Choose a practitioner for intra-oral TMJ therapy that works on the lateral pterygoids

So far I’ve had two clients come in for TMJ relief sessions who have previously seen multiple practitioners who worked inside their mouths.

They’ve seen chiropractors, chiropractic neurologists, Rolfers, dentists trained by the Las Vegas Institute (LVI), and/or other massage therapists.

These two clients both told me, “No one has ever touched me there,” after I worked on their lateral pterygoids.

These are small and hard to access muscles, and in my opinion (and my main TMJ teacher’s opinion), they are most often the key muscles to address to release jaw tension.

anatomy of the jaw muscles

It’s not that the other jaw muscles don’t contribute. They do, and in roughly 10% of the TMD cases I’ve worked on so far, one of the medial pterygoids is the problem child.

The external jaw muscles — the masseters and temporalises — also play a role in jaw tension but are never (that I’ve seen in 5 years) the biggest cause.

In other words, 90% of the time when people have jaw pain from muscle tension, the lateral pterygoids are the biggest culprit.

It’s not that these other intra-oral practitioners have nothing to offer. I’m not familiar with all of them, but chiropractors, Rolfers, and massage therapists have definitely helped me.

But if jaw tension and pain resulting from jaw tension is your major complaint, and you’d like a sense of spaciousness in your TMJs (if you can even imagine how great that would feel), go to a practitioner that works on the lateral pterygoids.

Click here to book a free 30-minute consultation.

Other things that distinguish my work:

  • I work as gently as possible.
  • I never make any sudden moves.
  • My sessions start with full body alignment to get you relaxed and progress toward the intra-oral work at the end.
  • I offer you legal hemp oil to relieve anxiety, pain, and inflammation before working in your mouth. It’s not required, but some clients really like it.
  • I offer single TMJ Relief sessions as well as a TMJ Relief Program consisting of 5 sessions in 4 weeks for lasting change, along with education and support for habit change and self-care.
  • I created a Facebook group, Word of Mouth: Resources for Jaw Pain/Dysfunction, for people who want to work on their jaw issues.

I hope this information helps you at least ask informed questions when choosing a practitioner to relieve your jaw tension and pain.

Massage therapy for jaw pain

The January/February 2019 issue of Massage & Bodywork (magazine for massage therapists) includes the article “Temporomandibular Joint Disorders: Biting Off More Than We Can Chew”. It’s full of information about the anatomy, pathology, demographics, contributing factors, symptoms, and treatment options for TMJD. The author is Ruth Werner, who wrote A Massage Therapist’s Guide to Pathology.

The article mentions that many dental professionals enthusiastically recommend massage therapy as an early intervention for TMJ disorders, which are often accompanied by dysfunction elsewhere in the body — the shoulder girdle, pelvis, and feet, for example.   Regular massage therapy sessions can also help relieve pain and tension in the external jaw muscles.

The author states, “The [internal] pterygoid muscles require more specialized skill… Work inside the mouth carries some serious responsibilities… It’s not for beginners, and it’s not for dabbling. When things go wrong in this joint, problems can reverberate through the whole body… [Massage therapists working inside the mouth should] get advanced training…

“Intraoral massage may trigger unintended responses… Emotional release in response to work in and around the mouth is also a strong possibility. It is critical that massage therapists be mindful of their scope of practice and respectful of their clients’ processes if this happens. Massage therapists must be prepared to be present, nonjudgmental, and appropriately supportive for this kind of event. Once again, it’s not for dabblers. If you want to do this work, get appropriate training.”

After reading this, I feel good about what I do. Massage therapists trained to work inside the mouth mostly follow three paths of advanced training: craniosacral therapy (like me), neuromuscular therapy, and structural integration (aka Rolfing).

Also, not all craniosacral therapists or neuromuscular therapists work with the internal pterygoid muscles, so be sure to ask beforehand if that’s what you expect. That was part of my training with Ryan Hallford, not (so far) with the Upledger Institute.

Also, I’m thanking the Upledger Institute for my training in SomatoEmotional Release as well as past experience and research in trauma recovery.

I’m grateful to see that treatment for TMJ disorders by licensed massage therapists is getting media attention, and that TMJD itself is getting more recognition. The TMJ Association recently announced that the National Institutes of Health have agreed to do more research. It’s very much needed — practitioners know what we don’t know, and it’s a lot.

Thank you for a good year, my friends. Here’s to 2019!

Screen Shot 2018-12-30 at 8.05.54 AMI woke up this morning at year’s end, reflecting on my work in 2018. It’s been a very good year for me in so many ways, and I want to share that with you.

  • I’ve really come into my own doing the advanced integrative bodywork that I love, and of course there’s always more to learn with each person who comes in.
  • I’ve done more sessions with more people than in previous years.
  • I started working with a business coach this year, and I am very grateful for that. I’ve learned a lot.
  • I’ve continued training in craniosacral therapy, biodynamics, and Zero Balancing, deepening and integrating those skills.
  • Treating TMJ tension and pain has become a satisfying mainstay of my practice, ranging from the free 30-minute consultation to the 5-sessions-in-4-weeks program to my Facebook group Word of Mouth, as well as seeking and cultivating referral partners.
  • My new Heavenly Head Massage service is getting a lot of traction.
  • I feel very settled and at home in my office in West Lake Hills and happy to be working with the practitioners who share our suite.
  • I’ve enjoyed feeding the birds on the hillside outside my office as well as arranging rocks just so.

I don’t know what 2019 will deliver, of course, but I have some plans:

  • I’ll be taking a course in TMJ mastery from a teacher in Canada who’s been doing TMJ and vocal cord work for over 20 years. He hasn’t posted the dates and locations for his 2019 trainings yet, but trading some of Austin’s summer heat for some Canadian cool would be nice!
  • I’m taking another craniosacral therapy course from the Upledger Institute in May, SomatoEmotional Release 2 here in Austin, and I’m working on getting certified in craniosacral therapy techniques. I’ll continue to attend study groups and work with a mentor, and I will serve as a teaching assistant for CST1 in Austin next August. I feel other Upledger courses calling me — the brain, cranial nerves, pediatrics, the inner physician, and more.
  • I’m starting to work on certification in Zero Balancing. I plan to continue to attend study groups, advancing skills days, and taking classes, and I hope to attend founder Fritz Smith’s 90th birthday in May near Palm Springs, CA. If the class Freely Movable Joints is offered in Texas in 2019, I want to be in it.
  • I plan to learn how to make good videos for my website, Facebook page, and Facebook group.
  • I don’t have any classes in mind yet for biodynamics in 2019, but I plan to continue working on a modeling project with a mentor and trading with fellow practitioners.

May 2019 bring you more of what you want in life — health, happiness, abundance, love, opportunity, connection, peace of mind, and satisfaction. Thank you for your presence in my life!

Who doesn’t love a head massage? Check it out and help me name it!

After spending 4 days recently taking a class called “Addressing the Skull,” I want to get you onto my massage table so I can practice, practice, practice! It’s the best way I know to integrate training into, well, my advanced integrative bodywork practice.

I also need your help naming this new addition to my repertoire. I want to describe it separately from a Zero Balancing session. In my view, a ZB session addresses the whole body, including the head, whereas a skull/cranium/crown session spends most of a 45-minute session on the head.

This was a class in Zero Balancing, which aligns your structure and frees your energy, but most of the session will be spent addressing your skull. I learned lots of secrets of the skull, including that working on the outside of the skull affects the inside, i.e., the brain. And it’s not exactly a massage. It uses artful touch and knowledge of anatomy to find those places that release tension you may not have even known you had.

For instance, there is a place behind your ears that is similar to that place where dogs love to be petted, behaving as if they could never get enough, leg twitching and groaning with pleasure.

There are several special places on your skull where two or three or four bones come together that just love to be touched.

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I imagine that everyone in the class experienced several releases of tension in their skulls that they were not aware of before. We can get so habituated to stress that it gets normalized. Guess what? Normal can be better. (Thanks to San Antonio ZBer Jamie Carmody for making “Make normal better” her tagline.)

I suspect this work may prevent headaches and migraines.

After four days of training, which included many trades, my friend and I noticed that we could see better. When looking into our training room, the 3D-ness of everything was in sharper relief, and everything had more clarity. Working on the head affects all the senses.

This is your brain, on ZB.

I plan to run this special for a couple of weeks, and may consider extending it after that. I’ve lowered my price by $25 for a 45-minute Zero Balancing session. Go here to book yours.

November 13 is Cindy Anderson Day!

Cindy Anderson was one of my teachers in both the basic licensing program and the advanced program at Lauterstein-Conway Massage School. She taught Swedish massage and Shiatsu. I’ve always appreciated Cindy’s abundant joie de vivre, her sense of humor, and her clear sparkling presence.

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Cindy is struggling with health issues that require medical intervention. To help offset the cost at a time when she’s struggling with her health and unable to work, Lauterstein-Conway has designated Tuesday, November 13, as Cindy Anderson Day.

You can participate in multiple ways.

  • You can donate directly any time to her GoFundMe campaign.
  • If you get one of my bodywork sessions on Tuesday, November 13, I will donate the full cost to Cindy’s campaign. I’m hoping for a full day, so sign up now!
  • There’s a benefit at Slow Poke’s Brisket Shack on Saturday, November 17, starting at 4 pm in Manchaca. Take I-35 or Manchaca Road south to FM 1626. It’s a food trailer court east of the railroad tracks and Twin Creeks stoplight, at 737 FM 1626.

If I hear of any more benefits or ways to contribute, I will update this post.