TMJ Physiotherapy – When to Refer and How They can Help – PDP063

When it comes to the management of Temporo-manidbular Joint Disorders, we often NEED to adopt a multidisciplinary approach. I am a strong advocate of Dentists involving TMJ Physiotherapists (yes, they exist!) to help their patients. In this episode I am joined by The TMJ Physio Krina Panchal! https://youtu.be/5KcMOfdoDhg TMJ Physios are invaluable in the multidisciplinary management of TMDs Need to Read it? Check out the Full Episode Transcript below! Interestingly enough, Physiotherapists in the UK do not cover the TMJ in their studies - it is a postgraduate niche that Krina has travelled the world to learn - which is why I respect her even more! Protrusive Dental Pearl - have you checked out the 'Bruxchecker' foil as a tool to help diagnosis of Bruxism and much more? I comprehensively reviewed this product and thought it was very clever! https://www.youtube.com/watch?v=eQLGFc82EM0 In this episode I ask Krina: Whats the evidence that Physiotherapists can help our TMD patients? What does she think is the biggest aetiological factor for TMD? What is the most common diagnosis she makes, and what is her management of that diagnosis What should a Dentist do if, after a long procedure, the patient gets acute disc displacement without reduction? What kind of cases should we be working with physios for? I will add the promised downloads on to the Protrusive Dental Community Facebook Group (are you part of the Protruserati?!) If you enjoyed this episode, check out Stay Away from TMD - why you should think carefully before niching down to TMD as a Dentist. If you want to learn about Occlusal appliance as a protective appliance, to help with pain or as part of pre-restorative management, do check out the SplintCourse which launched a few days ago with a big bang! https://www.youtube.com/watch?v=2-Yt5YmEyes Click here to download the full Course Outline Enrollment ends 19th March at 10pm UK time so I can focus on Monthly Coaching! Thanks for your support, Protruserati! Enroll now to SplintCoure Online to finally understand Occlusal appliances! Click below for full episode transcript: Opening Snippet: Because I think my most difficult patients who have found some success with splints I think you raise a great point that they're not wearing the splints during the day and I think that's where really you guys come in to re-strengthen and to stretch and relax everything. Jaz’s Introduction:Hello, Protruserati. I’m Jaz Gulati and welcome to another episode of The Protrusive Dental Podcast. Today, I am recording this introduction on international women’s day. I’m so proud to be sharing this episode with a fantastic woman. Her name is Krina Panchal.Krina Panchal is a TMJ physiotherapist and I'm a huge believer in physiotherapy to the management of your TMD patients. And I'm going to let her explain why it’s so important and how we can collaborate. So this episode basically covers when, why and how to involve a physiotherapist in the management of your TMD patients like I often refer to my patients especially when they have chronic pain.Chronic pain is a completely different beast to someone's got acute tmd. So chronic is like when it’s been more than six months and what happens with chronic pain is that they develop something called chronicity meaning that the the nerve signals that fire from the brain to the site of pain they get sensitized over time and even though that initial inflammation or strain it heals, the pain signals are still firing. So chronic pain is a completely different beast.So we can’t just rely on advice and appliances, we need to involve a fantastic speciality of physiotherapy because they are really really useful for helping our patients who suffer from tmd. And if you’ve ever wondered how to get in touch with one, what kind of diagnosis they can help with then this episode will clear that out for you.