Services

Orofacial/TMJ Disorder

In a study of over 45,000 American households, almost 22% experienced orofacial pain in the past six months. Nearly 40 million adult Americans experience orofacial pain on a regular basis. In addition, many children experience pain in their face, jaw (TMJ pain), and suffer from daily headaches.

Do you have TMD? Use this quick TMD Pain Screener to see if you could benefit from a consultation.

Treatable Conditions (including but not limited to):

  • Chronic Headaches/Migraines
  • TMJ Disorders
  • Trigeminal Neuralgia
  • Bell's Palsy
  • Post Surgical Orofacial Procedures (i.e. orthognathic surgery and mandibular fracture)
  • Cervical Spine Disorders
  • Asymmetric Mandibular Movements

South Asheville Location

East Asheville Location

Signs and Symptoms

Craniomandibular disorders (CMD) are characterized by a combination of symptoms that may include pain, tenderness and dysfunction of the temporomandibular joint (TMJ), the mouth and the occlusal contacts (how the teeth touch with closing), the cervical spine, and the muscles of chewing. Temporomandibular disorders (TMD) are usually treated by both a dentist who specializes in TMJ dysfunction and a physical therapist.

  • Headaches that begin in the back of the neck or the sides of the head
  • Popping or clicking in one or both sides of the jaw
  • Loss of jaw motion (normal movement is 44 mm)
  • Facial Pain
  • Difficulty biting or chewing
Orofacial
tmjmodel

How can Orofacial Physical Therapy Help?

Our Orofacial Physical Therapy approach includes an extensive examination of the jaw, mouth, neck and spine.

Following the initial physical therapy examination, the therapist develops a comprehensive treatment plan, which forms the basis of the physical therapy program.

 

Can any Physical Therapist Treat TMJ?

Yes. By State Regulations, any licensed Physical Therapist can treat TMJ dysfunction, but there is minimal training given for this complex problem in physical therapy school.

There are multiple continuing education courses that train a therapist to specialize in this area which goes beyond the basics. Before scheduling an appointment with any physical therapist regarding your TMJ issue, you should ask if the therapist has taken any continuing education classes specifically dealing with TMJ dysfunction as well as how often they are seeing TMD patients.

At Cornerstone Physical Therapy, our orofacial pain specialist, Seth J. Fibraio, is the only physical therapist in the Asheville area with advanced training in orofacial physical therapy.

Seth Fibraio has completed advanced coursework with Dr. Mariano Rocabado, one of the world's leaders in this field. Seth also received his Clinical Doctorate in Physical Therapy with a concentration in craniomandibular disorders.

Please call our office with any questions or to schedule an appointment.