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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    🎉🍒ANNIE SPA🎉🍒 ✅7-1001 SANDHURST CIRCLE✅ 👌SCARBOROUGH ON M1V 1Z6👌 ☎️ (647) 891-9688☎️ ☎️ (416) 291-8879☎️ (FINCH & MCCOWAN) OPEN 9:30am to 9pm MONDAY to SUNDAY 🔥✅NEW MANAGEMENT💯NEW GIRLS🔥🔥 🔥GORGEOUS NEW YOUNG ASIAN GIRLS - TODAY’s ROSTER INCLUDES: 🔥 Angel 💕 Very beautiful girl from Taiwan, very curvy, young and sexy, she can provide a great massage and wonderful touch and super service. Angel is so sexy, especially her 34C breasts and her big juicy tight bum you can wors
  42. Moneylee:
    All season wellness center: Young girl big boobs beautiful face deep massage Lucy ,Young girl big boobs beautiful face deep massage Tina ,Young girl big breasted beautiful buttocks charming temperament big boobs Cindy ,Student big boobs buttocks Vicky, Enchanting sexy petite deep massage Sherry ,🏠address: #5-30 Rambler dr Brampton ,Ontario L6W 1E2☎️4376655510 🦵🦵👅👅👄👄🈵🈵
  43. Moneylee:
    full season wellness center: NewYoung girl big breasted beautiful buttocks charming temperament Cherry , Young girl big boobs beautiful face deep massage Anika ,Young beautiful face sexy body and good deep massage Selena ,Young girl big boobs beautiful face deep massage Bobo ,Young girl Big breasted saucy naughty Ella,Enchanting sexy petite deep massage Mary. 🏠 2560 Shepard ave Mississauga unit 1 ☎️ 4379857899 👄👄👅👅🈵🈵🦵🦵
  44. Soul Relax Spa:
    ✨ Looking for a relaxing escape? ✅ Click Here Meet🌸Nina🌸Anna🌸IsabellaCall us today for the best treatment and service experience. Click on our Username and FOLLOW US for updates ! Call now ☎ 289 - 298 - 5662☎️ Your ultimate relaxation awaits! ✨
  45. bnwellness_wilson:
    We have 4 young girls are working today, young pretty Vicky 30’s with curve body and young sweet Mia 25’s, young sexy slime Sophia 30’s and Cute GFE Lina 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
  46. Red Rose Spa:
    🌸 We have 5 hot brown girls today 🌸 MONICA, ANGEL, SARIKA, SABHA, AMANDA, MIMI, ASHA, ANGELINA, KIRAN, SALMA 🌸 2588 Birchmount 🌸 2 Invergordon 🌸 647-702-8800 🌸 Please visit for a great erotic massage
  47. luckywellness:
    Lucky Wellness Center 4379721888 295 Eglinton Ave E,Unit 7,Mississauga
  48. Lulu_Villa_Spa:
    Suki From Taiwan, sweet girl Cherry 🍒 From Malaysia Part time School girl Sami Vietnamese Girl Natalie she is CBC/filipina mixed Petite girl
☎️647- 446-0886
  49. Lulu1980:
    Phoenix Blossom Spa 🌹🌹🌹2 girls 🔥🔥🔥5124 Dundas St W Etobicoke☎️416-817-3366👍 New ❗️ New girl Anna dainty and cute! Sexy body Hot body slide, super enjoyable😘😘😘😘 very provocative service😘😘😘, professional super Luna deep tissue massage, has therapeutic effect to loosen bones and relieve muscle pressure and will bring you unexpected service effects, she will bring you a little surprise😍😍😍😍❤️You are welcome to make an appointment at any time or walk in the back door with plenty of p
  50. DareDevil:
    Blackpink Wellness ♥️♥️90 Marycroft Ave. Unit #2, Vaughan, 🍭🍬ON L4L 5Y1 (647) 395-3188. BEAUTIFUL AND SEXY GIRLS TODAY: 🌹Superstar Bobo and Beautiful Tiffany on duty🌹.
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