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.
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Jeffrey S. Mannheimer
Jeffrey S. Mannheimer
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 which allows for clinical practice of the evaluation and treatment techniques that are supported by videos between each module
Does Your Patient Only Have a Temporomandibular Disorder (TMD)?
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.
|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.
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:
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.
JEFFREY S. MANNHEIMER, PT, Ph.D, CODN, CCTT
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 56th year of clinical practice, which over the past 37 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 and “International consensus of the most useful assessments by physical therapists to evaluate patients with temporomandibular disorders: A Delphi study”. Journal of Oral Rehabilitation. 47(6): 685-702, 2020.
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 Pain Medicine and previously for the Journal of Craniomandibular and Sleep Practice.
|Overview of each Two-Day Module:
Cervicogenic Causes of Headaches and Orofacial Pain of Non-TMD Origin
The Sub-Occipital Connection – Comprehensive Evaluation & Treatment of the Cervical-Shoulder Girdle & Cranium
Comprehensive Evaluation of the Temporomandibular Complex
Comprehensive Treatment of the Non-Surgical TMD Patient
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.
The course is structured as a Mini-Residency consisting of 3 progressive weekend modules over a consecutive 3-month period that allows for practice and review of the evaluation and manual therapeutic techniques prior to the start of the next module. Manual technique videos are sent after each module for review & practice. Each module is geared to a specific area that can create local and/or referred pain with or without dysfunction and are all crucial components of the trigemino-cervical complex.
Each mini-residency is limited to no more than 6 PT’s/course due to space, the necessity of closely observing everyone performing the evaluative and manual techniques as well as to have sufficient time for me to perform them on everyone. This requirement is also necessary to maintain the intensive nature of teaching and demonstrating numerous manual soft tissue, joint mobilization techniques in association with therapeutic exercise paradigms specific to the shoulder girdle, cervical, sub-occipital, cranial and orofacial regions (intra & extra-oral). As the course proceeds everyone will learn how to integrate combinations of the above techniques into specific therapeutic paradigms with adjunctive modalities as needed.
The evaluation section (cervical-orofacial-temporomandibular-headache) of the course follows my specific 6-page template which is needed to obtain all of the required subjective and objective data to develop the proper ICD-10 diagnostic and CPT treatment codes (your diagnostic impression and therapeutic treatment paradigm).
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.
2024 Course Schedule
Course XX (FILLED and in progress):
Course XXI (tentative dates):
PLEASE NOTE: Registration is on a first-come, first-serve basis and MUST be made in advance with your immediate email confirmation and is guaranteed only upon receipt of your deposit in order to ensure your spot in the course.
Each module of every course must be taken in succession & switching modules between courses is not permitted. The nature of this series allows for 23 hands-on workshop sessions & lectures, maximized by limiting the course to 6 PT’s and dentists who each receive 40 CEU’s.
The 40 CEU’s obtained from this course can be applied towards the required 100 that are needed to apply for the 2024 examination leading to CCTT status.
Course Certificate: Cannot be granted unless all 3 modules are completed in succession.
Residence Inn by Marriott Princeton at Carnegie Center: 3563 US Route 1, Princeton, NJ 08540:
Call 609-799-0550 and ask to speak with Debbie or Dawn and state that you are taking Dr. Mannheimer’s course which will qualify you for the discounted rate of $129.00.
The hotel is adjacent to the Princeton Market Fair Mall which has a movie theater, Barnes & Noble bookstore, Starbucks, many interesting stores and a choice of restaurants within and outside the mall.
Tuition: Tuition for the 2024 courses is $2400.00 ($800.00/module) and can be paid in three installments as the course series progresses. Tuition includes all course material, lecture slides, evaluation and home exercise instruction forms, adjunctive postural corrective and pain reduction options as well as illustrations of all manual techniques printed in a separate booklet/module. Separate videos of all manual cervical/shoulder girdle, craniofacial and masticatory extra and intra-oral myofascial, joint mobilization and tractional techniques/module are included along with continental breakfast and refreshments.
To ensure your registration, a $400.00 deposit is due ASAP prior to the start of each course that counts as 50% of the tuition for Module I. Payment can be made by personal, business, or bank check as well as money orders. PAYABLE TO:
Jeffrey S. Mannheimer, PT, PHD, PC
Mail to: Jeffrey S. Mannheimer, PT, PHD, PC
Evaluation and Management of Temporomandibular Disorders with Cervical Spine Considerations
An Online Learning Course – $285.00
10 Continuing Competency Hours (CCHs)
10 CCHs are awarded for the completion of this course (1 Continuing Competency Hour = 1 CCH = 1 Clock Hour)
Instructor: Steve Kraus PT OCS MTC CCTT CODN
Mr. Kraus earned his degree in physical therapy in 1975 from Wichita State University, Wichita Kansas. 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 and was an Adjunct Faculty for the Georgia School of Orthodontics, 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 is a pioneer in the field of TMD. Mr. Kraus is an editor, author and has co-authored a number of peer-reviewed articles and chapters on temporomandibular and cervical spine disorders appearing in various dental and physical therapy publications. Over 43 years he has taught more than 350 courses to physical therapists, physical therapy assistants and dentists on the evaluation and treatment of TMD. He has been invited to speak to over 85 dental study clubs and dental conferences to include the American Equilibration Society, Thomas P Hinman Dental Meeting, and the American Academy of Orofacial Pain.
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. Characteristics of patients experiencing TMD will be identified. An overview of clinical anatomy and mechanics of the TMJ will be covered. The evidence-based examination for all common diagnostic subsets of TMD are discussed. An evidence-based informed treatment will be covered for each diagnostic subset of TMD.
Treatments covered to include but not limited to patient education, behavioral modification, modalities, exercises, and manual procedures. Surgical and non- surgical treatments for disc displacements will be reviewed as well as post op physical therapy management. The rationale for the use of the various oral appliances fabricated by dentists will be highlighted. Features of an oral appliance will be covered to determine if the oral appliance is an evidence-based design. Cervical spine considerations in the management of TMD and headache will be discussed. Team approach between the physical therapist and dentist/oral surgeon will be emphasized in this course.
Upon completion of this course, the attendee will be able to:
- Describe the pathophysiology of all common diagnostic subsets of TMD
- Perform the history & physical examination for each diagnostic subset of TMD
- Formulate physical therapy treatment strategies for each diagnostic subset of TMD
- Explain the indications and objectives for other treatment strategies for TMD to include an oral appliance, minimal invasive surgery, invasive surgery, and psychosocial distress management.
- Discuss cervical spine connections to TMD and Headache
- Explain TMD misconceptions and misinformation that affects treatment outcomes.
Module 1 – A Current Understanding
|Module 2 – TMJ Anatomy
|Module 3 – Mandibular and Disc Dynamics
Module 4 – Myogenous Disorder
Module 5 – Lateral Pterygoid Spasm and Trismus
Module 6 – Arthralgia
Module 7 – Subluxation
Module 8 – Disc Displacements
|Module 9 – Degenerative Joint Disease
|Module 10 – Cervical Spine and TMD/Headache connections
Module 11 – Oral Appliance
Physical therapists and physical therapist assistants. Other healthcare professionals interested in understanding TMD management will benefit from taking this course.
Certificate of Attendance
After passing the post-test, a certificate of attendance for 10 CCH is awarded to the attendee.
Additional Information can be found at: www.TMDstevekraus.com
|This two-day TMJ 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 TMJ 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.
|Michael Karegeannes, PT, MHSc, LAT, MTC, CFC, CCTT, CMTP Owner of Freedom Physical Therapy Services, 4 clinics in Wisconsin, 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.
What you will learn:
Course Name and Dates
Evaluation and Treatment of Temporomandibular Disorders and Craniofacial Pain
This two-day TMJ 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. Price: $675 for PTs, OTs, PTAs, LMTs, SLPs & Chiropractors. $1125 for Dentists and Physicians. Additional Info and agenda can be found at: https://www.treatingtmj.com/tmd-course/
Dec. 10-11, 2022 in Fox Point, WI
January 7-8, 2023 in Cape Coral, FL
January 28-29, 2023 in Nashua, NH
February 25-26, 2023 in Woodstock, GA
May 20-21, 2023 in Stillwater, MN
July 8-9, 2023 in Tulsa, OK
August 5-6, 2023 in Newark, DE
September 9-10, 2023 in Chino, CA
Harry Von Piekartz
Harry Von Piekartz
Harry is a Professor at the University of Applied Science in Osnabruck (Germany) (https://www.hs-osnabrueck.de/en/) and is study director of the Master of Science in Musculoskeletal Therapy. He is senior IMTA Teacher of the International Maitland Teacher Association (IMTA) and founder of Cranial Facial Therapy Academy(www.crafta.org ) .He successfully completed his Master of Science degree in Physiotherapy at the University of Leuven (Belgium). His thesis was on „The Neurodynamic Testing of the Mandibular Nerve: Reliability and norm-data“( https://www.kuleuven.be/kuleuven/) and ). In 2005 he received his PhD in Rehabilitation science on the Staffordshire University(UK)(https://www.staffs.ac.uk ),thesis Neuromusculoskeletal characteristics in pediatric headache. He directs several musculoskeletal research projects and works part-time in his specialized clinic in Ootmarsum, The Netherlands (www.harryvonpiekartz.com)
In 2023 he is a certified Cervical and Temporo-mandibular Therapist (CCTT) by the Physical Therapy Board of Craniofacial & Cervical Therapeutics (PTBCCT -USA . He published 4 Books in 3 languages and more than 100 peer-reviewed articles in the field of (cranial facial )physical therapy, pain and motor control (https://www.researchgate.net/profile/Harry_Piekartz2) and is specialized in neuromusculoskeletal assessment and treatment of head-neck face impairments and pain.
|Craniofacial Therapy Academy (CRAFTA):
CRAFTA, the Craniofacial Therapy Academy, is globally recognized as a leading institution in more than 16 countries in the field of education in the assessment and treatment for cranio-orofacial dysfunctions and pain for physical therapists, dentists, and other healthcare providers interested in this field.
The courses are taught by world-renowned experts if the field of orofacial pain. CRAFTA is founded by Dutch physiotherapist Dr. Harry von Piekartz, PT, PhD, MSc, OMT.
For the CCFT exam ,the CRAFTA 1 Foundation course is required.
Course schedules see www.crafta.org and or www.myopainseminars.com/courses/134-cranio-facial-therapy-academy-1/region-US/
The CRAFTA-1 Foundations course consists of three parts: CRAFTA-1a, CRAFTA-OM (Online Module), and CRAFTA-1b.
The course focuses on the assessment and management of the craniomandibular-facial region and its functional relations. Students will learn about pain mechanisms of the relevant temporomandibular structures, the function of the temporomandibular joint (TMJ) and the neurophysiological, biomechanical, and functional relationships with the cervical spine.
Primary topics include the subjective and physical examination and various treatment techniques of the TMJ. The course includes an up-to-date review of the current neurobiological and anatomical knowledge of the function of the TMJ.
The course includes theoretical and practical sessions. Theoretical presentations include pertinent aspects of dentistry, including brace/splint therapy and an introduction to various clinical syndromes, such as bruxism, bracing, (cervical) headaches, neuralgias, and otomandibular syndrome.
For the craniofacial region, students will learn to identify and recognize clinical patterns and develop clinical skills for the assessment and management of the craniofacial region within a defined clinical reasoning model. This course includes a thorough review of the function, anatomy, biomechanical properties, pathology, examination, and treatment of the craniofacial region.
Immediately following part 1a of the CRAFTA-1 course, students will get access to a 24-hour CRAFTA-OM (Online Module).
The CRAFTA-1b Foundations course is a continuation of the CRAFTA-1a and OM courses. During the CRAFTA-1b course, students will expand their knowledge in the assessment and treatment of patients with craniofacial pain and dysfunction. Much attention will be paid to pain mechanisms, neuroanatomy, neurodynamics, and the examination and treatment of the cranial nervous system.
In addition, the course will highlight specific assessment and management strategies of the neuro- and viscerocranium, and review neuropathic and neurogenic pain, specific testing, clinical pattern recognition, and pathologies of all cranial nerves. A clinical mechano-sensitivity classification model will be included with specific cranial nerve tests and further management
Prerequisite: Successful completion of the CRAFTA-1a and CRAFTA-OM
CRAFTA -1 (Including 1a, Online Module, and CRAFTA 1b has been approved by:
Maryland Board of Physical Therapy for 8.8 CEUs.
NOTE: Many states, such as Connecticut, Georgia, New Hampshire, North Carolina, Kansas, Kentucky, South Carolina, Virginia, and Wisconsin, among many others, accept the CEUs approved by the Maryland Board of Physical Therapy Examiners.
If you are not sure about another state, check out your state board’s website and look for language like (from South Carolina – https://www.llr.sc.gov/pt/ce.aspx):
At least fifteen (15) of the required thirty (30) contact hours shall be from Certified Activities. Certified Activities include […] attendance at conferences and completion of continuing competency activities provided by the American Physical Therapy Association (APTA), South Carolina Chapter of the American Physical Therapy Association (SCAPTA), other chapters and sections of the APTA, as well as other state boards of physical therapy.
– Demonstrate knowledge and skills for the assessment of the TMJ
– Demonstrate differentiation tests of the TMJ and the craniocervical region
– Identify 6 dominant joint and 3 dominant muscle clinical patterns related to the
– Know the international classifications of TMD and orofacial pain
– Have specific knowledge and neuromuscular management skills of the TMD
– Understand craniofacial growth and dysfunction related to the assessment principals of the craniofacial region
– Know a minimum of 5 clinical reasoning strategies as a basis for advanced-level assessment and management
– Gain knowledge and skills for the manual assessment of 12 different specific bone regions of craniofacial tissues (neuro-cranium and viscero-cranium)
– Identify a minimum of 12 clinical patterns related to craniofacial dysfunction and
– Demonstrate an understanding and practical skills for the treatment and management of patients with craniofacial dysfunction and pain
– Understand the current knowledge about the neuroanatomy, neurodynamics, and pathobiology of the cranial region in relation to pain mechanisms
– Apply manual skills (conduction, palpation and neurodynamics) for the assessment and treatment of cranial nerve tissue
– Plan 4 long-term treatment and management strategies for patients with craniofacial tissue dysfunction
– Present an outline of minimal 5 advanced clinical reasoning skills as a basis for management
CRAFTA-1 Schedules (a & b)
Note: The actual times may vary with each program at the discretion of the instructors. Refreshments are provided; meals are on your own.
08:00 – 08:30 Registration
08:30 – 09:30 Lecture: Differential diagnosis of craniomandibular dysfunction
08:30 – 09:30 Lecture: Management of craniomandibular dysfunctions (General)
08:30 – 09:30 Lecture: Activities of Daily Living
CRAFTA 1b Schedule
Note: The actual times may vary with each program at the discretion of the instructors. Refreshments are provided; meals are on your own.
08:00 – 08:30 Registration
08:00 – 08:30 Registration
08:00 – 08:30 Registration
08:00 – 08:30 Registration
|CRAFTA 1a: none
CRAFTA 1b: CRAFTA 1a and online module are prerequisites
|Who Should Attend: