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    Assessment For TMJ

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    Tamara Ayesh
    J.Q is a 53-year-old female nurse who presents with pain in the temporomandibular joint (TMJ) and neck for 10 years. She reports increased pain with jaw movement and opening her mouth widely. On examination, she has reduced range of motion of the TMJ and neck with muscle tenderness and spasm. The treatment plan includes ice, electrotherapy, ultrasound, exercises to improve jaw and neck range of motion, dry needling, joint mobilization, massage, and home exercises to relieve pain, reduce swelling, improve flexibility and function over 4 weeks.

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    Assessment For TMJ

    Uploaded by

    Tamara Ayesh
    26 views5 pages
    J.Q is a 53-year-old female nurse who presents with pain in the temporomandibular joint (TMJ) and neck for 10 years. She reports increased pain with jaw movement and opening her mouth widely. On examination, she has reduced range of motion of the TMJ and neck with muscle tenderness and spasm. The treatment plan includes ice, electrotherapy, ultrasound, exercises to improve jaw and neck range of motion, dry needling, joint mobilization, massage, and home exercises to relieve pain, reduce swelling, improve flexibility and function over 4 weeks.

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    Assessment for TMJ

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    J.Q is a 53-year-old female nurse who presents with pain in the temporomandibular joint (TMJ) and neck for 10 years. She reports increased pain with jaw movement and opening her mouth widely. On examination, she has reduced range of motion of the TMJ and neck with muscle tenderness and spasm. The treatment plan includes ice, electrotherapy, ultrasound, exercises to improve jaw and neck range of motion, dry needling, joint mobilization, massage, and home exercises to relieve pain, reduce swelling, improve flexibility and function over 4 weeks.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    26 views5 pages

    Assessment For TMJ

    Uploaded by

    Tamara Ayesh
    J.Q is a 53-year-old female nurse who presents with pain in the temporomandibular joint (TMJ) and neck for 10 years. She reports increased pain with jaw movement and opening her mouth widely. On examination, she has reduced range of motion of the TMJ and neck with muscle tenderness and spasm. The treatment plan includes ice, electrotherapy, ultrasound, exercises to improve jaw and neck range of motion, dry needling, joint mobilization, massage, and home exercises to relieve pain, reduce swelling, improve flexibility and function over 4 weeks.

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    © All Rights Reserved
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    Assessment

     Personal Data:
    Name: J.Q
    Date of birth: 1-1-1968 (53)
    Date of assessment: 7-8-2021
    Gender: Female
    Marital status: Married.
    Occupation: Nurse
    Address: Beitsahour
    Phone N.: 000-0000000

    Chief Complain: pain and inflammation in the


    Temporomandibular joint (TMJ) and pain in the neck.

     History:
    Present history:
    From 10 years ago, she suffered from joint pain, and she went for
    treatment, the pain was disappearing for a while and then returning
    again.
    About a week ago, the pain returned to her, because she went to
    the dentist and kept her mouth open for a long time, and she went
    to the doctor Thaer on 7-31-2021, he gave her medicines, and he
    referred her to physical therapy on 7-8-2021, and she also
    complains of Neck pain associated with TMJ pain.

    Medication:
    Analgesic and NSAIDs

    Pain history:
    Severity: 10/10
    Nature: inflammatory
    Irritability: Pain increases suddenly and when moving the mouth,
    Pain decreases when pressure is applied to the joint or head
    Time: all of the time 24 hour.
    Past history:
    She started having a TMJ problem ten years ago because she
    opened her mouth for a long time at the dentist. She went to many
    doctors and went to a mandible doctor, she gave her exercises and
    she took physical therapy and dry needles for the neck and back
    every 6 months and she had neck pain.

    Family history: free


    Social history:
    She married and she has 4 daughters and one son and she lives
    with them.
    Personal history:
    She play sport sometime.

     Observation:
    General Condition of patient: average to good
    Swelling: around the shoulders (Because of muscle spasm)
    Left eye twitching (sometimes)
    Posture: normal
    Gait: normal

     Palpation:
    Spasm: around neck and shoulders (in trapezius,
    sternocleidomastoid and scalene muscles)
    Temperature of skin: normal
    Type of skin: normal
    Tenderness: around TMJ and neck and shoulders.

     Examination:
    ROM:
    For TMJ:
    Elevates (Opening) 25 mm
    Right lateral 4mm
    deviation
    Left lateral 4mm
    deviation
    Protrusion 3mm
    For neck:
    Active Passive
    Flexion 40 50
    Extension 50 60
    Right lateral flexion 30 45
    Left lateral flexion 30 45
    Right rotation 65 80
    Left rotation 70 80
    End feel: spasm.

    Muscle power:
    For TMJ:
    Elevates 3
    Lateral deviation 3
    Protrusion 3

    For neck:
    Flexor 3
    Extensor 3
    Lateral flexor 3
    Rotator 3

    Special test:
    1. Tongue blade test: negative.
    2. TMJ Mobility Test: positive.
    3. Oral Behaviors checklist (OBC): (behind the paper)
     Treatment Goals:
     Short goals:
    1. Relieve pain: around TMJ and neck and shoulder in
    2week.
    2. Decrease swelling around shoulder (lower fiber of
    trapezius) in 1 week.
    3. Decrease muscle spasm for (trapezius,
    sternocleidomastoid and scalene muscles) in 2week.
    4. Increase ROM for the TMJ and cervical in 2 week.
    5. Decrease eye twitching in left eye in 1 week.
    6. Increase muscle power for neck and TMJ muscle in 2
    week.

     Long goals:
    1. Improve flexibility for TMJ in 3 week.
    2. Return function in TMJ (chewing, Opening the mouth,
    Sucking, Swallowing) in 4 week

     Treatment plan:
     Ice therapy to reduce swelling and relieve pain (in acute)
     Electrotherapy stimulation: to stimulate facial nerve and reduce
    eye twitching.
     Ultrasound: to reduce pain and swelling and improve
    circulation.
     Jaw ROM and strengthen exercises: to strengthen muscles and
    improve flexibility and range of motion.
     ROM exercises for neck.
     Dry needling: to decrease muscle spasm.
     TMJ mobilization technique.
     chiropractic techniques for neck
     Massage.
     Home ex.

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