TMJ Active Release and Adjustment for Jaw Pain


Hi everybody it’s Doctor Blake, from Doctors
Adolph and Kalkstein chiropractic, super psyched that we’re up to 10k, we’re probably on our
way up to 11k by the time this video is being filmed, and our goal is a hundred thousand
subscribers. I want that silver play button to hang in
my office. That is going to kick butt. So a much highly requested video here, we’re
going to show you a TMJ treatment. So we’ve got Heather here in the office, you
guys remember Heather. Can you see Heather? There you go. Heather complaints of TMJ stuff so it’s serendipitous
that she has TMJ and we’re gonna show you a TMJ treatment. So what we’re going to is we’re going to a
quick assessment first. We’re looking at how the jaw tracks, and then
I’m going to palpate the muscles. We’re going to do some active release on the
outside of the jaw, some active release on the inside of the jaw, and then we’re gonna
show you a jaw adjustment. So where the jaw hinge lines up if we look
at the jaw line here, right in front of the ear is where the jaw joint sits. So we’re going to just come in here and palpate
have Heather open. Good, and close. And open again. Close you guys can see we’re right on the
jaw, open again Heather, close. Good so we’re feeling if one jaw opens first
or one jaw opens last, make sure they’re opening equally and if, make sure they’re closing
equally as well. So if one’s opening or closing a little bit
differently we may have a tracking issue that’s causing the TMJ, and the tracking issue can
be caused by muscle tightness or joint alignment. So let’s get one more here. Close, open, close. So this side opens first for her, this side
opens second, and this side closes first this I closed a second. So we’re getting some tracking issues on the
right side of her jaw. So the first treatment we’re going to do is
active release technique on the masseter muscle, and then we’re going to do some active release
technique on the temporalis muscle. So masseter is this thin muscle here, helps
open and close your jaw. The next muscle is your temporalis, which
is this big flat muscle, it’s like a seashell that sits on top of your head here and it
funnels down into your jaw here. So we’re gonna, open up for me Heather, good
close. So I’m taking my pressure right on the jaw,
two fingers right on the pads of my fingers, no poking here, and this is something you
guys can kind of do at home if you have TMJ you can do this release on yourself. I think I have another video on our channel
showing you how to do it at home. And Heather this is a little uncomfortable
isn’t it? Yep. Ya so I’m right on this sore muscle this trigger
point over here in her masseter, doing some active release. And I could probably dry needle it if I wanted
to, Heather doesn’t want me to so we’re going to do active release. Good, that’s really tender. Ya, sorry Heather. Good so we work that masseter all the way
up, then we’re going to come up into temporalis here. Open, good. And right on this one this is a big sea shell
a muscle that starts kind of like here and it fans all the way around over here, and
so I can use all four my finger pads, I can just apply pressure on the muscle and have
her open. Good, open, good. Little tension up there too Heather. Good, and again flat muscles, no poking in
there, we’re gonna use a flat muscle when your work on it. Because nothing feels worse than just pressing
right into a trigger point. So flat muscle when you’re doing it on yourselves
at home. The next two muscles of mastication or chewing
are your terragoids, your medial and lateral terragoids, and they’re located on the inside
of the mouth. So the best way to treat them is to glove
up and we’re going to go treat the medial and lateral terragoids. So open up for me Heather. So I’m going to take my finger, close, close
all the way, and we’re going to go on the outside of the teeth here, I’m going straight
back until we hit the hardest substance, which is usually a muscle or bone. So it could be that the jaw bone right there
but I’m right on the muscle. So we just traction up this way and we’re
kind of like scooping along the muscles, so it’s active release on the inside of the jaw. Tender Heather? So this is how we get the medial terragoid. And now to get to a lateral terragoid it’s
a little bit farther back and then when we have to do this we open the jaw while we do
this treatment so it allows us to go in a little bit deeper and for a little deeper
treatment. And this when we’re working on jaws, and Heather
can tell you this is a little uncomfortable when we’re on here so we go nice and slow
to patient tolerance. So open up for me. Good, close. Open, good, close. Open. Good close. Alright so that was uncomfortable? Yes. Ya a little teary eyes, a little uncomfortable,
so that wasn’t even a bad side. This is going to be the bad side. So we’re going to go nice and slow into patient
tolerance here. Okay open, close. Oh that is tight Heather, wow. Ya, so you guys remember Heather’s history,
multiple brain surgeries, last one was a year ago right? Yep. A year and a half, year in December? 13 months. Ya so when we’re dealing with TMJ you know
one of the issues we want to address with as we deal with TMJ is yes the jaw and the
jaw muscles can be, the jaw can be out of alignment and the muscles can be taut and
tender with trigger points, masseter temporalis, the terragoids, but we also want to look at
the neck right? And so we’re looking at C0, C1, C2, the suboccipital
muscles, and the deep neck erector, deep neck stabilizer muscles. All those contribute to jaw tension. So Heather’s was like a four or a five on
her left jaw, she’s like eight on this right muscle in here. So close, open, close, open, open, open all
the way, close. You’re getting a little foot shake down there
huh? Open. So that’s a medial lateral terragoids on that
affected side. How did that feel? It feels good afterwards. If feels good afterwards, ya. So we’re gonna do the jaw on the chair here. So arms off the rest here, ya. So when we you, you guys have seen my neck
adjustments in the chair we, we did Marvin with his headaches, we did Amy last week with
the levator scabtree, we do a little occipital lift on her, you hear these big thunderous
cracks we just someone. When we do someone’s jaw, we don’t want to
go for that major, you don’t want that forceful adjustment on the jaw because it’s such a
delicate joint. So we just do a really soft pushing technique,
you won’t really see or hear a lot of pop or cracking going on. Cup the mandible here, stabilize the head,
and then there’s just a push motion, slightly open your draw Heather. Right like that, good. Now we’re going to recheck. Open up for me, good, close. Let me adjust this side now. Open slightly here. Good, open, close. You open a little easier over there. So that’s the treatment, that’s a typical
treatment for TMJ. We might throw some suboccipital ART into
it, we might adjust the neck a little bit. Heather’s got a unique situation, she’s got
a shunt from a brain surgery in her neck so we do the normal adjustment on her, we use
that drop technique. If you guys have any questions about TMJ or
TMJ treatment leave a comment to this video and we’ll see you guys in our next one. Thanks for helping us reach 10,000 and here’s
to a hundred thousand and that silver play button. Bye you guys.

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