A family friend was recently given a running, jumping hug by a 7 yo. It turns out little girls are a perfect mandible striking height when an adult is crouched. For almost 1 month she had difficulty opening and eating due to TMJ and facial pain.
She finally called my wife asking if I would see her at our house. I saw her yesterday and this is what her painful and limiting opening looked like.
There was an audible early intra-articular click in the left TMJ with mandible deviation to the left until reduction. Depression was limited to about 50% with pain. She had been eating soft foods and had difficulty opening due to pain for 4 weeks with only slight improvement via time.
A quick evaluation revealed mild forward head posture, along with increased tone in the left mandible elevators compared to the right. After light IASTM to the left masseter in a proximal to distal stroke for 2 minutes then a light medial pterygoid functional release, mandible depression had much less pain, no deviation, and a very light click.
Clinical Pearl Time
I realized I had no gloves at my house! We're close, but not that close!
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| Using right hand to grasp left mandible and left lower molars |
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| My adapted grasp of her right hand so I could mobilize her TMJ |
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| Side view with left hand index on the mandible condyle palpating for light movement |
This reduced the disc derangement completely and she now had full pain free motion with no deviation for the first time in 1 month. For HEP, I instructed her on self TMJ distractions on the left and cervical retractions to make sure the mandible does not retract excessively. I plan on following up with her next week, but she was able to go out to Panera Bread to catch up with my wife immediately after our little emergency visit!
Remember, #IASTM Technique is still on sale for the rest of the week. Join the hundreds of others who have had nothing but accolades for our affordable and immediately applicable program!
Keeping it Eclectic...
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