POSTARTHROSCOPY PHYSICAL THERAPY MANAGEMENT OF A PATIENT WITH TEMPOROMANDIBULAR-JOINT DYSFUNCTION

Arthroscopy of the temporomandibular joint (TMJ) is a new, relatively noninvasive surgical procedure for treating patients with TMJ dysfunct ion beyond nonsurgical management. The purpose of this commentary is t o introduce a four-stage rehabilitation protocol currently used by the authors in the physical therapy management of a postarthroscopy TMJ p atient with a diagnosis of bilateral capsular impingement and adhesion s. The patient underwent diagnostic TMJ arthroscopy and the four-stage rehabilitation protocol. Stage I exercises to maintain mandibular mob ility began in the recovery room. Stage II exercises consisted of hand s-on and take-home stretching exercises. Stage III and IV exercises we re completed to improve muscular function. The patient was discharged from physical therapy in a month with full range of motion and diminis hed pain and headaches. At 1-year follow-up, the patient demonstrated full range of motion without pain, further treatment, or medications.