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TMJ Skull Side

TMJ Disorders & Dysfunctions...

Introduction To Their Complexities

TMJ (TemporoMandibular Joint) Disorders, for the most part, are the result of CranioSacral distortions which negatively affect structure & function of the body.  The Jaw is generally not the main problem, even though that is where the pain, wobble and click is noticed.  Usually there are numerous possible structural distortions & restrictions that will be found among the "the Bones" and related tissues.  To start off with, there are 22 Cranial Bones with hundreds of articulations between them.  Then there are the bones of the Spinal Column and the Sacrum.  Structural distortions within that whole "CranioSacral System" usually prove to be the "root cause" of TMJ Disorders.


Over many years, these structural distortions have increasingly developed into Soft Tissue imbalances that have become the pains, annoying discomforts and dysfunctions that patients gradually were made aware of.  In addition to that, people are all different.  Therefore, the ways in which these structural distortions and imbalances developed will also be quite different from patient to patient.  This adds to the complexities presented to the doctor or therapist you choose to work with.

the Click & Wobble result from the

condyle falling off the articular disc

The picture on the right shows the relationship between the Condyle of the ManCondyle moves with Discdible to the Articular Disc within the TMJ capsule.  When you open your mouth, the Condyle and the Disc are supposed to move smoothly together in a gliding motion.  If the Cranial Bones are imbalanced and out of alignment, capsular tissues will weaken, the disc and Condyle will then not move smoothly together, which causes the wobble and click.  There are various types of TMJ disorders.


External and Intra-Oral  tissues need to be addressed and balanced.   Many years of imbalance have caused tissue damage.  The structural root causes also need to be determined and properly addressed.  Then the Soft tissues will be able to more properly heal.

the jaw bone basically hangs

from the temporal bone at the tmj

While TMJ disorders are often quite complex, the Joint and its Capsule are actually quite simple.  The Mandible has only one articulation to each of the two Temporal Bones of either side of your head.  Within that capsule is a disc that enables the Condyle of the Mandible to slide forward so you can more widely open your mouth.


Both Temporal Bones should have a symmetrical rotational relationship with each other.  If they do not, most probably the reason for that can be found in the Spine, Sacrum & Pelvic Bones.  That structural distortion will then send up a distJaw & TMJ Capsuleortion wave that will affect the position of the Temporal Bones... and the resultant position and movement within the TMJ and all related soft tissues.  Over a period of years, this wave of structural distortion gradually begins to be noticed as the familiar symptoms listed below.  The distortion process actually began many years ago... quite often from birth


Therefore, if someone just treats you in the area around the Jaw... and only externally at that... the treatment would not be dealing with the "root cause"... or the entire chain of events that most likely created the TMJ disorder & discomfort in the first place.  The TMJ is actually quite simple... but disorders are usually very illusive and complex at the same time.  Joel Safran has many years of experience in resolving the effects of this condition.

the tmj is very close to the ear canal...

ear & equilibrium issues are quite common

In the picture above, notice how close the TemporoMandibular Joint is to your Ear.  The back wall of the Temporal Bone's Mandibular Fossa is perhaps 1/4 of an inch from the Ear Canal.  Stresses on the soft tissues in that small area surely can have dysfunctional effects upon the area's delicate nerves and connective tissues.   That then contributes to "ringing" and "fullness" in the Ear... and more.


If you put a finger into each Ear, they will point to your Internal Auditory canal and Cerebellum.  Dysfunctions associated with these structures often have a negative effect on balance and equilibrium.  So, while the TMJ is rather a simple joint, its dysfunction can create a number of complex conditions... all of which can be treated by Joel Safran.

Head & Neck muscles   Anatomy inside the Mouth   LumboSacral Pelvic area

In a proper TMJ treatment plan, all related areas of the body are addressed...


Internal and External soft tissues of the Head & Neck & Mouth...


Joints, Muscles & Fascia from the Cranium, on down to the LumboSacral Pelvic area.

from where do structural distortions come

Falls & Accidents...

Accident injuries related to Sports... Motor Vehicles... and even a sock to the Jaw will create distortions in the Jaw & Head.  Falls from a ladder, down a flight of stairs... and other physical traumas generally will create distortions throughout the body.


Restrictions from Birth...

For example, a child could have a restriction in one of tLumbar Stackhe Lumbar Facet Joints.  During development into adulthood, the body will tend to compensate for this distortion.  Finally, when the body can no longer compensate for the created imbalances... various symptoms develop.  In my practice, I have seen this many times.  Where parents have asked me to examine their child, I have often found and removed this Facet Joint restriction.


Stress & Emotional Abuse...

Just as a snake will contract and coil up when it is threatened, a person will pull their Jaw posteriorly when emotionally attacked.  This distorts the TMJ capsule and creates other issues in the Mouth & Head... involving the Tongue, Floor of the Mouth... Headaches and more.



Everyone is born with the "Primary Distortion Pattern" that will cause about everyone to have a slight Scoliosis.  "Slight" is kind of normal.  Depending on the particular imbalance, this can distort a body... laterally.Scoliosis Lateral Curve.. rotationally, as well as forward or backward bending.  If it is minor, a person's body learns to compensate & cope without problems.


However, when there is a major restriction caused from the time of birth... or perhaps because of some great physical trauma... like an accident or fall... the body is forced to deal with a much greater distortion.  This generally results in a much greater curve and rotation.  Other structural issues such as TMJ disorders and their many symptoms will develop.


After many years of trying to compensate for these restrictions, their body finally gives up the battle.  People with Scoliosis generally have more severe TMJ conditions.  However, the good news is that Joel Safran is highly qualified and experienced in handling this.


Other Instances...

These are the major causes for TMJ disorders.  There can be others, like a suitcase or something heavy falling on to your head.  One person related his TMJ issue as resulting from a big bite of a big apple.  Quite possibly his intra-oral tissues were too short to begin with... and by forcing his mouth to open wider than it could at that time, a tear in the TMJ capsule resulted.  It actually was more complicated than that.


People are all different.  So a good Therapist needs to recognize those differences... be able to listen to what the patient says... thoroughly evaluate the issues... and determine how best to plan and begin treatments.

treatment plans are thorough...

wholistic & natural... and goal oriented

Expect treatments with Joel Safran to be focused on your own individual situation.  We are not all the same.  An individualized strategy will be our starting point... and this strategy and treatment protocol will change as your body responds and changes.  Expect TMJ Therapy treatments here to be goal oriented toward understanding and dealing with each patient's unique imbalances and disorders.


Expect treatments to identify and alter root causes that most probably have greatly contributed to the dysfunction and the discomforts that concern you.  There will be lots of communication between us.  You will know what I am doing and why I am doing it.  You will increasingly understand the process.. and enjoy learning more about your body.

expect more from your therapy... with a

comprehensive evaluation & treatment plan

Patients commonly tell me that their treatments here are far more thorough & effective than with any other doctor or therapist.  They also tell me that they are so pleased to have found a non-invasive answer to their TMJ condition.  That is what you can look forward to as well.  After initial and ongoing evaluations, treatments will employ various manual techniques to encourage the desired therapeutic results... such as:

NeuroMuscular & MyoFascial Therapy...

Techniques are to normalize and lengthen soft tissues... to reduce hyper activity of nervous impulses... and to reduce the compression & entrapment of various structures and tissues... so as to enable the healing process.


CranioSacral Therapy...

Membranous techniques for normalizing the Dural tissues within the Cranium and Spine.  However, more importantly, we will use "Structural CranioSacral Techniques" to remove restrictions affecting the internal attachments as well as the sutures of the Cranium.


Other "Osteopathic" Techniques...

These will be used to remove restrictions affecting the proper position and movement of Vertebrae, and Joints... including those of the Sacrum.  Principles of Osteopathy are an important part of this practice.  These techniques help remove restrictions that greatly, and quite frequently, contribute to a variety of Chronic Conditions... such as TMJ disorders.


The Patient's Responsibility...

This is probably the most important part.  A person must value the process and the provider.  Keep your appointments... Support your therapy by following recommended supportive practices as closely as possible.  Be involved with your therapy.  Be positive and enjoyable to work with during this Therapeutic Process.  Most of all... know that YOU are RESPONSIBLE for your progress... and your own life.

This goes way past "massage therapy"...

It is "Integrative  Manual  Medicine"

...Cautionary advice from the National Institute of Health...

"TMJ treatment should be reversible whenever possible"

That means... No surgery or Equilibration (grinding the teeth down)

A Toronto Dentist who wanted me to work with him, told me that the vast majority of Dentists do not know how to make a proper Appliance.  From my own experience working with patients, I know this to be a very accurate statement.  The mouth pieces that were made for these patients by their Dentist caused them to experience greater headaches and no TMJ relief.


Appliances keep Cranial Bones from moving naturally and properly.  Cranial Bones are supposed to move ongoingly in a balanced way and rhythm.  If a splint or appliance restricts this normal movement... other problems are created for your body.  The purpose of the Therapy provided by this practice is for the whole Mouth to regain its natural shape, structure and function... without artificial or non-reversible measures.

about your therapist... Joel Safran

Joel SafranJoel Safran has been a Therapist for over 25 years.  His specialty has been the effective treatment of Chronic Conditions.  He has been Licensed by the State of Florida, Registered by the Province of Ontario... and is now Licensed in North Carolina.  His professional education is 5 times greater than required by North Carolina.  His Continuing Education, which consists mainly of advanced Osteopathic subjects, is also 5 times greater than required by any State or Province.


Because of his greater education, training and experience, patients have considered him to be quite unique as a HealthCare Professional.  You would be hard pressed to find any doctor or therapist within 500 miles or more, who could do more for you or any responsible & supportive patient.  This is the best value for your time & money.  You'll see why during your first session.


Make your appointment with the confidence that you will be working with a seriously dedicated professional with many years of proven results.

Our body is a highly integrated "Whole".

Treatments need to follow relationships

in order to be Effective & Complete.

call for your appointment

best value for your time & money

Signs & Symptoms relating to TMJ disorders...

Headaches  -  Migraines  -  Sinus Stuffiness  -  Pains & Pressures  -  Facial Pain  -  Neck & Shoulder Stiffness & Pain  -  Jaw Click & Pop  -  Jaw Pain & Fatigue  -  Clenching & Grinding  -  Bite not Right  -  Teeth wear down  -  Teeth Hurt  -  Ringing in Ears  -  Ear Ache  -  Tinnitus  -  Dizziness  -  Coordination issues  -  Balance issues