♪ Bob and Brad ♪
♪ The two most famous ♪
♪ Physical therapists ♪
♪ On the internet. ♪
(Bob claps)
- Hi folks, I'm Bob Schrupp, Physical Therapist.
- Brad Henry, Physical Therapist
And we are the most famous physical therapist
on the internet.
- In our opinion, of course Bob.
- Push on these spots to make your TMJ pain go away.
And we're talking about trigger points, Brad.
- There you go.
Let's find out where they are because there's some people
that really could use this information.
- Yeah, and again, we're talking about pain
that you're having in your jaw, around the face
and that's what we hope to take away today.
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See that camera shaking.
Maybe we shouldn't shake the camera.
So, alright, so we're talking about trigger point therapy.
Trigger points are a hyper irritable spot in the muscle
and you got them all over your whole body.
- Right.
- And they're hypersensitive when you push on them,
they hurt.
They actually feel pain.
- That's why they're triggers.
They call them trigger points.
- Right.
And we're trying to get those trigger points to release.
We're trying to get them to go away.
So we're gonna massage them is what we're gonna do.
And we're gonna try to keep the massaged
fairly relatively short.
You're just gonna do 10 to 12 strokes over the muscle,
over the trigger point.
And with that, it should release,
but there's trigger points, there's four on this one
and there's seven on this one.
We'll get into that.
- Right.
And, but this information is something
that's been well researched and studied and Bob
has even done quite a bit of research in reading.
- Yeah, this is based on the work of Janet Travell
and David Simmons.
And they studied this over their lifetime.
- Sure.
They've both passed away since
but they dedicated their lives to it.
And this book is actually based upon their work.
- Okay.
- But it's by Claire Davies and Amber Davies.
It's called The Trigger Point Therapy Workbook.
- Right.
- The Trigger Point Therapy Workbook.
I got it out.
- Yeah, we gotta get that speech very fast...
- Third edition. - ...working and going.
- Yeah, so anyways, we're gonna talk about these muscles
where we're gonna actually do this massage.
It's relatively simple and it doesn't take a long time.
- That's right.
And you can do it throughout the day actually.
- Sure.
- So we got two muscles here
that can often be affecting your TMJ.
We got the temporalis, which is by the temporal bone,
which makes sense, it is in by the temple.
- Yeah, spread out broad, thin muscle.
- Right, and it actually goes around here
and it does attach into the mandible here into the jaw.
And then what's nice about this model here,
the muscles are really well delineated.
- We didn't introduce Sam.
- Oh, Sam, the super skeleton.
Yep, I don't know what makes him super, but..
- Yeah, whatever he's a nice guy.
- So anyway, we got the red one which is the temporalis
and then the blue one is the masseter.
So either one of these can send pain into that TMJ.
- Okay.
- If we're talking about the temporalis,
it actually can send pain.
It can give you headaches too.
- Headaches on the frontal area and on the side.
If we're talking about the masseter,
that can actually give you pain above your eye,
below your eye and over the TMJ again.
- By the ear.
- Temporomandibular Joint.
- Yeah, so basically the jaw joint.
- Right, yeah, if you palpate right there,
by your ear hole there(gargling) go like that.
It's very clear where it is.
- Both of them.
Actually, if you clench your teeth, you can feel it here.
You can feel that one working.
- Right.
And if you clench your teeth
you can feel... - Sure.
- ...the masseter working.
- But I mean the actual joint itself.
- Oh right, you can feel the joint.
- Yeah, yeah. - Moving exactly.
- It's a small joint actually.
- So it's strange, but we gonna work on these muscles
to help decrease the pain in the joint.
And we're gonna work on this muscle
to decrease the pain at the joint.
- Right, as well as the other referred pains
and the headaches and whatnot.
- Right, so there's four main trigger points.
- Trigger points.
That's what we're talking about.
- Yeah, lost thought of it for a second.
On the temporalis,..
- Right.
- Four main ones.
- So the blue points are the trigger points.
- Yeah.
- There's actually seven on the masseter
but I didn't put them all in there.
Cause one, I had blue tape and two,
I wouldn't even be able to get seven dots on there.
I mean, ...
- Right, they're pretty close together.
Believe me, you're gonna hit them with the techniques
that we're gonna show you.
So we're gonna go ahead and sit down.
- We're gonna go ahead.
Brad's gonna show a frontal view.
I'm gonna show a side view.
And so we got the temporalis muscle right here again,
for me actually there's a little bit of dent here.
I dunno what that means
that I have a little dent in my head.
- Yeah, that's called concave virus.
- Yeah, (laughing) concave virus.
- All right, so you can take your fingers.
You can actually support them with the other fingers,
and you can just work your way around
and find that tender spot, and you're just gonna massage it.
Like I said 10 to 12 times.
You can do this three to six times a day.
- Are we gonna like make circles by it?
- Yeah, make small little circles massaging.
I found that one there.
There's a trigger point for me.
- So when you find it
you'll feel it's a little tighter area,
and it's a little more tender and when you hit that spot,
it'll be uncomfortable.
- Yeah and remember there was four right along here.
So we're gonna go ahead and work along on that area.
So we got supported fingers, for your support
and you lean into it.
Don't you Brad?
- Right.
Now, remember Bob said 10 to 12 strokes.
So you're not gonna spend three or four minutes doing this.
That's overdoing it.
It's relatively quick.
- And also the amount of pain you should feel.
Cause it is a little bit painful when you do these
and you should feel the pain release.
I wouldn't go above a five out of 10.
- So 10 is the worst pain you've ever experienced.
- Right.
- Zero is no pain.
So we're halfway in between here.
- It's a fair amount of pain.
- It's uncomfortable but...
- Not terrible at all.
- So, and it's gonna release as you do it more.
So the pain should go down as you work that muscle.
- So let's go to the masseter now.
- Okay.
- So the masseter again goes from the cheekbone here
down to the jaw line here.
- Right.
- So we're gonna go away and same thing.
We're gonna take the fingers, supported fingers
and we're gonna work small little areas there.
Find the tender spots.
Mine aren't too bad.
So I don't really have, the trigger points
aren't really fired up on me to a large extent.
Now you can clench your jaw.
If you want to feel, like Brad said,
you can actually see it sometimes on people.
You said you could see it a little bit on me.
- Yeah, like some people chewing gum
you could just see them when go into town.
They might be lifetime gum chewers.
And it really built that muscle up.
You know who has a really big masseter?
- Who is that?
- Horses.
- Horses do.
- Yeah, look, they just got a bulging masseter.
It's incredible.
I like the massage.
- Which makes sense.
- Yeah, I bet you, they get that massage sometimes
if you got a lot of money in a horse.
- Why so they can maybe better? (laughs)
- To keep a happy horse.
You want your horse happy.
- All right, so now in addition to doing the outside,
you could actually massage this muscle from the inside.
- Right.
- Little bit icky, maybe, huh?
How would you call it?
When Bob says we're gonna do this, I say I'll watch you.
But then actually I tried it and it really does allow you
to get a feel into that muscle.
- Really right into the muscle.
- Yeah. - Yep.
So you keep your mouth closed
and you're gonna reach inside with your finger,
and then tighten out, you tighten it up
and you'll feel then, you'll feel that muscle
against the cheek bone.
And you can actually use the other finger as support.
And you're gonna get in there and you're gonna massage.
- Yeah, you're actually getting on each side
of the muscle and you really get a thorough massage.
And like Bob said, you can feel that muscle very clearly.
- Yeah, I actually feel the trigger points
a lot easier doing the inside the mouth technique.
Like we said, you probably don't wanna do this in public.
People are gonna talk about you.
- Yeah, especially at a restaurant, it's not good, but yeah,
do it at home.
People are gonna think you're picking your teeth
or something like that.
- Oh, just a massage.
- All right, well, I hope that helps.
I hope that helps decrease your jaw pain.
These muscles, if they're tight,
they're gonna pull on the jaw harder.
They're gonna give you increased stress.
It's amazing how sometimes it's not the jaw itself
but the muscles around it that are giving you trouble.
- Right.
Cause they influence that mechanics.
- Right.
- Yeah, one thing we failed to mention
is that masseter actually, when that's fired up,
it can actually be the one causing the locked jaw
where you can't open your mouth.
- Right, it gets locked up.
And you get those muscles to relax.
So things go back where they need to.
- Yeah, we've seen where patients, wake up and they're like,
I can't open my jaw.
And maybe the day before they were at the dentist
and had their mouth open for a long time.
- Sure, yep.
- And chewing gum by the way is not good for your jaw.
It's something if you are having trouble with your jaw,
you wanna avoid.
Sure you're right.
All right, thanks everybody for watching.