Modern Manual Therapy Blog - Manual Therapy, Videos, Neurodynamics, Podcasts, Research Reviews: TMJ

Showing posts with label TMJ. Show all posts

Untold Physio Stories - Poking and Hoping - themanualtherapist.com

Erson goes over an interesting TMJ case of posterior disc subluxation and severe pain with opening and eating. It turns out after significant improvement the patient was still checking for tenderness a bit too much.

Untold Physio Stories is sponsored by

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Untold Physio Stories - High Anxiety for Provider and Patient Over Open Lock TMJ - themanualtherapist.com

In this episode, Erson is joined by Dr. Hannah Cox who recently attended one of his live TMJ Seminars. Upon leaving, she felt prepared to take on the TMJ world! Until that is two days later, she had a patient with high fear avoidance and complaints of open lock TMJ, headaches and neck issues. Luckily, Erson was able to instill her confidence over an online mentoring session and all worked out great over 3 sessions only!

Untold Physio Stories is sponsored by

Check out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.com

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MMT Q&A: How to Treat Open Lock TMJ? - themanualtherapist.com

A PT who attended a live Modern Manual Therapy TMJ Seminar had this question. How do I treat open lock TMJ - she has high fear avoidance and passes out each time this happens. It last happened in 2016 and now she has only 1 finger width of opening.

Untold Physio Stories - Tongue Tied - themanualtherapist.com

In this episode, we're joined by special guest all the way from Australia, Darron Goralsky. He goes over a recent case of tongue tie that resulted in dramatic improvements in UQ complaints. Is this something you routinely rule out for UQ and TMJ issues? Let us know in the comments or reach out on social media!

Untold Physio Stories is sponsored by

Helix Pain Creams - I use Helix Creams in my practice and patients love them! Perfect in combination with joint mobs, IASTM and soft tissue work. Use code MMT2 to get your sample and get an additional revenue stream for your practice. Click here to get started.

Check out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual

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Untold Physio Stories - A New TMJ Differential Diagnosis - themanualtherapist.com

Severe pain with eating, along with unilateral jaw and facial swelling. Other than TMJ Dysfunction, what could be some possible differential diagnoses? Erson goes over a recent bout of "TMJ."

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EDGE Health and Tech Solutions - we level up your website with full SEO optimization, turn it into a referral generating machine and do full Google Workspace and Telehealth integrations

Modern Manual Therapy Insiders - over 650 Exclusive videos, Research Reviews, Webinars, Online Discussion - learn easy to apply Clinical Practice Patterns, integrate Pain Science with Manual Therapy and Patient Education - Join now!

Also, be sure to check out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual

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Untold Physio Stories - I've Never Made a TMJ Patient Worse - themanualtherapist.com

In this episode, Erson talks about one of his favorite patients who attended a live seminar. The instructor kept boasting, "I've Never Made a TMJ Patient Worse." He ended the case thinking the same thing, but he was sadly mistaken.

Untold Physio Stories is sponsored by

EDGE Health and Tech Solutions - we level up your website with full SEO optimization, turn it into a referral generating machine and do full Google Workspace and Telehealth integrations

Also, be sure to check out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual

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In this video, I go over ways to desensitize a painful or irritated TMJ. There are 3 simple steps you can take that will go a long way toward pain relief.

On this episode, Andrew talks about a PT colleague with recent onset of TMJ pain after hiking. What was the novel solution this time? One that you wouldn't guess! Check out Andrew and Erson's new online mentoring group at Modern Rehab Mastery!

Search for Untold Physio Stories on your favorite music/podcast apps!

Untold Physio Stories is sponsored by the EDGE Mobility System, featuring the EDGE Mobility Tool for IASTM, EDGE Mobility Bands, webinars, ebooks, Pain Science Education products and more! Check it out at edgemobilitysystem.com . Be sure to also connect with Dr. Erson Religioso at Modern Manual Therapy and Andrew Rothschild at Modern Patient Education.

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Part of treating TMD is not only education on pain science, stressors, and the manual therapies/exercises, but avoiding the triggers. We use our mouth/facial muscles much more than you think throughout the day and minimizing triggers is a good way to desensitize this area.

Here are 5 TMJ Triggers to Avoid when in the beginning and middle phases of rehab

1) Thinker pose

just look at the cover pic for this post
it's such a common pose, and often done unilaterally
the TMJ is not typically a WB joint and this can further irritate an already sensitized joint
it can also cause subluxation of intra-articular discs, and the repeatedly clicking can also irritate the joint
solution: avoid it or use fingers on the forehead and zygomatic arch to have a similar pensive pose, but not directly load the TMJ

2) Unilateral Chewing

out of habit many people chew on one side more than the other
this could either cause ipsilateral irritation or contralateral due to the tilting effect unilateral chewing has on the opposite side - may be moving the involved side too much
solution: evenly distribute food on both sides, or chew on the side that does not irritate you

3) Hard/Chewy Foods

this is an important early phase - no chew for very sensitized TMJs progressing to soft chew
the graded exposure to normal meals starting with 1 a day
use an analogy of acutely sprained ankle, in needing to avoid WB for a week or so to allow for healing/desensitization
solution: avoid hard/chewy, raw foods, make lots of healthy smoothies, give the joints time to calm down

4) Talking on phone with head tilted

another common habit, I once had a patient who couldn't figure out what set back his progress about once a week - he finally figured out it was talking to his friend long distance once a week with his head tilted to the same side
tilting head to the left causes TMJ compression to the left and distraction on the right, either side being potentially sensitized if after prolonged periods
solution: use a bluetooth or wired headset, switch sides periodically for long conversations, use speakerphone and while you're at it, walk around for the entire phone call

5) Nail/pen biting

again, another habit that patients don't realize is further irritating the sensitized TMJ
it's just another trigger that adds up throughout the day when combined with some or all of the above
solution: mindfulness to stop the "addiction" of nail/pen biting, place pens/pencils out of reach, necessitating to get up to when you have to finally use one

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Question from a blog reader, Sally Superfan, or Dr. Sally Moores of Artemis PT, and IASTM Certification Instructor for Medical Minds in Motion.

Sally asks:

"I have a patient that when opening 1) jaw shoots over to the left and then back to the center at the end range 2) pain on the left 3) clicking on the right

My questions:

1) what is the side of dysfunction? Can she have 2?

2) what would you address 1st- soft tissue restriction or motor control? I did both with some isometrics at midrange to keep tracking in the center (Kinda making this stuff up)- am I on target?

THANKS!"

Can a TMD Patient with Unilateral Pain Have 2 Dysfunctional Sides?

If you want to learn more about TMD, a vastly underserved population, check out my full online seminar, Modern Manual Therapy: The Eclectic Approach to Temporomandibular Management, or my 2 part seminar on MedBridge - save $225 by signing up for unlimited CEUs now!

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