A 22-year-old female presents with left side TMJ pain with an onset of approximately 6 months ago. She is a graduate student (law school) and reports she has been extremely busy in school. She also...

A 22-year-old female presents with left side TMJ pain with an onset of approximately 6 months ago. She is a graduate student (law school) and reports she has been extremely busy in school. She also reports she is planning her wedding, which will occur in 3 months. She cannot recall any previous trauma. She has been to the dentist, and he cleared her from any dental pathologies (abscess, fracture, etc.). The current complaint is pain with chewing and limited opening, especially with yawning. Her past medical history is unremarkable.

Examination: she has forward head posture with increased cervical lordosis and no deviation in the frontal plane. Bilateral upper extremity strength and sensation are

normal and symmetrical. Cervical range of motion is approximately 25% limited with flexion and bilateral rotation. Patient demonstrates TMJ opening 50% of normal and lateral excursion 75% of normal. There is pain with palpation at the muscle bellies of the masseter and temporalis.
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Based on this information, identify the impairments and functional limitations. What type of intervention should be used?

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Develop a sequence of treatment techniques that you would use during the first visit. Include instructions and precautions. Practice the techniques.
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Identify methods the patient can use to manage and/or decrease her stress.

May 05, 2022

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A 22-year-old female presents with left side TMJ pain with an onset of approximately 6 months ago. She is a graduate student (law school) and reports she has been extremely busy in school. She also...

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