PTBCCT

TMD and Cervical Courses

The following courses have been approved by the PTBCCT for credit towards the application to sit for the examination to become a Certified Cervical & Temporomandibular Therapist (CCTT) as well as to fulfill the annual continuing education requirements to maintain status as a CCTT.

Click on any name below to view their available courses

Jeffrey S. Mannheimer

  Jeffrey S. Mannheimer

Course:

Comprehensive Evaluation & Treatment of the Sub-Occipital, Craniofacial & Temporomandibular Complex.

A progressive course series of 3 separate two-day modules within a 3 month period.

Does Your Patient Only Have a Temporomandibular Disorder (TMD)?

OR

Could the Pain and Dysfunction Also Be Due to or Comorbid with Any of the Following?

Cervicogenic myofascial pain, cluster, migraine or tension-type headache, ear infection or toothache, C2 – C4 discal bulging, temporal arteritis, TMD, cranial nerve neuralgia or a combination of one or more?

Without a comprehensive evaluation and individualized treatment program, which is the foundation of this course, chronicity is likely to develop.

Course Overview: Physical therapy education relative to an understanding of the various types of headaches, orofacial pain and temporo-mandibular disorders (TMD), as well as their inherent patho-physiological mechanisms, are commonly not covered sufficiently within the entry-level or graduate physical therapy curriculum. This specialty course has been designed to fill the void, which exists beyond the evaluation of the cervical spine and provide knowledge as well as training in definitive evaluative and therapeutic skills unique to this specialty area.
 Description:

One of the most overlooked causes of headache and orofacial pain are those of a cervicogenic and/or temporo-mandibular etiology. Many general practice physicians, neurologists and dentists commonly disregard the cervical spine as a causative craniofacial pain factor or are unaware of temporomandibular dysfunction focusing instead on a vascular, vestibular or neurological etiology.  Physical therapists who receive referrals relative to the evaluation and treatment of patients with headaches, orofacial pain and temporomandibular dysfunction in children and adults, therefore need to understand that there are mechanisms other than vascular or neurologic that represent significant etiological factors and require a multi-disciplinary approach.

This course is designed to provide the information and necessary evaluative skill to delineate the major types of headaches, orofacial pain, temporomandibular joint (TMJ) movement disorders and associated symptoms that originate from the craniofacial and temporomandibular regions from those of a cervicogenic and/or comorbid origin. An in-depth understanding of the anatomical and neurophysiological factors relative to the trigeminocervical, sub-occipital and temporomandibular complex, as well as the cranium in relation to headaches and orofacial pain will be presented. Sub-occipital, orofacial, temporomandibular and cranial pain/dysfunction syndromes will be analyzed with emphasis placed upon their delineation and subsequent development of comprehensive therapeutic paradigms. Workshop sessions will follow the lectures and focus upon case study analysis, proper sequencing and use of manual upper ¼ and craniofacial (intra & extraoral) soft tissue and joint mobilization techniques, therapeutic exercise, adjunctive modalities, dry needling as well as postural and ergonomic intervention for the reduction of pain and inflammation, restoration of function and prevention of recurrence. A constantly evolving 6-page evaluation form provides the foundation for the course.

 Course Learning Objectives:

Objectives:

Upon successful completion of this course, each participant should be able to delineate the major types of headaches, craniofacial and temporomandibular pain-dysfunction syndromes and initiate appropriate and logically sequenced comprehensive therapeutic management.  All concepts and techniques will be supported by evidence-based, peer-reviewed publications.  Completion of the course will allow the student to achieve the following goals and competencies, which will be determined/measured by participant interaction during case presentations.

Goals:

  1. Identify the components of the trigemino-cervical complex.
  2. Understand how cervicogenic mechanisms can impact the craniofacial region.
  3. Delineate between the general headache categories.
  4. Delineate between the various types and causes of cervicogenic headaches (CGH), prime headache disorders (tension-type, vascular/migraine, neuralgic and autonomic), temporo-mandibular disorders (TMD) and orofacial pain (OFP) in order to direct treatment to the causative structures and eliminate perpetuating factors.
  5. Understand the significant impact of myofascial pain upon the cervical, shoulder girdle and craniofacial regions.

Competencies

  1. Understand new evaluative concepts relative to the cervical/shoulder girdle, sub-occipital, craniofacial and temporomandibular regions, as well as their inherent interaction that frequently gives rise to co-morbidity.Demonstrate knowledge of the anatomy and arthrokinematics of the TMJ as well as related dental terminology.
  2. Identify occlusal abnormalities, intrinsic and extrinsic etiological factors that contribute to TMD, masticatory muscle hyperactivity or imbalance and the need for dental and/or physical therapy intervention.
  3. Properly interpret the findings of the evaluation and present it in verbal and written form to the referring physician (medical and dental) along with appropriate therapeutic goals and treatment plans for comprehensive management. 
  4. Perform specific manual therapeutic procedures relative to joint and soft tissue mobilization, of the cervical, shoulder girdle, sub-occipital, craniofacial, masticatory and temporomandibular regions.
  5. Instruct patients in therapeutic exercise techniques for postural correction, functional restoration, muscle imbalance, strengthening and relaxation.
  6. Understand the different TMJ surgical techniques and proper post-operative management.
  7. Assess the need for adaptive devices and ergonomic changes for correction of improper driving, sitting, sleeping and working postures.
  8. Understand the role of dental/oral appliances and techniques utilized in the management of TMD and OFP.
  9. Instruct patients in self-management and non-medicinal techniques to prevent a recurrence of pain and/or dysfunction.
Speaker:

JEFFREY S. MANNHEIMER, PT, Ph.D, CCTT, CODN

Dr. Mannheimer received a BS degree in Biology from Bradley University, MA degree and Certificate in Physical Therapy from New York University and a Ph.D in Health Science from Seton Hall University. He is now in his 53rd year of clinical practice, which over the past 35 has been limited to the evaluation and treatment of cervical spine disorders, temporo-mandibular disorders, cervicogenic headaches and orofacial pain (CSD, TMD, CGH & OFP) respectively.  He is a certified Cervical and Temporo-mandibular Therapist (CCTT) by the Physical Therapy Board of Craniofacial & Cervical Therapeutics (PTBCCT) and certified in Orofacial Dry Needling (CODN) by Myopain seminars.

He has many publications pertaining to the evaluation and management of pain by postural and ergonomic correction, manual techniques, therapeutic exercise and non-medicinal pain control in dental, medical and physical therapy texts and journals. He coordinated the chapter on “Cervicogenic Mechanisms of Headaches and Orofacial Pain” for the 4th edition of “Orofacial Pain: Guidelines for Assessment, Diagnosis & Management” of the American Academy of Orofacial Pain (AAOP).  He is also the co-author of the first medical textbook on Transcutaneous Electrical Nerve Stimulation, “Clinical TENS” published by F.A. Davis in 1984.  His most recent clinical contribution “Dry needling for management of pain in the upper quarter and craniofacial region” by Kietrys DM, Palombaro KM & Mannheimer JS, was published in Current Pain & Headache Reports. 18(8): 437- 446, 2014.

In addition to private clinical practice, Dr. Mannheimer is currently an Adjunct Clinical Professor in the Department of Rehabilitation & Regenerative Medicine (Program in Physical Therapy) at Columbia University. He was previously a Clinical Assistant Professor in the Dental School of the University of Medicine and Dentistry of New Jersey (UMDNJ) and director of the physical therapy tract for their continuing education program in the Diagnosis and Management of Temporomandibular Disorders and Orofacial Pain for 13 years until the program was discontinued.

Current professional memberships are held in the American Physical Therapy Association, American Academy of Orofacial Pain (AAOP) and the International Association for the Study of Pain (IASP). He has also served on the examination committee of the American Board of Orofacial Pain (ABOP), which certifies dentists in this specialty field, is a member of the AAOP education committee and previously served as an AAOP council member. Dr. Mannheimer is the founder and current president of the PTBCCT (ptbcct.org), which consists of an international group of physical therapists who desire to promote education and specialty certification in the field of CSD, CGH, TMD and OFP.  Dr. Mannheimer is a frequent invited speaker at national and international seminars and scientific meetings as well as a manuscript reviewer for Quintessence and the Journal of Craniomandibular and Sleep Practice.

Overview of each Two-Day Module:

Module I

Cervicogenic Causes of Headaches and Orofacial Pain of Non-TMD Origin

The Sub-Occipital Connection – Comprehensive Evaluation & Treatment of the Cervical-Shoulder Girdle & Cranium

Module II

Comprehensive Evaluation of the Temporomandibular Complex

Comprehensive Treatment of the Non-Surgical TMD Patient

 Module III

Advanced Delineation of Disc Displacements, Subluxation/Luxation

Comprehensive Evaluation & Treatment of the Pre & Post-Surgical TMD Patient

Class performance of a complete comprehensive evaluation of an actual patient with cervicogenic and TMD symptomatology that was previously treated by Dr. Mannheimer utilizing the 6-page course evaluation template.

Case study presentations with class interaction are presented specific to the topics of each module.  The complete hour by hour agenda for day one and day two of each module are available by clicking the following PDF links.

Module I – Day One / Module I – Day Two
Module II – Day One / Module II – Day Two
Module III – Day One / Module III – Day Two

Course Logistics:

Announcing the 2019 Course Schedule

Location: Each course series is held at my new office located on the grounds of the Princeton Yoga Center, 88 Orchard Road, Suite 11, Skillman, NJ 08558. Suite 11 is on the ground floor of a free-standing white building to the left of the Yoga Center known as the Carriage House.

Lodging:  A listing of hotel/motel options is available upon request, which are no more than 10-15 minutes from the course location, which is adjacent to Princeton, NJ.

Travel / Driving Directions: To be individually provided upon request.  Recommendations for Airport travel and pick-up at the NJ Transit Princeton Junction Station from Newark Airport is available.

Each of my previous 2018 courses (Course I and II) as well as the succeeding one that starts in December (Course III) have been filled. Please note that each course is strictly limited to only 6 PT’s, which significantly enhances the learning experience. Due to the increasing number of PT’s that have been interested in attending, I have kept a waiting list and contact each PT based upon the earliest date of their inquiry.

Course IV (filled)

Module I: March 2-3, 2019
Module II: April 6-7, 2019
Module III: May 18-19, 2019

Course V  (1 spot open):

Module I: March 16-17, 2019
Module II: April 13-14, 2019
Module III: June 1-2, 2019

Course VI  (currently filled):
Module I: July 13-14, 2019
Module II: August 9-10, 2019
Module III: Sept. 7-8, 2019

Course VII  (6 spots open):
Module I: Oct. 5-6, 2019
Module II: Nov. 2-3, 2019

Module III: Dec. 7-8, 2019

Each course is limited to 6 Physical Therapists and each module must be taken in succession.  The nature of this educational series allows for 23 hands-on workshop sessions in addition to lectures, that are maximized by limiting the course to 6 PT’s. 

Course Certificate: Cannot be granted unless all 3 modules are completed in succession.

Tuition: $500.00/module = $1500.00 for the entire course series, which includes all course material, lecture slides, manual technique video’s, evaluation + home program instruction forms, continental breakfast and refreshments.

Deposit: To ensure your registration, a $250.00  deposit is due prior to the start of each course series payable to Jeffrey S. Mannheimer, PT, PHD, PC .

Mail to: Jeffrey S. Mannheimer, PT, PHD, PC
88 Orchard Road  

Suite 11 In the Carriage House
Skillman, NJ 08558

REMEMBER:  IMMEDIATE RETURN E-MAIL IS CRITICAL TO ENSURE YOUR REGISTRATION.

Steve Kraus

  Steve Kraus

Course Description: Pain and dysfunction involving the temporomandibular joint(s) (TMJ) and/or masticatory muscles are collectively referred to as a temporomandibular disorder (TMD). TMD is a common source of jaw, headaches and orofacial pain and contributes to functional limitations associated with chewing, talking and yawning. An overview of clinical anatomy and mechanics of the TMJ is discussed. An evidence based examination used to diagnose the common diagnostic subsets of TMD is discussed and practiced in lab. An evidence based informed escalation-of-treatment approach will be covered for TMD to include patient education, modalities, exercises, and manual procedures. Surgical and non surgical treatments for disc displacements will be reviewed. Post surgical physical therapy management of the TMJ will be discussed. The rationale for the use of the various oral appliances fabricated by dentists will be highlighted. Cervical spine influences on the management of TMD and headache will be discussed. The team approach between the physical therapy and dental professions will be highlighted throughout the course.

Course Format
Instructor-led course: Lecture and Lab sessions.
Course is for physical therapists and physical therapists assistance.
Dentists and Physicians can attend.

Contact Hours: This is a 15-hour course equivalent to 1.5 CEUs.

Speaker: Steve Kraus, PT, OCS, MTC, CCTT, CODN

Steve Kraus is a physical therapist specializing in the treatment of temporomandibular and cervical spine disorders.

Mr. Kraus earned his degree in physical therapy at Wichita State University in 1975. He received the Distinguished Physical Therapy Alumni Award from The Wichita State University Department of Physical Therapy. Mr. Kraus is a Clinical Assistant Professor for the Division of Physical Therapy Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta Georgia. Mr. Kraus is a Board Certified Clinical Specialist in Orthopedic Physical Therapy (OCS), is certified in Manual Therapy (MTC), is a Certified Cervical Temporomandibular Therapist (CCTT) and is certified in Orofacial Dry Needling (CODN).

Mr. Kraus maintains his enthusiasm for education. He has taught over 335 courses to physical therapists and physical therapy assistants on the evaluation and treatment of TMD. He has been invited to speak at over 75 dental study clubs and dental conferences to include the 50th Anniversary of the American Equilibration Society, Thomas P Hinman Dental Meeting and the American Academy of Orofacial Pain.

Mr. Kraus is an editor, author and has co-authored a number of articles and chapters on temporomandibular and cervical spine disorders appearing in various dental and physical therapy publications.

Mr. Kraus is a member of the American Physical Therapy Association (APTA) and Orthopedic Section of the APTA. Mr. Kraus is an affiliate member of the American Academy of Orofacial Pain and is a board member of The Physical Therapy Board of Craniofacial and Cervical Therapeutics (PTBCCT).

Course Objectives: Upon completion of this course, the participant will be able to:

  • Identify and discuss the more common disorders of the TMD
  • Discuss and analyze the clinical findings of a TMD evaluation.
  • Recognize the indications for intraoral mobilization techniques.
  • Offer treatment procedures for the common diagnostic subsets of TMD.
  • Recognize the role of the cervical spine in the management of TMD and headache.
  • Understand indications and assess the designs of an oral appliance for the treatment of TMD.
Course Logistics: Locations and Dates:

Calgary, Alberta Canada

March 9-10, 2019

Atlanta, Georgia

April 6-7, 2019

Tuition: $525.00

Course Registration: https://www.tmdstevekraus.com/course-registration.php