We Are Moving to Waterloo from Monday 26th October

At the clinic

Technology & Treatments

Every treatment at The TMD Physio begins with a thorough assessment, not a machine. Krina Panchal has spent more than 15 years focused on TMD, headache and tinnitus. She uses the technology described here selectively, alongside education, supervised jaw exercise and selected manual therapies—approaches strongly recommended by the 2023 BMJ guideline for chronic TMD pain. Care also includes support with habits and stress. For each option, you will find what it is, how it is considered within your assessment, how it fits into a plan, and an honest summary of the research. We are now in Waterloo at 121 Westminster Bridge Road, London, SE1 7HR, and we would rather you choose with clear information than with high hopes.

01

NESA neuromodulation

Gentle microcurrents delivered while you rest

What it is

NESA is a non-invasive neuromodulation device. It delivers very low-intensity microcurrents through electrodes on the skin, commonly at the hands and feet, while you rest fully clothed. It is designed to influence the autonomic nervous system, which helps regulate involuntary functions such as heart rate and stress responses. The microcurrents produce little or no sensation. It is not a muscle stimulator. It involves no needles or heat, and no hands-on work on the jaw itself.

Who it suits

NESA is considered as an optional addition to an assessed plan. Your assessment covers your jaw symptoms, headaches, sleep and daily habits, as well as your medical history and any implanted electronic devices.

How it fits your plan

Krina uses NESA as an optional adjunct, never as the plan itself. Sessions sit alongside jaw exercise, manual therapy, sleep and habit advice, and education about how persistent pain works.

02

Low-level laser therapy

Light-based photobiomodulation, used selectively and explained clearly

What it is

Low-level laser therapy, also called photobiomodulation, applies low-intensity light to the skin over painful jaw muscles or the joint. It does not cut or burn, and it produces little or no noticeable heat. You may feel the probe resting on the skin. The aim is to influence cellular activity and pain signalling in the treated tissues. You wear protective eyewear during treatment.

Who it suits

Laser is considered for jaw muscle or joint pain as a supporting option within an assessed plan. It is not applied over the eyes or over areas of suspected malignancy. Krina checks your history carefully before suggesting it.

How it fits your plan

Krina treats laser as a supporting tool, not a stand-alone answer. Where laser is used, it accompanies education, guided jaw exercise and manual therapy.

03

Dry needling

Precise needling for tight, tender jaw, head and neck muscles

What it is

Dry needling uses a fine, sterile, single-use needle inserted into a tight, tender band of muscle, without injecting any medication. In jaw and headache care, common targets include the masseter, the temporalis and selected neck and shoulder muscles. You may feel a brief deep ache or a small twitch. Temporary soreness can occur afterwards. Dry needling uses needles similar to those used in acupuncture; here, the focus is on muscular trigger points.

Who it suits

It is considered for jaw pain that is mainly muscular, and tension-type or neck-related headaches linked to tender neck and jaw muscles. This pattern is common among people who clench or brace under pressure. Your assessment includes needle anxiety, bleeding disorders and medicines such as anticoagulants.

How it fits your plan

Krina is trained in dry needling to levels 1 and 2. She uses it as one component of an assessed plan, never in isolation. Needling sits alongside exercise, postural work and manual therapy. She explains what she is targeting and why, and asks for your consent each time. If you would rather avoid needles, she will use hands-on alternatives.

04

TMJ Velvet radiofrequency & diathermy

Jaw-specific radiofrequency warmth

What it is

TMJ Velvet is a capacitive/resistive radiofrequency device designed for the jaw, with applicators shaped for the face and joint region. Its diathermy mode delivers radiofrequency energy to warm tissues. The applicator glides over the skin with a warm, massage-like sensation. This non-invasive treatment is different from needle-based radiofrequency nerve procedures.

Who it suits

It is considered as a warmth and comfort option within an assessed jaw-care plan. Your assessment covers implanted devices, pregnancy and skin sensation before treatment.

How it fits your plan

Krina may use TMJ Velvet early in an appointment to warm the jaw area before manual therapy and guided exercise. It is a preparation and comfort tool, never the treatment on its own. She will not present it as repairing a disc or realigning your jaw. Its role is to sit alongside the active work you do together.

If you are unsure which of these options, if any, suits you, that is exactly what the first assessment is for. Krina is HCPC-registered and a member of the Chartered Society of Physiotherapy. She will explain your findings, the evidence and your choices plainly, then build a plan around you. Book your assessment at The TMD Physio, now in Waterloo.

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