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Modern Manual Therapy video ad

See all Modern Manual Therapy ads →

Oct 23, 2026

🤔 Just because there’s a hole, doesn’t mean you need to do internal treatment. No fish-hooking 🪝 needed—we treat every ...

edgemobilitysystem.com

Running

14d

Format

video

Platforms

More from Modern Manual Therapy

🤯 This Simple Hip Flexion Isometric Unlocks Instant ROM!

🤔 Just because there’s a hole, doesn’t mean you need to do internal treatment. No fish-hooking 🪝 needed—we treat every other joint externally. When it comes to the TMJ, clinicians often default to gloved, intraoral mobilizations: bilateral distractions, focusing on the tighter side, or lateral glides to improve excursion. While those mechanics make sense on paper, sticking your fingers in a patients mouth isnt always necessary—or the most comfortable way to lower threat in a sensitized system. We dont need internal access to treat the knee, hip, or shoulder, and the jaw is no different. Here is how to make external TMJ treatment simple and pain-free: Palpate Common Trigger Points: Screen the masseter and surrounding areas (classic Travell and Simons zones) for baseline tenderness and hypertonicity. Positional Inhibition via Skin Slacking: Instead of passively forcing the jaw into lateral excursion and holding for 30–60 seconds, simply bring the skin above the masseter together to slack it. Add a slight clockwise or counterclockwise twist until tenderness drops to zero, and hold for 30–60 seconds. Giving an area previously under threat a chance to relax rapidly reduces tone. External Isometrics for Excursion: If the jaw deviates to the right on opening, promote left lateral excursion mechanics without internal glides. Have the patient place their tongue on the roof of their mouth and gently meet two-finger isometric resistance on the left side of the mandible. Target Bilateral Pain: If pain presents bilaterally, shift to gentle external isometric protrusion or isometric mandible depression (opening). Down-regulate the tone externally with skin slacking, then reinforce the directional preference with simple isometrics. Are you still glove-up for intraoral TMJ work, or have you shifted to external approaches? Drop your go-to TMJ resets below. Want to specialize in TMJ and earn CEUs? Check out https://modmt.com/tmm

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