This study is carried out on sixty patients who will have tempromandibular pain and trismuspostOral and Maxillofacial Surgeryand their ages will be ranged from 18 to 40 years.

Inclusion Criteria:

1. Ages of patients will be ranged from 18 to 40 years.
2. All patients will have Oral and Maxillofacial Surgery.
3. All patients will be referred by a surgeon before starting the study procedure.
4. All participants will have pain and trismus in the jaw,
5. The participants will be also cleared for periodontal issues.
6. All patients will enter the study having their informed consent

Exclusion Criteria:

1. Patients with associated vascular injuries requiring arterial repair.
2. Patient with systemic diseases such as arthritis; pain attributable to confirmed migraine, head, or neck pain condition
3. Patient with acute infection or other significant disease of the teeth, ears, eyes, nose, or throat
4. Patient with present neurologic or cognitive deficit.
5. Patients with history of previously failed surgeries.