Top Physiatrist: "Your Fibromyalgia and TMJ Are the Same Problem, & New Research Finally Helps Us Fix Both"
I've been practicing physical medicine and rehabilitation working with fibromyalgia patients for twenty years.
Almost every woman who walked into my office with fibromyalgia also told me her jaw clicked.
Not as the main complaint. Just in passing...
For most of those years, the field treated it as an interesting coincidence. And gave separate treatment plans that didn't really ever work for either.
The research caught up. And it turns out the women who told me their jaw clicked weren't reporting a second condition. They were reporting the loudest symptom of the first one.
Most people have never heard of it.
Fascia is the layer of tissue right under your skin. A thin, web-like layer wrapping every muscle, nerve, organ, joint, and bone — one continuous network from your scalp to your feet.
It contains six times more pain sensors than the muscle it surrounds.
Think about a wetsuit.
When it's brand new and wet, it's stretchy. Flexible. It moves with your body.
Now take that same wetsuit, hang it up in a garage, and forget about it for a year. The material dries out. It shrinks. It tightens around whatever's inside it.
That's what happens to your fascia over time. It dehydrates. It hardens. It starts squeezing every muscle, every nerve, every joint inside it — slowly enough that you can't feel it happening, until one day everything starts to hurt.
When fascia tightens around a nerve, the nerve has nowhere to go. It gets compressed. Pinned in place. And it fires.
Now picture that happening to millions of pain nerves at once — neck, back, hips, scalp, gut, jaw.
The fascia in your jaw isn't like the fascia anywhere else.
It's denser.
The masseter — the muscle that closes your jaw — is the strongest muscle in your body per cross-section... And that jaw joint is the most-used joint you have. Every word. Every meal. Every yawn.
That joint sits inside one of the densest fascial intersections in the body.
When fibromyalgia tightens fascia, and the 'wetsuit' dries out, the jaw is one of the first places it shows. And because the joint moves constantly, it's the only place you can actually hear what's happening.
The click isn't just "coincidental TMJ."
We were treating the joint and the nerves. The problem was the tissue holding both.
The jaw click that won't stop.
The masseter sits inside one of the densest fascia areas you have. When fascia tightens, the jaw is the loudest place it shows.
The pain when something barely touches you.
When fascia thickens and presses on the nerve endings under your skin, those nerves become hypersensitive. A bedsheet. A hand on your shoulder. You're not exaggerating. The nerves are being compressed.
The fog and the exhaustion sleep doesn't fix.
The fascia at the base of your skull wraps the nerves and blood vessels feeding your brain. When it tightens, blood flow and signal flow get compromised. Your brain isn't getting what it needs. And every movement costs more energy than it should because your body is fighting resistance from the inside. You're not exhausted because you did too much. You're exhausted because your body is working against itself all day.
Most women with fibromyalgia can.
A car accident. A surgery. A pregnancy. A virus that never cleared — Epstein-Barr, Lyme, COVID. Childhood trauma. A toxic relationship. Years of unrelenting stress.
Different events. Same mechanism.
Each one floods the body with stress hormones and inflammation that burn through the compounds fascia needs to stay hydrated — faster than the body can replace them.
Once those compounds drop too low, fascia dries out and tightens. It starts squeezing every nerve and muscle running through it.
And in the jaw — the loudest place — it starts clicking in 3 in 4 fibro cases.
If fascia is breaking down because the body isn't getting the compounds it needs to keep it healthy, you put those compounds back.
That's it.
You can do all the yoga, the walks, and the foam rolling. You can wear the night guard, get the Botox in the masseter, and force yourself through every gentle workout the wellness internet recommends. You're working out a tissue that's been starved of its raw materials for years.
There isn't a secret. There isn't a breakthrough technology. There's just a tissue that stops functioning properly when its nutrient supply runs out, and starts functioning properly again when that supply gets restored.
The research has been emerging for the last five years. Scientists have identified exactly which compounds the fascia uses, exactly what forms the body can absorb, exactly what concentrations actually reach deep fascial tissue.
What's been missing is the delivery.
The specific compounds fascia needs aren't in a normal diet — not in meaningful amounts. The generic joint supplements on drugstore shelves aren't formulated for fascia — they're formulated for cartilage, using doses and molecular weights that never reach fascial tissue at all.
Until now.
The first supplement built specifically for the fascial dysfunction underneath fibromyalgia — and the jaw clicking that comes with it. Not "joint health." Not "general inflammation." Not "wellness." Just the actual mechanism the research has been pointing at for years.
After the formula was finalized, Avora was distributed to a cohort of 1,247 women with diagnosed fibromyalgia who had failed at least one FDA-approved medication (Lyrica, Cymbalta, or Savella). What happened in the first 90 days:
These aren't industry-funded numbers. Every response came from a real customer typing into a form on her phone, in her own words, on her own time.
Practitioner allocation first.
Avora is produced in small clinical batches in an FDA-registered US facility. A portion of each batch is reserved for clinicians distributing it within their practices. The remainder is made available directly to patients on a first-come, first-served basis.
I'm a fibro girl of 12 years and I've tried everything you can think of. Lyrica did nothing but make me gain weight and I have been in great shape my entire life — I played d1 lacrosse in college and before fibromyalgia started hitting me hard I felt I took quite excellent care of myself. Cymbalta gave me the worst sweats of my life, gabapentin helped a little but made me feel like a ghost. Started this fascia supplement in October expecting nothing. In a couple weeks my husband told me I was laughing more, which sounds dumb but anyone with fibro knows you stop laughing when everything hurts. At this point I've had a night and day experience with this, been on it for a very long time, and I feel great with all the tightness and pain I would have almost every day gone. I can't really remember the last time I had intense flareups or anything. I sleep great, it has really made a world of difference...
I'm gonna write a longer review eventually but I just had to share, my jaw clicking has basically stopped within a month. I've had it for 11 years and every dentist told me TMJ and every rheumatologist told me it had nothing to do with my fibro. Started this in February and around week 3 I noticed it had quieted. 6 weeks in and its basically gone. I don't know how to explain to people what it's like to not hear that sound every time I yawn anymore, after over a decade of it. The other fibro stuff is shifting as well, been doing loads better during flareup-ish periods, but I know the full results take a bit more consistency, will update at 3 months...
Helps with the achiness more than the fatigue for me but both are very very noticeably better. 7 or 8 weeks in and I think the boswellia in here has been really helping, did research into ayurveda and seems that thats one of the things they give to people w symptoms like this. I think part of my personal issues was this deep aching pain that felt like unreachable from the inside, like I just wanted to reach in my body and squeeze that soreness and get rid of that pain, now that sensation is really muted if not gone, after just these first couple months, and based on reading some other people experiences and the science I think things will only continue to get better from here, I have a 6 month supply so we'll see how it goes. very highly recommend this, it's natural stuff...
You've likely been managing fibromyalgia long enough to know that quieting the signal isn't the same as treating the cause — we formulated Avora for you.
Avora is proudly manufactured in the US, 3rd party tested, and ships fast from our warehouse in Paramount, CA. Not to mention that if you think Avora isn't for you within 90 days...
Full refund. No questions. No fine print. No return process designed to wear you down.
— Dr. Nathan Reeves, MD · Fascial Labs