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.
https://i0.wp.com/vertexpt.com/wp-content/uploads/2017/04/TMJ-pic.jpg?fit=304%2C241&ssl=1241304Brandon Vaughnhttp://ecbiz218.inmotionhosting.com/~wwwver6/wp-content/uploads/2017/02/logo-horiz.pngBrandon Vaughn2017-04-26 12:52:372018-02-23 21:17:21TMJ Dysfunction Case Study
Quick video of Dr. Faile experimenting with Donnie Thompson’s sissy squat variation.
One of the reasons why we like this for patellofemoral pain patients is because it allows for a more vertical shin (which = less patellofemoral compression) and you get the added close chained terminal knee extension moment at the top.
Physical Therapy for Dancers in Columbia, SC: 4 Key Exercises to Improve Strength and Technique
Whether you’re training for performance, recovering from injury, or trying to increase mobility and control, these four PT-based exercises can help you build the strength, flexibility, and stability needed to elevate your dance technique.
At Vertex PT Specialists, we treat dancers across Columbia, Cayce, Irmo, and the greater Midlands area, helping them prevent injury and improve performance through targeted physical therapy and movement-specific rehab.
1. Hip Flexor Pulses
Purpose: Improve active hip flexor strength—especially the iliopsoas—to increase leg height in front splits, développés, and battements.
How to do it: Sit with legs extended, leaning back on your hands. Perform a posterior pelvic tilt, then lift one leg with the knee bent. Pulse the leg toward your chest using the hip flexors. Perform 4 reps and repeat for 4–6 rounds per leg. Stretching the hamstrings beforehand may improve range of motion.
2. Side-Lying Attitude Raises
Purpose: Improve turnout and hip control in second position while strengthening the external rotators and glutes.
How to do it: Lie on your side with both knees facing forward. Raise the top leg with the knee bent and rotate it into an attitude à la seconde position (knee facing up). With each rep, bring the leg slightly closer to your torso. Perform 4 reps and repeat for 4–6 rounds per leg.
3. Advanced Hip Flexor Stretch
Purpose: Improve flexibility in the hip flexors and quadriceps to support better split lines and arabesques.
How to do it: Begin in a lunge with both knees at 90 degrees. Perform a posterior pelvic tilt, then side-bend your torso toward the front leg. Hold the stretch for 30 to 45 seconds on each side. Avoid lumbar hyperextension by focusing on pelvic position.
4. Calf Raises with Ball
Purpose: Build strength and control during plantarflexion while preventing ankle inversion—important for pointe work, jumps, and relevés.
How to do it: Place a small ball between your ankles. Slowly raise your heels off the ground while keeping the ball squeezed between the ankles. Focus on maintaining a neutral foot position. Perform 3 sets of 12–15 reps.
Dance Rehab and Performance Training in Columbia, SC
At Vertex PT Specialists, we understand the unique demands of ballet, modern, and competitive dance. Whether you’re managing pain, recovering from injury, or working to optimize your movement, our team can build a tailored performance program specific to your goals.
We serve dancers across Columbia, Irmo, and Cayce with expert, one-on-one physical therapy.
https://i0.wp.com/vertexpt.com/wp-content/uploads/2017/03/Lauren-vid-pic.png?fit=470%2C588&ssl=1588470Brandon Vaughnhttp://ecbiz218.inmotionhosting.com/~wwwver6/wp-content/uploads/2017/02/logo-horiz.pngBrandon Vaughn2017-03-25 16:06:262025-07-24 17:18:51Physical Therapy for Dancers in Columbia, SC: 4 Key Exercises to Improve Strength and Technique