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Trigger Point Therapy for Headaches, Migraines, and TMJD: Summary
• Light Swedish techniques - “make nice” and flush/effleurage the area • Stretch (if applicable) - hold for 30-60 seconds or 4-10 breaths Remember To Protect Your Body
General Contraindications: • Fever • Acute migraine • Anti-coagulant medications
• Muscle relaxants • DVT (untreated) Contraindications of neck: • Cardiac arrhythmia • Carotid sinus hypersensitivity • History of/risk of arteriosclerosis (caution)
Table 4: Muscle Anatomy and Trigger Point Charts of Head and Face Muscle & Image # for TP Origin (Lease Moveable) Insertion (Most Moveable) Signs and Symptoms Action
Trigger Point Activation • Chronic mouth breathing • Forced contractions (eating ice) • Gum chewing clamping of jaw (mouthpiece) • Bruxism • Whiplash • Hit with ball • Prolonged jaw immobilizations • FHP • Gum chewing • Nail biting • Prolonged
Masseter
• Zygomatic arch
• Mandible
• TMJD • Ear pain • Molar tooth pain • Cheek pain • Earaches/ tinnitus
• Elevates
mandible (strong
enough to bite finger off-straight through the bone)
Temporalis • Temporal fossa and fascia
• Coronoid process of mandible
• HA and
• Elevates
migraines • Temporal or • Upper and lower molar head pain • Back of head pain • Temporal HA eyebrow pain • Cheek pain • Throat pain • Drooling in sleep • Earaches/ tinnitus • TMJD • Throat and front of neck pain
and retracts mandible
Medial Pterygoid & Image 9
• Lateral
• Mandible
• Forward head posture
Unilateral: Lateral deviation to opposite side Bilateral: Elevates and
pterygoid plate of sphenoid bone
• Thumb sucking • Gum chewing • Emotional tension
• Maxilla
protracts mandible
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