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About four years ago, maybe only three, I can't remember exactly.. I found out there was a physical therapist in town that wrote a book on TMJ.. I'm always thinking about advertising myself, so I decided to give him a call and offer my services to him and his patients. After all, over the years Ive been able to help quite a few people suffering that problem. Not cure them, but have successfully down graded their suffering. I use to put latex gloves on and actually work in the mouth.I did that 25 years ago.. So anyway I called this guy, introduced myself, and offered him my help for his patients.. He told me in a rather abrupt way that massage can't help TMJ.. I said yes it can.. That I have been a massage therapist for 25 years, and that has been my experience... He said massage can't help. Im a medically trained physical therapist and I wrote the book on TMJ. You're lying, don't bother me. And hung up... My goodness I was pissed for a while...but whatever, and got over it quickly. Anyway I recently had a new client in for an 80 minute massage that had just left his office after getting treatment for her TMJ.. She had been suffering for weeks with a very bad headache and tremendous jaw pain and went to his office for help.. And Im sure he helped her. She commented that he worked on her jaw and now her teeth touch and bite matches.. But she still has her migraine headache... She didn't want me to actually work on her jaw because it was still tender from the physical therapy work and just wanted a massage to see if it can help her headache..I didn't want to mess up her jaw, throw it out of alinement anyway.....So avoiding her jaw directly I began doing some good cervical and cranial work.. With that I was able to ease her headache a little bit... Then I decided to have her turn over and give her some good back work along with checking for trigger points in the upper back and shoulders that are often associated with headaches and TMJ.. I did find a big trigger point in one of her upper traps that I was able to eliminate.. But also I knew that often times people suffering with bad TMJ and headaches had sacrum, hip, or pelvic pain.( Sacral Occipital Technique). I asked her if her hips hurt.. she said no.. But on palpation we found out that both hips were nocioceptive(very sore) on both sides of her sacrum...I was able to dramatically down grade that pain utilizing a version of Muscle Energy Technique. Then I moved down to her feet and gave her a good foot rub..That always seems to have a global effect on pain anywhere in the body...Besides that I had an 80 min. massage to time things out with... After the feet I again had her turn over and again did some good neck and cranial work.. But this time I had her put her tongue between her teeth while I applied a steady pressure to the muscles under her jaw.. I held that pressure for about 30 seconds, then had her relax... I asked her how her headache was...She said it was much reduced now....the brain will down grade any tension it can in those muscles that could possibly bite the tongue off..(almost half the head). I use that technique for every headache person....Anyway, I also knew that people suffering from headaches or TMJ often have Iliocecal valve sorness....A sore area in the lower right abbs. Sure enough she was very tender in that area...I was able to eliminate that with some abb work.... Then I returned and finished the massage with some scalp work....After the massage her headache was gone.. She was happy and smiling... She told me she is going to tell her physical therapist about me.. and that he should send me lots of patients....lol Anyway..I thought that was a good story... lol
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great description a treatment, l liked how you decribed working so many areas that relate back to eachother.
" I applied a steady pressure to the muscles under her jaw' Which muscles? my spatical dislexia is makeing it not ovbious.
thanks for the link.
too bad about the PT.
If you client has a headache or jaw pain...this technique can often (not all the time) down grade or remove the pain quickly. When they are on their back...Have them place their tongue between their teeth..Teeth are making contact with the tongue... Then you, with one of your fingers press on the myiohyoid and digastric or whatever they are called right underneath the mandible....you are applying pressure on that tongue...Now dont hurt the client...you just want pressure...Hold that pressure for about 30 seconds...Your clients autonomic nervous system will not want to bite its own tongue off...so it will do everything it can to make that not happen...so what happens is all the tension in the muscles that could possibly do that get down graded and relaxed via the nervous system. I do that on anybody with a headache.. It only takes a few seconds.. Bottom line is,, You want to make the brain think its going to get its tongue bit off..so it does every thing it can to make that not happen...it downgrades the energy to all the muscles that could do that....a decrease in tension in the head....Then you carry on with whatever techniques you do for headaches. Now dont hurt the client..Its just pressure on the tongue...not pain on the tongue. Index finger pressing right underneath and below the mandible.
elizabeth mount said:
great description a treatment, l liked how you decribed working so many areas that relate back to eachother.
" I applied a steady pressure to the muscles under her jaw' Which muscles? my spatical dislexia is makeing it not ovbious.
thanks for the link.
too bad about the PT.
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