I purchased the “Jawxrsize.” It turns out this was a HUGE mistake. I would use the Jawxrsize daily, and it would get to the point where I would chew on it without even realizing it. Well, there were a couple of times when all of a sudden, my jaw just locked up, and I couldn’t open my mouth for a few seconds.

    After this happened several times, I threw it away and never used it again. Since then, my jaw pops whenever I open it and will occasionally feel stuck. My dentist says my bottom jaw is “sinking” back towards my throat if that makes sense. It gets significantly worse when I lay down. Some mornings I wake up and can only open my mouth halfway. It will take some massaging and warming up before it allows me to open my mouth. Do you have any idea of how much damage I have caused my jaw? I am desperate for feedback.

    1. Dr. Yama Zafer, D.C.

      Dear Tony,

      Thanks for posting a question about your jaw pain resulting from excessive exercises through an apparatus.

      In my opinion jaw, muscles should not be put under load and exercised. Your jaw muscles get enough exercise daily when talking or chewing food. From what I understand, the Jawzarsize exercises the jaw muscles (muscles of mastication or chewing muscles) by having you repeatedly bite down on a Jawzarsize ball with up to 40 pounds of resistance 10-30 times per day.

      Putting your jaw muscles under that much load may injure your jaw’s ligaments, muscles, and articular discs. Therefore, we don’t recommend using any product or exercise apparatus that stresses the jaw joints or soft tissues.

      You also mentioned that you have experienced clicking and popping in your jaws and have difficulty fully opening your mouth. The clicking of jaw joints and the locking you encounter may have resulted from the increased stresses you placed on your jaws while exercising the jaws muscles. In short, you may suffer from TMD (temporomandibular joint dysfunction) resulting from slipped of your jaw’s articular disc.

      A slipped in the jaw (slipped articular disc) is treatable and recoverable with our focused methods of physiotherapy combined with TMJ-specific chiropractic. Integrating our evidence-based chiropractic methods with physiotherapy leverages the clinical effectiveness of both to undo the damage and repair tissues. Don’t hesitate to get in touch with our main center on 03 2093 1000 to schedule a consultation with one of our jaw experts, and we can help.

      1. Andrea Clarke

        I have a night guard for bruxism. I have disc slip without reduction in my right TMJ.

        Is the night guard I had custom made prior to the acute episode sufficient?

        Should I be getting a specific device whose goal is to recapture the disc? Are those effective? Safe?

        1. Dr. Yama Zafer, D.C.

          Dear Andrea,
          First, please excuse our late reply. Secondly, night guards or other devices alone are insufficient in helping restore the jaw’s disc. The goal of wearable appliances for the TMJ is to decrease the stress placed on the jaw joint and its articular disc. To recover and stabilize the jaw joint, you need personalized treatments combined with the wearable custom-made guard. Additionally, a night guard wears out and needs replacing every six to eight months. I hope this helped. Should you need further assistance, please Whatsapp us.

  4. Clowm4mely

    Hi,

    I’ve been experiencing TMJ disorder from early 2020 until now (2022). I had clicking and popping sounds in my jaws. In the past, clicking lasted 1-2hrs, but it has become continuous as of late. I did visit a dentist who related the condition may have resulted from problems I have. The dentist did give me some treatments, and clicking is better. But now, I have more pain and cannot open my mouth fully, making meals difficult as I experience discomfort when I jew food. My jaw pain is getting worse, and I suspect it has to do with my articular disc. Is there anything your center can do to help me?

    1. Dr. Yama Zafer, D.C.

      Thank you for posting a question. Jaw problems (TMJ issues or TMD) can become horrific, making life difficult. Moreover, it can cause vertigo, dizziness, headaches, neck pain, and ringing in the ears (tinnitus).

      Jaw problems are caused by direct trauma to the jaws, bruxism (grinding of teeth), prolonged dental visits, and endoscopies. Bruxism or teeth grinding during sleep is possibly the most common cause of jaw problems. Patients who grind their teeth during sleep will stress their jaw muscles, ligaments, and articular discs. Moreover, in time, the joint wears out and becomes arthritic. In addition, the articular disc of the jaw joint can slip.

      I, too, suspect some degree of articular disc slippage. However, the first step is to assess you thoroughly and identify damaged tissues. Accurate diagnosis is essential for customizing a focused therapy that resolves your jaw issues, and we can help. The good news is that we have successfully treated thousands of patients with jaw issues; we should also be able to help you.

      Please call our main center on 03 2093 1000 to secluded an appointment at one of our centers. Please bring x-rays of your jaw, teeth, or neck if you have any. Once we have had the opportunity to assess your condition, we can provide additional tips and information for lasting relief.

  5. Kristin

    Good morning!
    I have some questions about my TMJ. I have had an MRI that shows the disc is displaced and not going back even upon opening. The dentist said that I needed surgery to get the disc back on. My biggest issues are all ear related versus my jaw. I have jaw pain, but I am most concerned about the ear pressure, ear pain, and tinnitus. Please let me know if you think there is a way to heal this without surgery. Thank you!

    1. Dr. Yama Zafer, D.C.

      Dear Kristin,

      A slipped disc in the jaw is a common issue that results from an injury or bruxism (grinding teeth at night during sleep). Aside from jaw pain, in almost all instances, it causes ear issues, including fulness, ringing, loss of hearing, and pain. Also, most will complain of headaches, dizziness, vertigo, and neck pain.

      Jaw surgeries for a slipped disc in the jaw have high failure rates. As such, I only recommend jaw surgery if the jaw is fractured.

      Instead, I recommend combining TMJ-specific chiropractic treatment with physiotherapy and jaw-specific rehabilitation.

      We have treated thousands of TMD patients successfully, including many with tinnitus with great success.

      If you live in Malaysia or if you can visit our Chiropractic Specialty Center® in Kuala Lumpur, we can help. Over the last 15 years, we have helped thousands of tinnitus and jaw patients recover without surgery. I hope this helps, do contact us on 03 2093 1000 or Whatsapp us at +(60)17 269 1873 for more information.

  6. Gwen Weiler

    I have had issues with the disc in my left jaw (articular disc in the jaw) for some time, but in the spring had several surgeries that made it worse. My dentist advised going with Invisalign or something similar to fix my overbite, which she thought would help with my jaw disc problems, including grinding my teeth. What are your thoughts on that? It can get expensive, and the positive side is straight teeth, but I need something to fix my jaw. Would this help?

    1. Dr. Yama Zafer, D.C.

      Dear Gwen,

      Thanks for posting your comment. Jaw surgery, especially for the articular discs, is not as successful as most belief. Repeated surgical interventions are common and often lead to more scar tissue. I recommend jaw surgery only if the jaw joint is broken. For everyone else, conservative therapy is best. However, most dentists, chiropractors, and therapists lack clinic proficiency in the non-surgical treatment of a displaced articular disc in the jaw joint. As a result, many end with surgical interventions.

      If you live in Malaysia, visit our Bukit Damansara (Kuala Lumpur) center for a thorough assessment. We have treated many with jaw issues with our integrative methods of physiotherapy and chiropractic in Kuala Lumpur, Malaysia. If you cannot see us, please find an experienced chiropractor proficiently with TMD caused by an articular disc issue. I have treated thousands of jaw patients over the last 26 years with a considerably high success rate.

      Invisalign is an aligner to help straighten your teeth. They may provide some protection for your jaw joints, but a custom-made nightguard may work better as its sole purpose is to minimize the stress on your jaw joints when you “clench” or “clench & grind” your teeth during sleep.

      Nightguard aligners, including the Invisalign braces as a standalone procedure, are insufficient to stabilize and eliminate symptoms caused by articular disc issues in the jaw. To recover, I recommend high-quality custom-fitted nightguard and articular disc treatments by a clinical team, a chiropractor, and a physiotherapist (physical therapist) combined during each therapy session.

      I hope this helped. Should you wish to book an appointment, please WhatsApp us by clicking this link.

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