0:00 “Okay Brittney, tell me what is going on
with your jaw.”
“My right jaw is extremely tight.
I’ve tried to open it.
It does not open wide at all; it’s aching”.
“How much pain do you feel there from 0 to 10?
10 is emergency room.”
“Emergency room, not emergency room worthy but it does hurt a lot.
I would say maybe like a 7 or 8.”
“7 or 8.
Is that constant pain or just when you do certain motions?”
“Certain motions like opening my mouth too wide or closing it when I am eating”.
“Okay and how long has this been going on?”
“Since end of June.”
“End of June, we are in October so about 4 months now.
And what kind of treatments have you had for this before?”
“I’ve been using a mouth guard.
That is really all I have been using.”
“So would you show me where is the pain exactly?”
“So the pain is when I open my mouth.
It’s just here and sometimes like when I bite down sometimes it would go up to here.
And then maybe because I am clenching at night, in the morning I feel tightness here”.
“Tight in the neck.
Do you have any headaches or anything like that?”
“No.”
“And you said now, it’s how much from 0 to 10?
How much pain?”
“Maybe 7 or 8”.
“7 or 8.
Okay, let me see your neck range of motion.
Go backward.
Okay, and let me know if you feel tightness.
Forward.
That’s not too bad okay.
Turn your head to the right.
Left.
Okay.
Side bend to the right and left.
Do you feel any pain with that?”
2:04 “This side I do not feel any pain.
This side I do not feel any pain but it does feel tighter.”
“Okay, so I am going to take the range of motion for the jaw.
So try to get those numbers.
No this way.
So that is basically 20…23.
Can you see that?
I would say like 22, 23.
So you have been having that limited range of motion since last June, 4 months now.
So make sure you let me know if you feel any pain.
So are you okay with this?
This is the area you are talking about yeah?
” “Yeah.”
“In here?
Is that painful?
Yeah your mouth opening is very limited.
Normally it is 35 to 45 millimeters.
You are like 24.
23, 24.”
“I can feel it on the right side.”
“Is it painful?”
“What you just did, I feel that.
It was not painful, it felt like…”
“Was it tightness?”
“It felt like you were massaging it.
It felt better.”
“That’s good.Yeah this is called ASTR.
It is better than massage, okay?
Let me know if this is too much”.
4:10 “So since June, you are limited to the same
exact range of motion.
Or was it gradual decreasing?
It was gradual or it just happened like suddenly” “It was gradual.”
“Is that too much here?”
“No it is fine” “You said this side is in pain right?”
“You feel that bump here?
Is that painful here?”
“No”.
“Okay.
Make sure you let me know.
So you said this is making it difficult for you to eat, open your mouth, and chewing.
What about talking?”
“No, when I talk it is fine” “And you do not get headaches, yeah?”
“No”.
“Okay.
How does this feel here?
“A little easier.”
“Okay, I am going to work on the scar tissue.
Let me know if it is too much, okay?
There’s some lotion, it is going to get a little bit cold.”
“Okay.”
6:05 “You feel this bump here?
That’s the scar tissue.
You feel this grinding here?
It should feel nice and smooth like this.
You feel how nice and smooth it is over there?
You do not have the scar tissue there, in this area.
But like even in the camera, you can see it is just not moving.
Here it is moving nice and smooth, but here there is the scar tissue preventing it”
“Wow”.“Yeah so is that okay?”
“That’s fine” “Yeah that is from…because you are clenching
and grinding so you start to get the micro-tears in the muscle, and from the micro-tears there
is the scar tissue, and over time that will, you know, that will those big knots will cause
restrictions in the range of motion because the muscles should act like a rubber band.
Contracting and relaxing it does this.
When you have the scar tissue, it is just like you have a knot in the rubber band, so
when the muscle contracts, it does not have enough room to move so it compresses on the
nerve or could even compress on your joint and create limited range of motion.
Is that too much?”
“No that is fine” “I am gonna break it so I am going to get
closer to your joint.
Is that too much here?
Do you feel that bump here?”
“How do I stop clenching?”
“I will go over that with you.
We have a lot of tips that can help to stop that.
A lot of patients have clenching at night so we will go over that in detail.
So the treatment is just doing the release and I will show you some exercises after.
And I will go over a list of stuff that I want you to work on to help decrease the clenching.
Hopefully we ca stop clenching after all these instructions.
There a lot of factors for that so we will work on it.”
8:23 “Is that too much?"
“It kind of tickles.”
“It tickles?
Yeah it is fun to be here.
You feel this bump here?”
“Mhm” “Because you said it is here in your neck
too.
Okay so we are going to take the measurement again so sit up nice and tall.
Okay, beautiful.
That looks like 29, 30.
That is good.
So let me do one more.
We started with 23, 24.”
“On my back?
Yeah I think it was like 22.”
“Yeah so that is not too bad.
So let’s scoot towards me.
But you had this for four months . It is not that it was last week.
If it’s, if I see the patient like when you have limited range of motion, few days
or a week or something like that, usually we can get the range of motion much faster.
But if it is for several months, then you have got a lot of restrictions in different
areas.
And that makes it more, you know, there is more areas to work on.
Is that too much?”
“No.”
10:11 “You feel that tightness?
You feel how it is pulling your head?
I am just trying to release the fascia and your head is moving with it.
That is from the tightness.
I am not pulling her hair, okay?
I know it looks like it.”
“No this side, now it is not as tight.”
“Yeah it is this.
You feel it on this side.
Sorry sorry.
It is not torture okay?
It should be comfortable.”
“It is a good pain.”
“Well I do not think it is a good pain.
I do not think pain is good.
If you feel it stretching that is fine.”
“It is like a release”.
“Yes, release.
That is how I would describe it.
But I disagree with the painful philosophy because if you have pain, it is like you have
a check engine signal on your car.
So there are two options.
One is cover the signal and keep driving and hope for the best.
Two, just figure out where the pain is coming from, fix it, and the check engine light will
disappear.
It is the same thing with the painful signal in the body.
If you ignore it and you keep pushing it, you really do not know what is going on and
you do not know what is going to end it.
Is it going to cause more damage or not?
But if we start to evaluate and figure out why there is pain to begin with, we just get
to the source of the problem and the pain should disappear.
So that is why I disagree with the painful philosophy.
You are not making faces now, are you?”
“No.”
12:01 “Fascia restriction is like you are wearing
a t-shirt that is two sizes too small.
This is the fascia.
This is the muscle.
This is the joint.
I do not have any fascia restrictions here.
So when you have fascia restrictions it is like you are wearing a t-shirt 2-3 sizes too
small.
So when there is tightness like here and I try to move my joint, it limits my range of
motion.
That is what fascia does.
It compresses on nerve, artery.
It could compress on nerve artery and limited joint range of motion.
So that is why practitioners, that is why I have to work on that.
It is part of the problem.
Fascia restrictions, scar tissue, trigger point, muscle spasms.
We have to address it holistically to make sure we are treating everything not just part
of the problem.
Is that too much?”
“No.”
“Okay so let us actually try to…how is your neck now?”
“It feels good now”.
“Any pain, discomfort?”
“No.”
“Alright” “My neck feels great.”
“Okay, awesome.
Let’s go ahead.
So it’s about the same, around 30.
So alright, tell me what you think about ASTR treatment.”
“It is great.
I went from 22,24 to almost 30 so.. it definitely helps”
“Thank you so much.”
“Thank you.”