Temporo-mandibular disorder (TMD) is a wide term that covers the issues of the temporo-mandibular joint and its related anatomical structures.

Aim: To compare the immediate and prolonged effects of temporo-mandibular joint mobilization with routine physical therapy on pain, range of motion and jaw deviation in hypo mobile temporo-mandibular joint.

Study Design: Randomized control trial.

Methodology: Patients (n=70) with both genders were enrolled in present study that was held at University of Lahore for 6 months. Informed consent was taken from all of them. In this study, patients were divide into 2 group equally on each group. Control group received routine physical therapy only while treatment group received temporo-mandibular joint along with received routine Physical therapy. Data analyzed by SPSS 20.0v.

Results: There is clinically significant difference in reduction of pain and improvement in range of motion and jaw deviation of temporomandibular joint in both groups and in between both groups over the time with treatment with either method. But Mobilization of temporomandibular joint showed immediate, early and marked improvement in all variables as compare to Routine Physical Therapy Technique alone.

Conclusion: This study concluded that both physical therapy interventions i.e TMJ joint mobilization and Routine Physical therapy showed significant clinical improvement in reduction of pain and Maximal mouth opening of the Individuals effected by temporomandibular joint disorder. But TMJ Mobilization showed marked and early improvement over time as compare to routine Physical therapy intervention.

Keywords: Functional disability, Physical therapy and Temporo-mandibular joint.