Physical Therapy and Jaw Pain (TMD)

Temporomandibular Disorders (TMD)

Temporomandibular disorders, TMD for short, is a musculoskeletal disorder that has a high prevalence but often goes overlooked. Women between the ages of fourteen and fifty years old are five times more likely to be diagnosed with TMD than men. Steven L. Kraus, a Physical Therapist that has over forty years experience in treating orofacial pain, states that TMD ranks only second to low back pain in the United States as a prevalent musculoskeletal problem.

Physical Therapy and Jaw Pain

Current research shows that there is an 85% success rate with conservative physical therapy care for non-surgical patients. While medications and oral appliances work well in the short term, research has shown that soft tissue mobilization, joint mobilization, dry needling, modalities, postural re-education, and education about contributing habits can be addressed with physical therapy and provide long term relief of symptoms. 

 Who is Appropriate for Physical Therapy?

Anyone who is complaining of jaw, neck, or face pain, clenching, headaches, and ringing in the ears as well as cervical pain. There is a 92% correlation for those who are suffering from jaw pain, also have dysfunction in their upper cervical spine which is evaluated and treated in physical therapy.

Is Physical Therapy Covered by insurance?

Most treatments are covered by insurance. We accept all major medical insurances including Medicare and Medicaid. We also offer cash options. We bill through your medical insurance and not your dental insurance.

What do I do next?

Kyle Jones is one of our physical therapists who has extensive training in diagnosing and treating TMD and works out of both the Perry Hall and Bel Air offices. If you have any questions regarding treatment or referral of a patient, please call either office and ask to speak to Kyle directly or contact him by email. 

Kyle Jones, PT, DPT
KJones@goldmedalpt.com

Help! I’ve fallen and I can’t get up!

Read on to see how to best avoid a fall, and how to get yourself back up!

Most of us have probably known someone who has fallen.  Whether it be a relative, neighbor or yourself.  Either slipping on the ice, or tripping on thick carpet, falls can lead to both physical and mental damage (the fear of falling can be greater than falling itself.)  With October being national falls awareness month, we here at Gold Medal PT felt it would be useful to give you a few tips to prevent falls and show you how to get up after you have fallen.  You’ll see attached at the bottom of the page a free falls self-assessment tool, this will give you an idea of your risk for falling.

Here we go…

    1. Monitoring your environment is crucial in preventing falls.  Making sure you are keeping your living area and walkways clear of debris.  The more obstacles you have in the way creates a greater chance of you going down.  Understand that different floors require different footwear and walking strategies.  If you have thick carpets, focus on picking your feet up, this helps to prevent your feet from catching.  If you have hardwood floors, make sure you are not walking around in socks, as this could lead to slipping.  Can’t see a thing?  Proper lighting is very important and often overlooked.  Our vision is one of the main systems that helps to keep us upright, poor lighting takes this out of the equation and leads to tripping or bumping into objects.                                                                                                                                                                                                            
    2. Do you exercise each day?  As we age our muscles atrophy (waste away) making it harder for your legs to keep you upright.  A good exercise program that focuses on building your leg strength will help prevent your knees from giving out, and help you stand up straight.  Get in the habit of maintaining and improving your flexibility.  Having tightness in your hips and legs can cause altered walking patterns and make it difficult for you to recover if you begin to lose your step.   Work on your balance with exercises that challenge your base of support.  Drills such as standing on one leg or standing with your eyes closed, challenge your internal systems more, thus making daily ambulation and standing much easier.                                                                                                                                                                                                          
    3. Invest in your posture.  Do a self assessment and check your posture.  Are you standing upright?  Are your shoulders rounded?  Is your head tilted down?  Changes in our posture even on the top end can change how various forces are interacting with our body.  If you’re naturally leaning further forward, the tendency to fall forward will be greater, because that is the direction your body is naturally leaning.

I hope these tips help, please share them with friends and family members.  Please don’t hesitate to reach out to us if you’d like a customized exercise program or  need some guidance on improving your balance.

We are here to help you!

 

Access the Falls Risk Assessment here:

https://https://https://www.physio-pedia.com/Falls_Risk_Assessment_Tool_(FRAT):_An_Overview_to_Assist_Understanding_and_Conduction

Here is a link to a video we have found helpful to teach you how to get up after you have fallen:

https://youtu.be/JJxpLidlgvQ

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