Current Concepts in Craniomandibular Pain: Upper Cervical Spine and TMJ
This course will define craniomandibular pain in relationship to both upper cervical dysfunction and temporomandibular disorders (TMD’s). Focus will be placed upon both diagnosis and conservative intervention. A review of the relevant anatomy, physiology, pathophysiology and biomechanics of both the upper cervical spine and the TMJ are presented as they relate to enabling a thorough clinical examination. An overview of the history of TMD will be presented, as well a brief history of its medical management. The major types of TMD (as defined by “Diagnostic Criteria for TMD,” or DC/TMD) are also discussed. The examination process itself including the basic clinical examination, special tests, imaging, and differential diagnosis are presented in detail so clinicians will be able to better recognize and treat the primary variations of craniomandibular pain. A review of the options for conservative management will be provided with specific attention given to manual therapy intervention. And finally, the role of a multidisciplinary approach will be considered as necessary to address the dental and biopsychosocial aspects that frequently accompany craniomandibular pain.
Who Should Attend
LEVEL: Introductory / Intermediate
AUDIENCE: PTs, PTAs, OTs, OTAs
Benefits and Learning Outcomes
Course Objectives: Through a combination of lecture and lab, participants will
- Name and identify the structures that comprise the upper cervical spine and the TMJ.
- Describe the normal biomechanics of the upper cervical spine and the TMJ.
- Utilize the DC/TMD to classify sub-groups of TMD.
- Differentiate the clinical findings of masticatory muscle dysfunction from those of TMJ joint disorders.
- Explain the role of TMD in certain headache disorders in contrast to upper cervical dysfunction.
- Propose a specific treatment plan for each of the main sub-types of TMD.
- Evaluate the general postural components and potential dysfunctions within the cervicothoracic system as contributors to craniomandibular pain.
- Identify the correct patient/clinician positioning for completion of the craniomandibular examination and for mobilizations.
- Demonstrate performance of an upper cervical spine mobility and provocation exam.
- Demonstrate performance of upper cervical spine ligamentous testing.
- Demonstrate performance of the basic TMJ evaluation independently and in a timely fashion.
- Understand the pathoanatomy regarding upper cervical instability in traumatic onset craniomandibular pain.
- Demonstrate performance of joint mobilizations for the C0-C3 segments.
- Demonstrate performance of soft tissue techniques for the craniomandibular system.
- Acknowledge the role of central sensitization in the etiology of some forms of craniomandibular pain.
- Explain the need for a multi-disciplinary approach to the management of more chronic forms of craniomandibular pain.
Dates and locations to be announced.
