Coming soon! A class for dental offices

I have been taking a fantastic class called NLP+Presentations. The first part was this past weekend, and the second part will be in mid-February.

I’m working on a presentation for dental offices. It will be an hour max, so it could be a lunch-and-learn or a training offered to staff early or late in the workday.

I probably don’t need to tell you that some people complain of jaw pain after receiving dental work.

Dental professionals need to accommodate them by offering frequent breaks from wide-open mouth position — some even use devices to keep the mouth cranked wide open.

Dental offices also experience cancellations when someone’s jaw pain has flared up and they can’t even imagine holding their mouth open for dental treatment.

In fact, dental professionals are often the first health care professionals to let someone know that their clenching and/or grinding habit is damaging their teeth.

Although they offer orthotic devices to protect teeth and/or try to realign the TMJs, and they can usually repair the tooth damage they encounter, they don’t work on the biggest cause of jaw pain — myofascial tension. In fact, most dentists receive little or no training in the jaw — their domain is teeth and gums.

As a massage therapist, my domain is the myofascial realm of muscles and soft tissues. I work on postural issues, shoulder and neck tension, decompression of cranial bones, and do intra-oral work on all four internal jaw muscles — as gently as possible.

I can help dental offices help their patients, and I believe we can work well together.

If you think your dentist might be interested in this free training, please connect us. I’ll be offering trainings starting in late February.

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

Recently I’ve had two clients come in for TMJ relief sessions who have previously seen multiple practitioners who worked inside their mouths. Between them, they have 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 pterygoid muscles. That surprised me.

These small muscles are hard to access, being nearly surrounded by bones (cut away in the image below so you can see the two-headed muscle), and in my opinion, they are often the keys for releasing 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 jaw pain cases I’ve worked on, 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 usually not the biggest cause. Sometimes it’s all of them.

I usually save the lateral pterygoids for last when working on someone’s internal jaw muscles, because they are so hard to access. It helps to have tiny pinky fingers.

It can take time to reach them, and sometimes I can’t reach them on the first couple of visits because all the muscles affecting the TMJs are so tight. Any release of tension in this area near the joint is therapeutic.

Keep in mind that I’m touching where people never get touched. This area can be sensitive. This is why I offered CBD oil to my TMJ clients.

When I get near or on them, it can be a revelation. “That’s the place!” When they are tight, getting some release of tension can profoundly affect the TMJs. Once there, I don’t need to stay long.

It’s not that these other intra-oral practitioners (at least in these two clients’ experiences) have nothing to offer. I’m not familiar with all of them, but chiropractors, Rolfers, and massage therapists have all helped me.

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

I hope this information helps you 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 AM

I 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 working with referral partners.
  • My new Heavenly Head Massage is getting a lot of traction.
  • I feel settled and at home in my office in West Lake Hills and very happy to be working with the practitioners who share the 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 slowly making progress on getting certified in craniosacral therapy techniques. I’ll continue to attend study groups and work with a mentor and will serve as a teaching assistant for CST1 in Austin next August. I feel advanced 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 continue 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.
  • I plan to make 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!

In training later this week

I’m taking a long-awaited class in Zero Balancing November 1-4 at the Lauterstein-Conway Massage School. It’s called “Zero Balancing Expanded: Addressing the Skull.” This is the first time it’s being taught in Austin, and five ZB teachers who are training to teach this course worldwide are coming to participate as teaching assistants.

I will be out of the office Thursday afternoon, all day Friday, and all day Saturday this week. I return to the office on Tuesday, November 6, so if you’re thinking of booking an appointment this week, make it Tuesday, Wednesday, or Thursday morning.

Screen Shot 2018-10-29 at 10.02.40 PMAlthough the teacher, Judith Sullivan of Charlottesville, VA, is an accomplished craniosacral therapist and teacher of craniosacral therapy through the Upledger Institute, I’ve read her book Zero Balancing Expanded: The Attitude of Awaiting a Fish, and it is not about craniosacral therapy. It is more about the artful places that therapists can touch the skull that Judith has learned from decades of practice. It uses ZB principles to release stuck energy.

We all realize that our skulls/heads/craniums are extraordinary places on our bodies. The head is a huge ground for discovery. This training is so needed.

If you know me at all, you know I love integrating techniques after listening to what the body needs. What I learn in this class will be fun to experiment with and a huge addition to my skull-oriented skills.

I am mailing in my application to become certified in Zero Balancing to get the ball rolling on that process. I am so pleased to include this modality in my repertoire. I do stand-alone ZB sessions, and I integrate it with biodynamics, TMJ Relief, and more. It makes so much sense to get the body’s structure aligned and energy flowing and then build on that.

If you’re not familiar with ZB but are intrigued, it is a blend of traditional Chinese medicine and manual osteopathic therapy. It began being developed in the 1970s.

I don’t pretend to understand how it works, but it’s the most transformative technique I know for the time spent doing it (20-45 minutes).

To understand the range of responses, read my previous post, What People Say After a Zero Balancing Session.