TMD Course

Evaluation and Treatment of Temporomandibular Disorders and Craniofacial Pain

Instructor: Michael Karegeannes, PT, MHSc, LAT, MTC, CFC, CCTT, CMTPT

Course Description

This two day course provides a basic understanding of Temporomandibular Disorder (TMD) and Craniofacial Pain (CFP). Participants will learn anatomy and biomechanics of the normal temporomandibular joint (TMJ), as well as abnormal mechanics or pathophysiological mechanics that will require a comprehensive evaluation and treatment approach. This course is designed to help differentiate myofascial related pain from internal derangements, and educate on the interrelationship between the cervical spine and the TMJ. Lab time will allow participants to palpate anatomical structures as they relate to TMD and CFP, and learn how to mobilize the TMJ as well as the upper cervical spine. Participants will gain insight into a basic home exercise regimen for their patients. There will also be discussions about appropriate orthotic therapy, lifestyle changes, potential surgical interventions and how to build a rapport with the dental community and other healthcare providers so the best possible outcomes can be achieved for patients.

Mike instructing how to palpate the muscles of mastication.

Learning Outcomes

Participants will be able to:

  • Describe basic TMJ anatomy, biomechanics, and pathomechanics.
  • Recognize how postural or cervical dysfunction might contribute to TMJ disorders.
  • Evaluate the TMJ and develop a working hypothesis.
  • Demonstrate appropriate manual and exercise techniques for the treatment of TMD.
  • Identify the PT’s role within the dental community for the treatment of TMD.
  • Recognize other treatment options outside of PT.
  • Educate clients in the management of TMD.

About the Instructor

mike-authorMichael Karegeannes, PT, MHSc, LAT, MTC, CFC, CCTT, CMTPT, is the owner of Freedom Physical Therapy Services , 4 clinics in WI, since 1997 and a practicing physical therapist since 1989. His specialties in the field of physical therapy include: TMD, spine and pelvic dysfunctions, myofascial pain, and orthopedic therapies. Michael graduated from the University of Wisconsin-Madison in 1989 with a Bachelor’s of Science Degree in Physical Therapy. After he graduated, he received his athletic training license from the University of Wisconsin-Milwaukee, and later, Michael completed his manual therapy certification and Masters of Health Science from the University of St. Augustine in Florida.

In 2005, Michael had the honor of being trained by Dr. Mariano Rocabado, (in conjunction with the University of St. Augustine) who is the leading national expert in the field of craniofacial therapies. Michael holds a Craniofacial Certification with the University of St. Augustine.

In addition, Michael has attended an orofacial pain and TMD Residency with the University of Minnesota Dental School. He is a member of the American Academy of Orofacial Pain (AAOP) as well as vice-president of the Physical Therapy Board of Craniofacial & Cervical Therapeutics (PTBCCT). In addition, Michael is, one of a few, Certified Cervical & Temporomandibular Therapists (CCTT) who has obtained diplomate status by the PTBCCT.

In 2011, Michael received thorough and extensive training in the technique of intramuscular dry needling and is certified through Myopain Seminars, the premier post-graduate medical and physical therapy continuing education company in the United States with a focus on myofascial trigger points. Michael is also on faculty with Myopain Seminars. Michael is also one of the few PTs in the USA trained in the CRAFTA approach to TMD.

His diverse experience, knowledge, and manual skills allow Michael to be highly effective in the evaluation and treatment of his clientele.
Michael is a member of the APTA, WPTA, NATA, AAOP, PTBCCT, PAMA and IMS.


Day 1

7:30am Registration
8:00am Introductions and TMJ anatomy
9:30am TMJ biomechanics
10:15am Break
10:30am Pathomechanics, abnormal mechanics, and Parafunction
11:30am Evaluate ROM of TMJ
12:00pm Lunch
12:30pm Hypermobility, History / Etiology of TMD, Diagnostic Imaging
1:15pm Evaluation of TMDs
2:30pm Break
2:45pm Muscle / Arthritic / Disc Treatment Techniques
3:30pm TMJ mobilization techniques
5:00pm Adjourn


Day 2

8:00am Review and Q&A regarding day one
8:30am Rocabado 6×6 exercises / Hyperboloid Exercises
9:30am Marketing Strategy
10:15am Break
10:30am Upper cervical anatomy and forward head posture / Upper cervical spine treatment
12:30pm Lunch
1:00pm TMD home exercises / Posture exercises / Ergonomics
2:30pm Break
2:45pm Appliance Therapy
3:30pm Summary, questions, and review techniques
4:15pm Surgical options
5:00pm Adjourn

See previous course recap, testimonials and photos – October 2016



Registration Details

Level: Intermediate
Target Audience: PTs, PTAs , LMT, OTs
Dentists and Physicians may attend
CEUs: 1.6 (16 clock hours)
15:1 Student/Instructor
Price: $595



Upcoming Courses


Date Location Host  Registration
September 29-30, 2018 Pittsburgh, PA UPMC Centers for Rehab Services Closed Course
November 17-18, 2018 Mequon, WI Concordia University-Wisconsin Mequon Register
January 19-20, 2019 Calgary, Canada Clearview Physical Therapy Call: (403) 217-0349 or Email: [email protected]


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