TMJ - ear - fascia connection

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Steve H

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I had a client present the other day that posed an interesting situation/find.
She booked for low back discomfort and mentioned she has persistant TMJ discomfort on the left side an slight clicking on the right. She discovered when her 2yr old pulled on her left ear that she heard a pop and had momentary relief. She then demonstrated, and I could feel the "pop" and she said as long as she held it out the TMJ pain was gone, but slowly returned after release. There is no similar pop on right side.
I'm curious if anyone has experienced a similar situation, or can shead some light on what may be occuring.

Darren
 
TMJ - ear - fascia connection

Darren,

Little space separates the ear canal and back of the TM joint. Ear pulls are a typical part of my treatment for TMJ disorders. Give it a try!
 
TMJ - ear - fascia connection

Thanks Walt,

I certainly will. I'm curious if the TMJ inflamation over time creates facia changes, or adhesions to the ear structures. I haven't been able to find much in the way of ear/TMJ inter-relationships, and most of my TMJ work has been using acupoints, and Tui Na techniques.

Darren
 
TMJ - ear - fascia connection

You may want to check out some of Upledger's Craniosacral literature. To me, it may be a chicken or egg relationship. Did the TMJ get inflamed first and spread to the ear, or did underlying tightness/cranial asymmetry lead to an imbalance at the TMJ. OR, to create a chick/egg/omlette relationship, did an asymmetrical pelvis cause the other two?
 
TMJ - ear - fascia connection

WaltFritz said:
Darren,

Little space separates the ear canal and back of the TM joint. Ear pulls are a typical part of my treatment for TMJ disorders. Give it a try!

You might also try working the temporalis, SCM attachments, anterior and posterior auriculars, and submandibular/suprahyoid muscles. I've seen some great results from GENTLY working the smaller muscles under/around the mandible.
 
TMJ - ear - fascia connection

Thanks Jason,

I see this client next week, and will certainly GENTLY dig in :) and see where it goes.

Darren
 
TMJ - ear - fascia connection

I do quite a bit of TMJ work in my practice with good effective protcols. Regarding ears: One thing I do on most all of my TMJ clients is to work arond the entire ear. A few clients will also need work in the inside of the ear at the anterior region. I wear a finger cot for this work.

I will spend one hour for the TMJ/head and neck on a TMJ case, with about 30 mins. just for the TMJ joints and the rest of the time scattered in the other areas. As Jason said... the small muscles can usually benefit and I would like to add in that this work can be done very slowly and in very very small incriments to get some great benefit.

Of course, that is just how I work. Someone else may be able to use larger sweeping techniques. But, for me, I find small, specific and slow work to be the best fit for my practice.




09/10/10: edited for a typo
 
TMJ - ear - fascia connection

I'm with you, Pueppi. Slow and thorough. I've found positional release techniques very helpful for the pterygoids and submandibular muscles, too. An added bonus is that I don't have to glove up for intraoral work. It blends right in to the rest of the session's flow.
 
TMJ - ear - fascia connection

Do you know a book or video that shows some of that positional release work for the pterygoids? I'd like to look into that. It sounds like a wonderful fit for what I do. I do some pterygoid work with "Nimmo", but would like to look closer at what you are doing.

If no book/vid... then who you might know that offers classes? I know you have something going on in your neck of the woods. Do you have a link to anyone who provides seminars in the Texas or California regions?

Thanks!!! :)
 
TMJ - ear - fascia connection

pueppi said:
Do you know a book or video that shows some of that positional release work for the pterygoids? I'd like to look into that. It sounds like a wonderful fit for what I do. I do some pterygoid work with "Nimmo", but would like to look closer at what you are doing.

If no book/vid... then who you might know that offers classes? I know you have something going on in your neck of the woods. Do you have a link to anyone who provides seminars in the Texas or California regions?

Thanks!!! :)

The best-known form of positional release is Strain Counter-Strain as developed by Lawrence Jones, DO. The Jones Institute has classes and literature worth checking out. Here's their web site: http://www.jiscs.com/Article.aspx?a=0 You can download the pre-course required reading (free!) on their home page; it's a great overview of positional release that you should be familiar with before attending one of their classes.

The SCS book by Jones is available via a number of sites. It's a good read, but some of it is clearly outdated now. Here it is on Amazon: http://www.amazon.com/Jones-Strain-CounterStrain-Lawrence-H/dp/0964513544

A newer book on Positional Release (SCS-style) that was strongly recommended to me is this one by D'Ambrogio and Roth. I like it a lot and it provides a more systematic approach to applying SCS in practice. Here it is on Amazon: http://www.amazon.com/Positional-Release-Therapy-Musculoskeletal-Dysfunction/dp/0815100965

As expected, Leon Chaitow, DO has written a book on Positional Release. It's not great for practical applications, but it provides a much more comprehensive overview of positional release methods, similarities and differences, and hypotheses about how each works. It includes a DVD supplement, but it's not really a how-to like many other videos on other topics. There are now several online Positional Release distance learning courses based on this text, usually worth 20 CE hours. Here it is on Amazon: http://www.amazon.com/Positional-Release-Techniques-DVD-ROM-Chaitow/dp/0443101159/ref=sr_1_2?s=books&ie=UTF8&qid=1284259509&sr=1-2 The AMTAmassage.org site has one of the distance learning courses available.

Leon Chaitow has also written a good long article on positional release here: http://www.healthy.net/scr/article.aspx?Id=581

I found this DVD by Diana Haynes, but I have not seen it and can't say anything about it. Here it is: http://www.amazon.com/Positional-Release-Massage-Diana-Haynes/dp/B000NJXBIG/ref=sr_1_1?ie=UTF8&s=dvd&qid=1284259975&sr=8-1

There is a one-day course on "Neuromuscular Re-Education" available through Cross Country Education. It was an overview of Muscle Energy Technique and Positional Release taught by a PT. It was a good basic course heavy on practical application. We didn't do jaw work, but it was very helpful for clarifying the basic concepts and providing some very practical hands-on client assessment and treatment methods that I have used many many times since.

Hope that helps! :D
 
TMJ - ear - fascia connection

JasonE, thanks for taking so much time to write such a well thought out post. It is really too bad that I am only most familiar with PNF stretching (proprioceptive muscular facilitation). I'd like to do some active study regarding the PR in the future.

As a side note, if someone has a few thoughts off the top of their head regarding any similarities or differences between PNF & Positional Release, that may be helpful. I apologize that I don't personally have the time to dedicate to some nice research in this area, right now. However, I'll attach this to my list of things to do, and get back to it in the future, when I can. :)
 
TMJ - ear - fascia connection

pueppi said:
JasonE, thanks for taking so much time to write such a well thought out post. It is really too bad that I am only most familiar with PNF stretching (proprioceptive muscular facilitation). I'd like to do some active study regarding the PR in the future.

As a side note, if someone has a few thoughts off the top of their head regarding any similarities or differences between PNF & Positional Release, that may be helpful. I apologize that I don't personally have the time to dedicate to some nice research in this area, right now. However, I'll attach this to my list of things to do, and get back to it in the future, when I can. :)

In a nutshell, they are completely different. :smt002

In PNF (aka Muscle Energy Technique, depending on who you ask) the client is active. They contract and relax tissues as directed by the practitioner, with post-isometric relaxation being the traditional explanation for why tissues lengthen. However, PNF/MET can also be used to improve tissue innervation, improving strength and function, so it's not "just stretching" depending on how you use it. (Chaitow's book on Muscle Energy Technique and Kit Laughlin's books/videos on PNF are excellent.)

In general, PRT doesn't require the client to do anything during the treatment. The practitioner locates tender points based on palpation and client feedback, then positions them so that the tenderness completely disappears, even when palpated. The position is maintained for a period of time, then the client is returned to a starting position. The tenderness should remain mostly/completely gone. There are many approaches to PRT, including Strain Counterstrain, Orthobionomy, Functional Positional Release, etc. Kinesiotaping and Bowen technique are considered by some to be forms of PRT. (Chaitow's book is probably the best overview.)
 
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    ๐ŸŒน๐ŸŒน๐ŸŒนsexy hot Latino ๐Ÿ’– Malaysian ๐Ÿ’– Korean girls ๐Ÿ‘working at Nu spring spa๐Ÿ’‹๐Ÿ’‹โ˜Ž๏ธ416-669-8508๐ŸŒน๐ŸŒน๐ŸŒน
  33. Golden Sunshine Spa:
    โœจClick on our Username and FOLLOW US for updates and special services ! โœ… Click Here Today๐ŸŒธAletta๐ŸŒธSami๐ŸŒธLynda๐ŸŒธSummer๐ŸŒธTiffany Call us โ˜Ž 905 - 265 - 2158โ˜Ž๏ธ Your ultimate service awaits! โœจ
  34. Soul Relax Spa:
    โœจ Looking for a relaxing escape? โœ… Click Here Meet๐ŸŒธBrandy๐ŸŒธCarly๐ŸŒธKellyCall us today for the best treatment and service experience. Click on our Username and FOLLOW US for updates ! Call now โ˜Ž 289 - 298 - 5662โ˜Ž๏ธ Your ultimate relaxation awaits! โœจ
  35. Spa in Markham:
  36. BlueXado Therapy & Spa:
  37. Pink Flower Spa:
  38. Moneylee:
    All season wellness center :Young girl big boobs beautiful face deep massage Midi ,New Young girl big boobs beautiful face deep massage Baby ,Young girl big breasted beautiful buttocks charming temperament big boobs Yoyo ,Young girl Big breasted saucy naughty Ella ,Enchanting sexy petite deep massage Sherry , address: #5-30 Rambler dr Brampton ,Ontario L6W 1E2โ˜Ž๏ธ4376655510 ๐Ÿ‘„๐Ÿ‘„๐Ÿฆต๐Ÿฆต๐Ÿˆต๏ธ๐Ÿˆต๏ธ๐Ÿ‘…๐Ÿ‘…
  39. Moneylee:
    Full season wellness center: New Young girl Big-breasted big Big boobs big butts May, Young girl big breasted beautiful buttocks charming temperament big boobs Vita ,Young girl big boobs beautiful face deep massage Bobo, Young beautiful face sexy body and good deep massage maggie,Enchanting sexy petite deep massage Mary. 2560 Shepard ave Mississauga unit 1 .โ˜Ž๏ธ4379857899 ๐Ÿ‘„๐Ÿ‘„๐Ÿˆต๏ธ๐Ÿˆต๏ธ๐Ÿฆต๐Ÿฆต๐Ÿ‘…๐Ÿ‘…
  40. Jennyโ€™s Spa:
    ๐ŸŽ‰๐Ÿ’JENNYโ€™S SPA๐ŸŽ‰๐Ÿ’ โœ…5170 DUNDAS STREET WESTโœ… ๐Ÿ‘ŒETOBICOKE ONTARIO M9A 1C4๐Ÿ‘Œ โ˜Ž๏ธ( 647-893-5196)โ˜Ž๏ธCall or Text โ˜Ž๏ธ( 437-888-3759)โ˜Ž๏ธCall Only (ETOBICOKE) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…GRAND OPENING๐Ÿ’ฏNEW GIRLS EVERYDAY๐Ÿ”ฅEXCELLENT MASSAGE + SERVICE QUEENS NOW AVAILABLE AT JENNYโ€™S SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS๐Ÿ”ฅ๐Ÿ’ฏ๐Ÿ˜˜๐Ÿ”ฅโค๏ธ๐Ÿ‘Œ ๐Ÿ”ฅTWO BEAUTIFUL NEW YOUNG ASIAN GIRLS EVERYDAY๐Ÿ”ฅ ๐Ÿ’ฏREAL PICTURES OF ATTENDANTS๐Ÿ’ฏ ๐Ÿ”ฅ๐Ÿ’‹Limited Time Special Promotion๐Ÿ”ฅ๐Ÿ’‹ โœ…๐Ÿ’ฆ30 Minutes Nude Mass
  41. luckywellness:
    Lucky Wellness Center 4379721888 New Add bookmark #199 We had three girls working today, Kiki Sarah and Vivi. 295 Eglinton Ave E,Unit 7,Mississauga
  42. AliceSpa:
    MONDAY at ๐—”๐—Ÿ๐—œ๐—–๐—˜ ๐—ฆ๐—ฃ๐—”, 4915 Steeles Ave. E, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿฎ๐Ÿต๐Ÿด-๐Ÿฌ๐Ÿด๐Ÿต๐Ÿด. 3 Sexy Young Girls Today at Alice Spa. Open 10am to 9pm : LUCKY (12:30pm-9pm): is Vietnamese, small body, busty D cup, very beautiful face, Young/Cute/Petite/Pure/Submissive, Fair Skin/Perky Ass/Sweet, Super Open-Minded bbbj cim cof rim, excellent service, also strong massage. SUGAR (10am-9pm): is young,petite, 5'1"
  43. Annie Spa:
    ๐ŸŽ‰๐Ÿ’ANNIE SPA๐ŸŽ‰๐Ÿ’ โœ…7-1001 SANDHURST CIRCLEโœ… ๐Ÿ‘ŒSCARBOROUGH ON M1V 1Z6๐Ÿ‘Œ โ˜Ž๏ธ (647) 891-9688โ˜Ž๏ธ โ˜Ž๏ธ (416) 291-8879โ˜Ž๏ธ (FINCH & MCCOWAN) OPEN 9:30am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…NEW MANAGEMENT๐Ÿ’ฏNEW GIRLS๐Ÿ”ฅ๐Ÿ”ฅ ๐Ÿ”ฅGORGEOUS NEW YOUNG ASIAN GIRLS - TODAYโ€™s ROSTER INCLUDES: ๐Ÿ”ฅ Judy๐Ÿ˜˜๐Ÿ”ฅOur new Asian massage girl Judy is a vision of refined sensuality, with a graceful figure and smooth, flawless skin that radiates warmth and allure. Her striking black hair frames her delicate features, and her poised
  44. ForeverWarden:
    Monday at ๐Ÿซฆโค๏ธ๐Ÿ”ดโ™พ๏ธ๐“•๐“ž๐“ก๐“”๐“ฅ๐“”๐“ก ๐“ข๐“Ÿ๐“โ™พ๏ธ๐ŸŸฅ๐Ÿ”ดโค๏ธ๐Ÿซฆ 2190 Warden Ave, Unit 201, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿด๐Ÿฌ๐Ÿฌ-๐Ÿณ๐Ÿด๐Ÿด๐Ÿณ: Bella, Yumi & Cindy. Bella is around 5โ€™3โ€ with a thin to medium build, C Cups, and a pleasing personality. She can offer dfk, bbbj and cfs as well as a good massage experience. Yumi is a young half Chinese / /half Korean very sexy & slim beauty, can do bbbj cim, excellent services...
  45. HolidaySpa:
    Monday at ๐ŸŒด๐Ÿ˜Ž๐ŸŒ…๐“—๐“ธ๐“ต๐“ฒ๐“ญ๐“ช๐”‚ ๐“ข๐“น๐“ช๐ŸŒ…๐Ÿ˜Ž๐ŸŒด3517 Kennedy Rd, Unit 4, Scarborough โ˜Ž๏ธ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฎ๐Ÿฐ๐Ÿณ-๐Ÿญ๐Ÿญ๐Ÿต๐Ÿตโ˜Ž๏ธ: AMY, FIONA & CINDY. AMY is an attractive young lady with larger breasts and a nice bottom. She has outstanding oral skills, and is very popular. Donโ€™t miss out on her special skills! FIONA is a slim hottie with long dark hair, great melons and ass, and nice services.
  46. bnwellness_wilson:
    We have 4 young girls are working today, young pretty Lily 25โ€™s with curve body and young sweet Mia 25โ€™s, young sexy Michelle 25โ€™s with curve body open mind and Cute GFE Ella are providing deep tissue massage, pls call 4163985777 book appointment and walk in always welcome,back entrance and parking available, 350 Wilson Ave North York
  47. SugarLoveSpa:
    Monday at โค๏ธ๐Ÿ’™ ๐Ÿ’œโŽ๐—ฆ๐—จ๐—š๐—”๐—ฅ ๐—Ÿ๐—ข๐—ฉ๐—˜ ๐—ฆ๐—ฃ๐—”โŽ ๐Ÿ’–๐Ÿ’—๐Ÿ’˜: CHRISTINA, ELLA, MIA & TIFFANY. 1270 Finch Ave W (at Keele St), Unit 18. North York, ON โ˜Ž ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฏ๐Ÿฒ๐Ÿฑ-๐Ÿฎ๐Ÿฒ๐Ÿด๐Ÿด โ˜Ž CHRISTINA is Spanish, C Cups, 5'3", tall & nice curves, very open minded. ELLA is a lovely Thai sweetheart, 5โ€™1โ€ with C Cups, smooth skin and a very pleasing attitude. MIA is a young & slim ๐™Ž๐™‹๐™„๐™‰๐™‰๐™€๐™, very PRETTY & PETITE
  48. wonderspa:
    ๐ŸŒนโค๏ธโ€๐Ÿ”ฅ Wonder spa [9421Jane st unit 127)L6a 4H8,๐Ÿ”ฅ4165000-800,Ensuit rain shower now is available ,every day 4 nice girls working,๐Ÿ’„Amy is Vietnamese young sex girl,open maid,everything she can do,๐Ÿ’„Mimi is very beautiful face long leg friendly ,nice body slide,really popular must try๐ŸŒนlong hair Mina Q smile ,beautiful strong to relaxing oil massage,back walk,hot stone,more experience,relief your stress,must try๐Ÿ”ฅ๐Ÿ”ฅ
  49. Lulu1980:
    Phoenix Blossom Spa ๐ŸŒน๐ŸŒน๐ŸŒน Three girls every day ๐Ÿ”ฅ๐Ÿ”ฅ๐Ÿ”ฅ 5124 Dundas West Street, Etobicoke โ˜Ž๏ธ 416-817-3366 ๐Ÿ‘ Newโ—๏ธNew girl โ—๏ธCindy, sexy girl 1.65 M.pretty boobs 36D๐Ÿ˜˜Superb service ๐Ÿ‘ Sweet girl Luna deep message ๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜ Hot and sexy body very provocative service ๐Ÿ˜๐Ÿ˜๐Ÿ˜๐Ÿ˜โค๏ธ You are welcome to make an appointment at any time or walk in directly through the back door. We have ample parking spaces available
  50. Lulu_Villa_Spa:
    Mia Vietnamese Sasa friendly Vietnamese girl Natalie filipina mixed Petite girl Judy is a gorgeous model type Vietnamese Girl Cherry ๐Ÿ’ From Malaysia Part time School gir โ˜Ž๏ธ647- 446-0886
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