Temporomandibular Disorder

Temporomandibular Disorder (TMD) - treat with acupunctureTemporomandibular Disorder (TMD) refers to acute or chronic pain or dysfunction of the temoromandibular joint (TMJ). Physiotherapists at Robina Physiotherapy have specialised in the treatment of TMD. Patients may present without referral or may be referred by their Dentist or Oral and Maxillofacial Surgeon.

Assessment and treatment of the TMJ includes thorough subjective questioning, postural assessment, assessment of teeth alignment, tongue scalloping and/or signs of cheek biting, active movement assessment, signs of a capsular pattern, assessment of audible sounds, indications of an open or closed lock, physiological movement assessment and accessory joint palpation, assessment of the lateral TMJ ligament, assessing loading the TMJ including ipsilateral and contralateral loading and forced retrusion, isometric muscle assessment, neurological assessment of the trigeminal and facial nerve if indicated, cervical spine movement assessment and joint palpation for the upper cervical joints and scapular and thoracic spine movement and stability testing. Radiological or blood screens may also be considered.

Treatment may include re-education of tongue positioning, nasal breathing, Rocabado exercises, mandibular stabilisation exercises, craniocervical and scapulothoracic control exercises, relaxation exercises and therapy, mobilization and manual therapy for the TMJ, cervical and/or thoracic regions, acupuncture and/or dry needling. Medication and splint prescription may also be discussed.