Evaluation and Treatment of Temporomandibular Disorders and Craniofacial Pain: Level II (Dec 05 - 06, 2026)

Evaluation and Treatment of Temporomandibular Disorders and Craniofacial Pain: Level II is organized by Freedom Physical Therapy Services, S.C  and will be held from Dec 05 - 06, 2026 at Sterling Physical Therapy & Wellness, Sugar Land, Texas, United States of America.

Description:
To attend this course, past participants must have completed the first course with Michael Karegeannes entitled: The Evaluation, Treatment and Management of Temporomandibular Disorders, Craniofacial Pain and Orofacial Pain. This advanced course and second installment will build on the Evaluation and Treatment methods for TMD as taught in the first course. There will be a quick review and assessment of the basic joint mobilizations and extra and intraoral muscle palpation to make sure this is going well, and that no subtle modifications are needed. We will once again review the pain map but go deeper into its value and understanding as a preventative tool for TMD, as well as providing objective data that over time can show the resolution of the TMD condition. The majority of the first course as you know covered the soft tissue structures above the Hyoid bone, in the advanced course we will go through to better understand, palpate, and treat all the infrahyoid musculature. Advanced TMJ mobilization techniques, functional kinetics, and mobilization with movements will be provided to manage more difficult cases. We will go further in-depth into assessing sleep and airways for patients suffering from sleep-disordered breathing. We will cover palpation of the lymphatic chain around the temporomandibular joint and cervical spine, as well as cover several sinus mobilization techniques. We will go through the treatment of challenging Trismus cases, and cover 2 case studies to make sure we are tracking in the right direction. We will review more in-depth coverage of tongue tie measurements along with using the throat scope for airway assessment. We will cover some additional exercises and a review of using the hyperboloid and keeping patients compliant with HEP. 

Objectives:
By the end of the course, the participant will be able to better understand:

• Review Research Diagnostic Criteria for TMD.
• Review Muscle Palpation from Course 1.
• Anatomy and Actions of Supra and Infrahyoid Muscles.
• Palpation and Treatment Approach of The Supra and Infrahyoid.
• Osteopathic Techniques to Treat Ear-Related Symptoms.
• Revisit Arthralgia and DJD per RDC/DC-TMD.
• Rocabado Pain Map for Synovial Mapping.
• Revisit Various Disc Displacement issues based on the RDC/Pseudo Disc Concept.
• Review TMJ Mobs taught in the Basic Course.
• Introduce Advanced TMJ Mobilizations.
• Seated TMJ Mobilization Techniques.
• Concept of Functional Kinetics with TMJ Techniques.
• Mobilization with Movement techniques for the TMJ.
• Treatment of Difficult Trismus Cases.
• HEP for Patients, Hyperboloid, Improved Compliance Plan.
• How to Measure for Tongue Tie and Grade.
• Use of Throat Scope and Airway Assessment and Management.
• 2 Case Studies.
• Educate on Lymph nodes and Glands for the TMJ and Neck, not lymphatic drainage.
• Sinus Mobilization Techniques for Drainage