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Full Course Description

TMJ Dysfunction, Facial Pain, and Headaches: Essential Tools and Techniques

Are you approaching TMJ dysfunction by focusing on the jaw only? Discover how lasting symptom relief necessitates more global thinking! The intensity of pain and limitations imposed by TMD can quickly turn life upside down for your patient. However, with application of the correct skills, you can get your patient walking, talking and chewing gum like a boss!

With an understanding of the pathomechanics and function of the TMJ complex, you will be able to address everyday activities like chewing and yawning — plus facial, head, neck and even ear pain caused by mobility impairments of the jaw and cervical spine.

Learn how to avoid tunnel vision and only ‘treating symptoms’ by discovering how much the entire cervical spine and even thoracic spine positioning impacts the TMJ. You will learn easy to apply and effective techniques to integrate:

  • Myofascial and positional release
  • Joint and soft tissue mobilization
  • Craniosacral therapy
  • Neuromuscular re-education techniques

You will gain essential skills to successfully treat this multifaceted diagnosis with techniques that reduce pain on the very first visit. Prolong the effects of your manual therapy with proven HEP tactics that help with everyday activities like eating, smiling, and yawning without pain.

Best of all? This specialty has tremendous potential to generate consistent referrals to your practice without the need of costly equipment. Don’t underestimate the occurrence of TMJ dysfunction or the value and diversity of this clinical skillset – purchase today!

Program Information

Objectives

  1. Appraise the anatomy and function of the TMJ.
  2. Investigate signs and symptoms of temporal mandibular joint (TMJ) disorders.
  3. Differentiate key components of TMD examination and functional outcomes measures.
  4. Investigate the relationship between movement impairments of the TMJ and cervical spine.
  5. Analyze the role of poor posture in TMD.
  6. Integrate manual therapy into a plan of care to manage mobility impairments of TMD.
  7. Develop home management principles for TMD including posture, exercise, biopsychosocial and self-applied manual therapy interventions.
  8. Propose integrative methods of pain and disability management for TMD rehabilitation.

Outline

Anatomy and Functional Aspects of the TMJ and Cervicocranial Complex

  • Osseous and myofascial elements
  • Muscles of mastication, mandibular elevation, depression
  • TM disc arthrokinematics
Etiology of TMD
  • Demographics, symptom and medical/dental history
  • Orthotics/braces, work/play history, stress effects, computer work
  • Bruxism, tinnitus, concussion, whiplash, dizziness, breathing issues, neuropathic and referred pain, headaches
Signs and Symptoms
  • TMD and TMD-related headache
  • Ear and neck pain
  • Imaging studies
Examination
  • Observation, palpation of craniocervical and upper quarter
  • Location of trigger points
  • Posture, facial symmetry, cervical spine position, tongue position, mobility, teeth/bite alignment
  • ROM and strength
  • Joint mechanics: chewing, eating, mouth opening, Valsalva, cough/sneeze
  • Condylar translation, rotation
  • Cervical motion associated with jaw opening/closing
Functional Assessment Tools
  • TMD Disability Index (Steigerwald Maher TMD Disability Index- 10Q), Neck Pain Disability Index (NDI), CCFT
Manual Therapy & Mobility Impairment Interventions
  • Indications and Contraindications
  • Mobility Impairment Interventions
    • Soft tissue mobilization, myofascial release
  • Positional release, muscle energy, myofascial and trigger point release
  • Posture alignment
  • Neuromuscular re-education, correction of condylar rotation, jaw opening/closing correction, craniosacral release, massage, joint mobilization
  • Cervical and scapular mobility considerations
Therapeutic Exercise and Home Program Design
  • Literature review
  • Rocabado 6 x 6 program
  • Kraus’ TMD exercise program
Case Studies and Problem Solving

Target Audience

  • Physical Therapists
  • Physical Therapist Assistants
  • Chiropractors
  • Massage Therapists
  • Athletic Trainers
  • Dentists
  • Other Rehab and Healthcare Professionals

Copyright : 02/01/2023

Rehabilitation of Temporomandibular Joint & Facial Dysfunction

Program Information

Objectives

  1. Review basic facial and TMJ anatomy.
  2. Identify orofacial pain and types of temporomandibular disorders (TMD) and the associated impacts on function.
  3. Perform a comprehensive evaluation of TMD and orofacial pain dysfunction.
  4. Develop a plan of care using manual therapy, exercise therapy and use of modalities to reduce pain and enhance function for ADLs.
  5. Communicate the importance of an effective home exercise program.

Outline

Anatomy and Evaluation

  • Predisposing factors: fibromyalgia, IBS, depression, trauma & stress
  • Patient history – and why the onset of the problem is a clue
Outcome Measures
  • Visual analog or numeric pain scale
  • TMD disability index
  • Neck index
  • Upper extremity functional scale
Solutions for Orthopedic and Neurological Presentations
  • Facial Pain
  • Facial & bell’s palsy
  • Trigeminal neuralgia
  • Clicking
  • Limitations in ROM
  • Weakness
  • Difficulty opening or closing the mouth
  • Difficulty swallowing or speaking
Physical Therapy Management of TMD
  • Myofascial trigger point release
  • Joint mobilization
  • Therapeutic exercise
  • Postural strengthening
  • Modalities
  • Therapeutic HEP
Specific Techniques for Head and Neck Muscles
  • Sternocleidomastoid
  • Digastric
  • Upper trapezius
  • Upper sub-occipitals
  • Lower sub-occipitals
  • Temporalis
  • Masseter
  • Medial pterygoid
  • Lateral pterygoids
  • Facial muscles

Target Audience

  • Physical Therapists
  • Physical Therapy Assistants
  • Chiropractors
  • Massage Therapists

Copyright : 04/20/2023

Manual Lymph Drainage: Mini Lymphlift for the Head, Neck and Face

Headaches, acne, CTE’s, dementia, COVID, allergies and dental surgeries, what do they have in common? Edema! Discover the European modality designed to eradicate toxins and improve lymph flow for these conditions.  You will understand the dynamics underlying these conditions and many more. When diseases or conditions of the head, neck and face challenge our patients and clients, MLD is the conservative approach that’s in demand. Physician referrals for MLD of the face quadrupled since major news channels shared the benefits of the modality for post covid recovery. You will learn a time and cost-effective self care routine to keep the lymph flowing between appointments for the ultimate maintenance program. 

Program Information

Objectives

  1. Determine the key drains in the cervical lymph node triangle.
  2. Assess lymph flow entry into the blood stream via the Terminus.
  3. Categorize the four components to healthy lymph flow.
  4. Perform the mini lymphlift self-care protocol.

Outline

MLD Foundations: A & P of the Lymph System 

  • Founders of modern day MLD 
  • Lymph Nodes of the Face & Neck 
  • Lymph Fluid Composition 
  • Lymph Vessels 
  • The Terminus 
Clinical Applications for MLD of the Head, Neck & Face 
  • Surgery 
  • CTE 
  • Acne, Rosacea, Eczema 
  • Covid 
  • Dementia 
  • Dental
  • Allergies
Virtual Lab: Self MLD utilizing the MLD Mini-Lymphlift 

Target Audience

  • Physical Therapists
  • Physical Therapy Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Athletic Trainers
  • Massage Therapists
  • Chiropractors

Copyright : 06/15/2022

Intervention Strategies for Neck Pain: Optimizing Patient Care & Functional Outcomes

Desk jobs.  Devices.  Poor posture.  It’s no surprise that you see patients with neck pain so frequently.  Theresa Schmidt, PT, DPT, MS, OCS, LMT, CEAS explores tried and true methods for treating this population – a framework that directly ties evidence-based interventions to the specific diagnostic category of the patient: 

  • Quickly narrow in on exactly which exam tools are the best fit  
  • Effectively customize your treatment based on the specific diagnostic category 
  • Critical considerations for treating acute vs subacute vs chronic neck pain 
  • Which diagnoses respond better to manipulation vs manual therapy or exercise 

You’ll learn which interventions are backed by research for each of the most common ailments including cervicalgia, headaches, cervicocranial syndrome, thoracic spinal pain, cervical strain/sprain and more!  In a world where being reimbursed is becoming harder and harder, this fast-paced and in-depth training will pave the way for streamlined treatment, effective documentation and optimized reimbursement.  You’ll develop a concise approach for selecting the gold standard treatment: tools and techniques that you can immediately implement into your practice to improve outcomes. 

Program Information

Objectives

  1. Investigate the current clinical practice guidelines (CPG) for patients with neck pain as developed by the orthopedic section of the American Physical Therapy Association.
  2. Choose the most reliable examination tools for patients with neck pain to diagnose anatomical and functional impairments and classify people into the associated impairment-based category.
  3. Develop intervention strategies based on diagnostic categories to address activity restriction limitations and functional mobility impairments based on the CPG classification of impairments for neck pain.

Outline

Using Clinical Practice Guidelines to Optimize Patient Care and Functional Outcomes 

  • Chronic pain risk factors 
  • Pathoanatomical Factors 
  • 5 primary diagnostic categories 
  • Impact of CPG on clinician behaviors 
  • Red and yellow flags 
  • Do CPGs predict results? 
Quickly Identify the Impairment Classification 
  • Neck pain with mobility deficits 
  • Neck pain with movement coordination impairments & whiplash (WAD) 
  • Neck pain with headaches 
  • Neck pain with radiating pain 
  • Neck pain with mobility deficits 
  • Evaluation Strategies: 
    • Cranial cervical flexion test (CCFT) 
    • Spurling’s Test 
    • Distraction Test 
    • Upper Limb Tension Test 
    • Valsalva 
    • Patient Specific Functional Scale 
    • Self-reported questionnaires, Neck Disability Index 
Targeted Interventions to Address Limitations & Structural/Functional Impairments 
  • Manual therapy  
  • Patient Education 
  • Nerve mobilization, traction, upper quarter mobilization 
  • Centralization and stretching, exercise 
  • Case studies for matching classification to interventions 
    • Whiplash 
    • Headaches 
    • Radiating pain  
    • Mobility deficits 
    • Movement coordination impairments 

Target Audience

  • Physical Therapists
  • Physical Therapy Assistants
  • Athletic Trainers
  • Massage Therapists
  • Chiropractors

Copyright : 09/08/2021

Dysphagia: Targeted Interventions for Children & Adults

Clinicians often take a “more is better” approach to dysphagia intervention –  long lists of exercises, strategies, and interventions that our clients and their families can’t possibly adhere to. This recording will help clinicians develop targeted interventions for children and adults with dysphagia. Case reviews will be utilized to assist participants in identification of physiological targets for swallow treatment including breathing/swallow discoordination, delays in swallow response, and pharyngeal dysmotility among others. Assistance with development of impairment-specific strategies, exercises and compensations will be provided.

Program Information

Objectives

  1. Discuss the pros and cons of dietary modifications for clients with dysphagia
  2. Identify compensatory swallowing strategies specific to physiological impairments
  3. Design exercise programs that will target specific physiological impairments for clients with dysphagia

Outline

Intro – Why an impairment-based approach?  Making the case for target interventions
Choosing dietary modifications -food texture, thick liquids
Managing the consequences of the interventions we choose
Choosing strategies for:

  • Breathing/swallow coordination
  • Swallow response delay
  • Reduced airway closure
  • Impaired pharyngeal motility
Exercises that target:
  • Breathing/swallow coordination
  • Reduced hyo-laryngeal excursion
  • Reduced airway closure
  • Impaired pharyngeal motility

Target Audience

  • Physical Therapists
  • Physical Therapist Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Athletic Trainers
  • Speech Language Pathologists

Copyright : 07/26/2019

Upper Extremity Myofascial Chains: Don't Chase the Symptoms, Find the Cause

Roaming symptoms. Vague pains. No particular diagnosis to attribute to it. New complaints every few sessions. We’ve all been there.

These patients can often leave you feeling frustrated and defeated.

Learning more about myofascial chains revolutionized the way I treat these patients. I’m now able to quickly identify the root cause of dysfunction and alleviate symptoms sooner, often in just a few sessions!

Watch me, Dr. Rina Pandya, as we walk through the time-tested techniques that I’ve developed across my 20+ year career in outpatient therapy. We’ll begin with an in-depth tour of the fascial anatomy and how utilizing those links can help you to provide rapid improvement in movement, stability, strength and functional gains.

Discover how you can:

  • Pinpoint commonly missed diagnoses related to myofascial restrictions
  • Save time and resources for you and your patient with these streamlined techniques
  • Eliminate pain while simultaneously improving biomechanics of the UE

This concise course that will leave you feeling confident in your ability to solve those “mystery” diagnoses the very next day in clinic – resolving the issues that have nagged at these patients for weeks, months or even years!

Program Information

Objectives

  1. Perform skilled evaluation of upper extremity dysfunctions and use the knowledge of myofascial chain for differential diagnoses.
  2. Apply the knowledge of myofascial chain to treat patients successfully in a time sensitive manner instead of chasing the symptoms.
  3. Determine the right treatment strategy for the presenting diagnosis based on skilled evaluation of myofascial chain and the related dysfunctions.

Outline

The Fascial System

  • Anatomical network of connective tissue
  • Properties of fascia: viscosity, elasticity, plasticity, remodeling
  • Difference between fascia and myofascia?
  • Causes of myofascial pain
  • One giant sensory organ?
  • Differential diagnosis of myofascial pain
Clinical Applications: The Myofascial Chains
  • Superficial frontal line
  • Deep frontal line
  • Deep back arm line
  • Superficial front arm line
Contribution of Myofascial Pain Syndrome
  • Oncologic diseases
  • Osteoarthritis
  • Neurological diseases
  • Inflammatory diseases
Evidence-Based Diagnosis
  • Chronic non-specific neck pain
  • Chronic tension type headache
  • Cervicobrachial pain and more…
Strategies for the Most Common MSK Conditions You Treat
  • Tennis elbow
  • Rotator cuff syndrome
  • Scapulohumeral dysfunction
  • Upper extremity synergies
  • Headache
  • TMJ pain
Treatment Techniques That Get
  • Results Fast
  • Myofascial release
  • Global stretches
  • Varied manual therapies
  • Yoga poses
  • Addressing forward head posture
  • Customizable sample exercises and techniques

Target Audience

  • Physical Therapists
  • Physical Therapy Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants
  • COTA
  • Athletic Trainers
  • Chiropractors
  • Massage Therapists

Copyright : 05/03/2021

Trismus Management Following Head and Neck Cancer

More common than you may realize - radiation associated dysphagia occurs in 30-50% of head and neck cancer patients! In this session, you'll learn how to assess and evaluate trismus alongside strategies for individualized exercise management.  With a better understanding of how to work with/around pain coupled with exercise progressions and self-monitoring strategies, you will help patients enhance and regain function.

Program Information

Objectives

  1. Assess components of a comprehensive trismus assessment.
  2. Determine risk factors for osteoradionecrosis.
  3. Determine which patients are at risk for trismus.

Outline

  • Trismus
    • Assessment
    • Evaluation
    • Timing of trismus
  • Management of Trismus
    • Exercise physiology principles
    • Devices utilized in clinic
    • Considerations for Specific Diagnoses
    • Individualized exercise management
    • Progressing exercises
    • Long term self-patient monitoring
    • Risk factors of osteoradionecrosis/ORN

Target Audience

  • Athletic Trainers
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Physical Therapists
  • Physical Therapy Assistants

Copyright : 03/29/2023