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TMJ Dysfunction Case Study

Temporomandibular Joint Dysfunction Case Study

14 year old male baseball player presented to Vertex with a chief complaint of left sided jaw pain that occurred after being hit on the chin by a ground ball at practice.  Additionally, he complains of his jaw “locking” and “clicking” with end range mouth opening, specifically while eating.

Clinical Exam:

Palpable Click with opening and 25mm left mandibular deviation (ipsilateral)

Apical breathing pattern

Decreased left upper cervical rotation (+ left cervical flexion rotation test)

Tenderness to palpation left masseter and left medial pterygoid with patient reported familiar pain

 

Treatment:

HVLAT directed to bilateral C1/C2 with + cavitations.

Upper and mid thoracic HVLAT

DN with electrical stimulation to left masseter, medial pterygoid, and joint capsule.

Manual TMJ distraction

Home Exercise Program:

Cervical SNAGs, cervical retraction with over-pressure applied to maxilla, postural resets, diaphragmatic breathing

Patient Education:

Postural considerations; specifically with school and smart phone use consisting of spending less time in forward head posture in order to minimize mandibular retraction.

Result:

Chief complaint of “click” and “locking” resolved within session. 25mm deviation reduced to <5mm.  Patient followed up 6 weeks later and maintained treatment effect.

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Owens Recovery Science BFR Course

Lifters Clinic and Vertex PT Specialists are partnering up later this year to bring you an Owens Recovery Science Blood Flow Restriction (BFR) course!

The course will be held at Vertex PT Specialists on August 5, 2017. Register here:

www.owensrecoveryscience.com/certification/columbia-sc/

 

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Biering-Sorensen Test

 

The Biering-Sorensen test is used for evaluating the isometric endurance of the hip and back extensor muscles. It is a great tool for predicting if a patient/client is at risk for nonspecific lower back pain. This can also act as an important training tool before someone begins a program that involves deadlifting. The two things that you will need for this test are a timer and a GHD machine, which can be found in most gyms. Begin by having the person being tested get on the GHD machine in a horizontal prone position with their arms crossed over the chest, chin tucked, and the upper edge of the iliac crest on the pad. Make sure the person contracts their glutes and abdominal muscles to help maintain a neutral spine. Once they are in this full position, start the timer and see how long they can hold it. Stop the timer and end the test if the shoulders drop, they no longer can hold the position, or when 240s (4min) has been reached. Refer to the table below to see what category they fall in.

– Jeff Spraker

 

Males Females
Healthy 198s 197s
Prior Low Back Pain 176s 210s
Current Low Back Pain 163s 177s

 

Demoulin, C., Vanderthommen, M., Duysens, C., & Crielaard, J. M. (2006). Spinal muscle evaluation using the Sorensen test: a critical appraisal of the literature. Joint Bone Spine, 73(1), 43-50.

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Join Vertex’s 2017 MuckFest Team!

 

Join Vertex and Run with a Purpose

What?       

MuckFest MS, a 5km Obstacle Course Race (OCR) with over 17 obstacles.

Visit www.MuckFestMS.com for more info.

Where?

Concord Speedway

7940 U.S. Hwy 601 South

Concord, NC 28025 (Less than 2 hours from Vertex)

When?

Saturday, May 6, 2017

Why?

The “MS” part of MuckFest MS stands for multiple sclerosis, an unpredictable, often disabling disease of the central nervous system that interrupts the flow of information within the brain, and between the brain and body. Symptoms range from numbness and tingling to blindness and paralysis. The progress, severity and specific symptoms of MS in any one person cannot yet be predicted, but advances in research and treatment are moving us closer to a world free of MS. Most people with MS are diagnosed between the ages of 20 and 50, with at least two to three times more women than men being diagnosed with the disease. MS affects more than 2.3 million worldwide. This is the reason we come together—to rally friends in support of people living with MS in our community.

How Can I Help?

Run, Volunteer, or Donate (or all three!) today.  100% of all donations go directly to the National MS Society, providing research towards treatment, prevention, and a cure for MS.

 

Contact: Dr. Reed Handlery at reed@VertexPT.com

 

You can join or donate by visiting:
main.nationalmssociety.org/goto/Vertex

 

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