Understanding Orofacial Myofunctional Therapy (OMT)
- Jaw function and temporomandibular disorders (TMD)
- Nasal breathing and airway health
- Tongue posture and swallowing mechanics
- Headaches, neck pain, and orofacial tension
What Is Orofacial Myofunctional Therapy?
The History and Evolution of Myofunctional Therapy
The Science Behind Myofunctional Therapy and Orofacial Muscles
In individuals with Ehlers-Danlos Syndrome (EDS), weakened connective tissues can contribute to jaw instability, discomfort, and dysfunction. Orofacial Myofunctional Therapy (OMT) offers a structured approach to improving muscle coordination, reducing strain on the temporomandibular joint (TMJ), and promoting long-term stability. By incorporating targeted exercises and pacing techniques, OMT helps balance muscle function, prevent flare-ups, and support overall jaw health.Anna, Principal Osteopath at Key Osteopaths
How OMT Supports Orofacial Myofunctional Disorders (OMDs)

Identifying Common Orofacial Myofunctional Disorders
- Low tongue posture, where the tongue rests at the bottom of the mouth instead of against the palate
- Tongue thrusting, an improper swallowing pattern where the tongue pushes forward against or between the teeth
- Chronic open-mouth posture, leading to weak lip and cheek muscles and poor nasal breathing
- Incorrect swallowing mechanics, causing strain on facial muscles and inefficient eustachian tube function
- Temporomandibular dysfunction (TMD), often resulting from imbalanced muscle activity and poor jaw alignment
The Connection Between OMT and Temporomandibular Dysfunction (TMD)
How Poor Orofacial Function Contributes to Breathing Issues and Sleep Disorders
I’ve been seeing Anna for a couple of years, most recently i’ve had problems in my upper back. Anna has given mobilisation and massage that have made a huge difference.… read more She also sent me away with exercises to improve my muscle strength and posture. The practice is lovely modern facility, clean and bright and the atmosphere is very relaxing. There is no pressure to have extra appointments and I will happily return if and when I get another issue.

Myself, my husband, my son and my daughter have all seen Anna over the past few years for either neck, back, knee, shoulder or elbow problems. She has always managed… read more to help with whatever issue we’ve had, she is very professional but also has a very friendly, caring and lovely manner. we would all highly recommend her.

Friendly and professional and most of all…effective! I had a really comprehensive assessment with Francesca who helped with a range of postpartum pelvis and back issues. I was given a… read more variety of different exercises to do at home and after just a couple of weeks I’ve noticed a huge improvement. Thanks Francesca and Anna.

The Key Components of Orofacial Myofunctional Therapy

Tongue Positioning and the Importance of Proper Resting Posture
The Role of Lip Strength and Nasal Breathing in Oral Function

MEET THE
team
Understanding the Correct Swallowing Mechanism

Exercises Used in OMT to Enhance Functionality
- Tongue suction holds – Training the tongue to maintain proper resting posture by suctioning it against the palate without engaging the jaw or lips.
- Button pulls – Strengthening lip muscles by holding a button between the lips and resisting a gentle pull to improve lip seal and support nasal breathing.
- Balloon holds – Enhancing cheek and throat muscle function by holding air in a balloon while breathing through the nose to develop better swallowing coordination.
- Mewing techniques – Encouraging proper tongue posture and jaw positioning to improve airway stability and support overall craniofacial health.
- Resistance swallowing – Strengthening the tongue and throat muscles by performing exaggerated swallowing motions to build endurance and function.
Iv been to see Anna on a number of occasions with a degenerative disc in my lower back. Before having an MRI scan to confirm the issue, Anna knew exactly… read more what was wrong and spent a few sessions helping me regain some movement as it was so locked. I now go and see her every few weeks for maintenance. Anna is fabulous at what she does and I’m so glad I found her! I couldn’t recommend her highly enough!

Love Anna, she is really good. Helped me out with mobility issues, muscle and tension release post training. Also now that I’m expecting my baby she’s been fantastic, helping with… read more some discomfort I started having during my third trimestre… 100% recommended!

I was seen by Anna initially because I had hurt my neck so badly that I was unable to pick up my baby from the floor. In tears on the… read more phone she managed to get me an appointment that day, and she worked her magic, I could move my neck on the way out and the next day the pain had gone. Since then I have seen her regularly (my choice) as she is so fantastic. Very professional, gentle and lovely. Thank you so much!

The Link Between Orofacial Myofunctional Therapy and Ehlers-Danlos Syndrome (EDS)

Why EDS and hEDS Patients Experience TMJ Dysfunction
- Chronic jaw pain and facial tension
- Clicking, popping, or locking of the jaw joint
- Frequent headaches and migraines due to muscle overuse
- Difficulty chewing, swallowing, or maintaining proper tongue posture
- Ear fullness, tinnitus, and Eustachian tube dysfunction due to muscular imbalances
How OMT Supports EDS-Related Orofacial Challenges
- Enhancing tongue posture to support jaw alignment and airway function
- Strengthening lip and cheek muscles to reduce compensatory muscle overuse
- Correcting swallowing mechanics to prevent additional stress on the TMJ
- Training proper nasal breathing to minimise mouth breathing and associated muscle fatigue
The Role of Myofunctional Therapy in Reducing Chronic Pain and Jaw Instability
- Reduce chronic jaw pain and facial tension
- Improve bite function and chewing efficiency
- Decrease the frequency of TMJ subluxations and dislocations
- Support better head and neck posture, reducing strain on the cervical spine
The Benefits of Orofacial Myofunctional Therapy for Overall Health

How OMT Supports Better Breathing and Oxygen Intake
- Encouraging tongue elevation to support a naturally open airway
- Strengthening the orbicularis oris muscle to maintain lip seal and prevent mouth breathing
- Training diaphragmatic breathing to improve oxygen efficiency and reduce upper airway resistance
Reducing Ear Fullness, Tinnitus, and Eustachian Tube Dysfunction
- Strengthening swallowing muscles to improve tube opening and drainage
- Encouraging correct tongue posture to reduce throat tension and improve neuromuscular control
- Enhancing soft palate mobility, which plays a role in middle ear pressure regulation
The Impact of OMT on Digestive Health and Acid Reflux
- Chronic acid reflux (GERD) or laryngopharyngeal reflux (LPR)
- Frequent throat clearing or sensation of a lump in the throat
- Swallowing difficulties due to muscle weakness or discoordination
- Optimising tongue movement to facilitate a smoother swallowing process
- Reducing oral and pharyngeal tension that may contribute to reflux-related throat discomfort
- Training proper breath control to prevent excess air intake during swallowing
Essential Myofunctional Therapy Exercises for Jaw, Tongue, and Breathing

Tongue Suction Holds for Strength and Posture
- Place the entire tongue against the roof of the mouth, making full contact from front to back.
- Apply gentle suction to create a light vacuum effect, keeping the tongue in place without straining the jaw.
- Hold for 10–20 seconds while keeping the lips relaxed and breathing through the nose.
- Repeat the exercise 5–10 times, gradually increasing the duration as strength improves.

Button Pulls to Enhance Lip Seal and Prevent Mouth Breathing

- Thread a small button onto a piece of dental floss and place it between the lips (not the teeth).
- Gently press the lips together, holding the button in place with lip strength alone.
- While keeping the lips sealed, gently pull the floss outward to create slight resistance.
- Hold for 5–10 seconds, then relax.
- Repeat 10 times, gradually increasing resistance as lip strength improves.
Balloon Holds for Cheek and Upper Oesophageal Strength
- Take a small balloon and partially inflate it with a single controlled breath.
- While holding the air inside the balloon, seal the lips tightly and breathe in and out through the nose.
- Maintain the seal for 10–15 seconds without releasing air from the balloon.
- Slowly exhale and repeat the exercise 5–8 times.

I have been seeing Francesca for a few years now, initially for severe back pain which she was able to identify the source of and alleviate really quickly. Now… read more I see her on a fairly regular basis (my choice), so that she can make sure problems aren’t reoccurring and also deal with any new aches and pains I inevitably pick up along the way. I feel she has an intuitive instinct backed by her advanced qualifications and regularly recommend her to others.

Anna came highly recommended to me by a friend so I decided to go and see her about a muscle issue in my left arm. Anna was fantastic, she asked… read more all the right questions and gave all the right advice, after treatment I had the best arm workout I’d had in over 5 months with no pain in the morning that I usually would have suffered from. I should have gone to see her sooner ! I’m so happy and grateful for the treatment I have received. A big thank you from me and my left arm ! thanks Anna !!

Take the First Step Towards Better Jaw Function and Breathing

Book a Consultation with Key Osteopaths Today
What to Expect at Your First Appointment
- Targeted myofunctional exercises to strengthen the tongue, lips, and throat muscles
- Manual therapy to relieve tension in the jaw, neck, and facial muscles
- Breathing retraining techniques to support nasal breathing and airway stability
- Lifestyle and postural recommendations to help maintain progress between sessions