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Practice Areas

  • TMJ/TMD and Associated Head and Neck Pain
  • Spinal Care, Back and Neck
  • Injuries/Sprains/Fractures
  • Worker's Comp/Industrial Injuries
  • Personal Injury
  • Sports and Recreation Injuries
  • Chronic Injury
  • Shoulder and Upper Extremity Care
  • Lower Extremity and Foot/Ankle Care
  • Health Promotion/Wellness/Health Prevention Programs
  • Pre-Employment Testing
  • Return to Work Testing

Business Hours

Monday: Closed

Tuesday-Friday: 10am - 6pm

Saturday-Sunday: Closed

Mormile Physical Therapy

Dr. Catherine Mormile has written and published a new Ground-breaking book.
Temporomandibular Joint Disorders: One Name for Two Diagnoses
( © 2008) ISBN 978-0-9818036-09. $49.95 USD + shipping and handling
For Orders and additional information contact: Donald Mormile In Anchorage, AK (9070561-1800 or
Order on-line at Amazon.com

Temporomandibular Joint Disorders: One Name for Two Diagnoses A useful, must reading for: dentists, medical physicians, oral surgeons, physical therapist, and patients interested in TMD

  • 205 pages of useful text, including new, evidence-based information describing:
             Extraarticular temporomandibular disorder etiology/diagnosis/treatment (EA TMD)
             Intraarticular temporomandibular disorder etiology/diagnosis/treatment (IA TMD)
  • Over 140 Black and white illustrations, hand-drawn by the author.
  • Description tables included in every chapter to help summarize the text.
  • Ample appendices, including glossary of terms and CNS tutorial assist understanding of text.
  • Classification/diagnostic procedures from noted experts: Okeson, Dawson, Wilkes, Rocabado.
  • New evidence-based TMD evaluative tool: Research Diagnostic Criterion for Temporomandibular Joint Disorders (RDC/TMD).
  • The author utilizes over 22 yrs of clinical experience to describe multi-disciplinary TMD treatments from: Biobehavioral/ psychosocial aspects
    Definitive (irreversible) and Palliative (reversible) clinical aspect

Content

  • Chapter 1: History and terminology of TMD over time
  • Chapter 2: Functional anatomy of TMJ and associated structures
  • Chapter 3: Osteokinematics and Arthrokinematics
  • Chapter 4: Pathophysiological responses
  • Chapter 5: Neurological considerations
  • Chapter 6: Temporomandibular Disorders; Prevalence and signs and symptoms, gender, age, comorbidities
  • Chapter 7: Temporomandibular Diagnoses; Extraarticular temporomandibular disorder etiology (EA TMD) & Intraarticular temporomandibular disorder etiology (IA TMD)
  • Chapter 8: Classification of Temporomandibular Disorders from Several Perspectives
  • Chapter 9: Evaluation of the Temporomandibular Joint and Associated Structures
  • Chapter 10: Treatment from a Physical Therapy Perspective
    - Part 1 Biobehavioral Components of Treatment
    - Part II Clinical Components of Treatment
  • Chapter 11: Role of the Dentist and Surgeon in Temporomandibular Dysfunctions
  • Chapter 12: Physical Therapy Treatment for Postsurgical Management
  • Chapter 13: Conclusion, Professional Insights, and Need for Future Study

Appendices

  • Appendix 1. Glossary of Terms
  • Appendix 2. Central Nervous System tutorial
  • Appendix 3. Research Diagnostic Criterion for Temporomandibular Joint Disorders(RDC/TMD) Booklet
  • Appendix 4. McKenzie Mechanical Diagnosis and Treatment (MDT)

Table of Contents

Diarthroidial and ginglymoarthroidial joint formation of temporomandibular joint structure. A) Mandibular fossa is the fixed joint component. B) Mandible is the hinging component
Diarthroidial and ginglymoarthroidial joint formation of temporomandibular joint structure. A) Mandibular fossa is the fixed joint component. B) Mandible is the gliding component.



Diarthroidial and ginglymoarthroidial joint formation of temporomandibular joint structure.
A) Mandibular fossa is the fixed joint component.
B) Mandible is the hinging component

Diarthroidial and ginglymoarthroidial joint formation of temporomandibular joint structure.
A) Mandibular fossa is the fixed joint component.
B) Mandible is the gliding component.



Temporomandibular joint disorder (TMD), a source of pain and dysfunction for nearly 10 million Americans. Four times more women than men have distinct muscular and/or joint presentations.

One diagnosis, joint "TMD presents itself with measurable damage to the cartilage and ligaments located within the jaw hinging joint itself. The other, muscular" TMD, presents as a painful condition of the muscles involved in chewing and often involving the muscles of the scalp, base of the neck, and shoulders. Sometimes, both conditions occur simultaneously.



Joint TMD
Muscular TMD


When normal jaw hinging and functions are painful and/or limited in most cases either the little cartilage disk(s) within each joint are displaced or muscular pain and stiffness are suspected.



Normal Disk Function
 
Normal Disk Function
Normal Disk Function


Signs of joint TMD:

  • Audible clicking
  • Ear pain
  • Jaw locking
  • Jaw shifting/teeth not fitting
  • Pain in cheek, temple, behind eye, neck
  • Pain with function/chewing


Displaced and locking disk
Displaced and locking disk
Displaced and locking disk
 


Signs of muscular TMD:

  • Pain primarily in the muscles surrounding the jaw, head, neck, and sometimes into the shoulders and upper chest.
  • Limited mouth opening but can be gradually stretched and relaxed.
  • Severity increases with emotional stress
  • May be a subcategory of fibromyalgia
Muscles involved in painful muscular TMD


Causes of Joint TMD include:

  • trauma and over-use,
  • tooth clenching and oral-facial habits,
  • dental abnormalities.

    • Causes of Muscular TMD include:

  • traumatic and stressful life events,
  • occupational multitasking under time constraints,
  • sleep deprivation,
  • imbalances of neurochemicals and hormones,
  • direct contusion to the muscles.
  • Treatment of both types of TMD involves:
  • identifying the aggravating factors,
  • correcting and treating the dysfunction(s)
  • teaching the patient health promotion and self-help exercises and measures.


    • One of many TMD manual treatment methods


    Often, this is a multidisciplinary effort involving physical therapist, dentist, physician, and surgeon.

    Dr. Mormile demonstrates and describes in her clinic as well as her book, her evidenced-based manual therapeutic techniques and self-help strategies. She also has expertise in designing personalized TMD plans of care that merge dental, medical, and physical therapy services.

    What People Are Saying About Us

    "Thank you for all the healing you have brought me and for all those you continue to heal. It takes a special kind of person to do what you do. Without your skills, I would still be treating my pain with Aleve and other pain relievers. You helped me to understand the mechanics behind the pain and instilled in me the steps to relieve it. I am amazed at your will to survive and inspire by the reasons why you fight so hard.."

    - Mishelle

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