title: Postarthroscopy physical therapy management of a patient with temporomandibular joint dysfunction.
abstract: Arthroscopy of the temporomandibular joint (TMJ) is a new, relatively noninvasive surgical procedure for treating patients with TMJ dysfunction beyond nonsurgical management. The purpose of this commentary is to introduce a four-stage rehabilitation protocol currently used by the authors in the physical therapy management of a postarthroscopy TMJ patient with a diagnosis of bilateral capsular impingement and adhesions. The patient underwent diagnostic TMJ arthroscopy and the four-stage rehabilitation protocol. Stage I exercises to maintain mandibular mobility began in the recovery room. Stage II exercises consisted of hands-on and take-home stretching exercises. Stage III and IV exercises were completed to improve muscular function. The patient was discharged from physical therapy in a month with full range of motion and diminished pain and headaches. At 1-year follow-up, the patient demonstrated full range of motion without pain, further treatment, or medications.
authors.affiliation: Orthopedic Rehabilitation Specialists, Inc., Miami, FL 33176.
authors.forename: B R
authors.initials: BR
authors.lastname: Wilk
authors.forename: J T
authors.initials: JT
authors.lastname: Stenback
authors.forename: J P
authors.initials: JP
authors.lastname: McCain
mesh_terms: D000328:Adult; D001182:Arthroscopy; D005260:Female; D006801:Humans; D026741:Physical Therapy Modalities; D013706:Temporomandibular Joint Dysfunction Syndrome / Q000534:rehabilitation* / Q000601:surgery