Cervical Range of Motion & TMJ
Sure, TMJ disorders can respond very well to acupuncture. But it isn't just needling ST7 or SI19. And it isn't just ashi needling or needling the masseter motor point.
In fact, before you put any needles in, you should go through an assessment. How else will you know why the patient has TMJ pain and how to treat it?
One important part of the assessment is the exam. During the exam, we need to check the patient's cervical Range of Motion (ROM). There must be cervical extension in order for the jaw to function properly. Go ahead and try it! Open your mouth like you're taking a big bite and you will notice your head tilts back.
A 2003 study found that all participants with TMJ complaints had either reduced or no cervical extension.
If your TMJ patient has reduced or absent cervical extension (their head doesn't tilt back), then you will have to address the neck.
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I have a patient who continues to have pain on the anterior part of her shoulder where the tendon crosses the acromion. Last treatment I did inline technique on the deltoid and 2 needle technique with high frequency at the coracoid process plus soft tissue work at the coracoid. Said it felt better after the treatment. I have treated all other areas related to the shoulder. It is better for a few days but pain usually sets back in. She is a personal trainer but has not been doing any shoulder exercises. Am I missing something, give it more time? I've treated her 7-8 times.