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Author: admin, 30.11.2014
The dizzying, debilitating sensation that one experiences where his or her surroundings appear to be moving even while he or she is standing still is called “vertigo”.
TMD, "The great impostor" can cause postural imbalance leading to a dizzying sensation of an individual's surroundings seeming to be moving. In each of our inner ears, there is a structure called 'labyrinth' that has three half-circles in three planes - superior, horizontal and posterior. The information from each of these balance organs have to integrate with the information from what we see (vision) and what we sense in our muscles and joints (proprioception) to give us balance.
The balance organ lies within the inner ear which, in turn, is housed in the petrous portion of the temporal bone. Normalizing the jaw alignment often leads to a correction of this misalignment of the balance organs. Meniere's disease is an abnormality of the inner ear causing a host of symptoms, including vertigo or severe dizziness, tinnitus or a roaring sound in the ears, fluctuating hearing loss, and the sensation of pressure or pain in the affected ear. What is striking is that every one of the symptoms of Meniere's disease are commonly found with TMD: Tinnitus, pain or pressure in the ears and dizziness. The temporomandibular joint (TMJ) or  jaw joint is a bi-arthroidal hinge joint that allows the complex movements necessary for eating, swallowing, talking and yawning. Capsule - The capsule is a fibrous membrane that surrounds the joint and attaches to the articular eminence, the articular disc and the neck of the mandibular condyle. Articular disc - The articular disc is a fibrous extension of the capsule that runs between the two articular surfaces of the temporomandibular joint.
Retrodiscal tissue - Unlike the disc itself, the retrodiscal tissue is vascular and highly innervated.
The temporomandibular ligament is the thickened lateral portion of the capsule, and it has two parts, an outer oblique portion and an inner horizontal portion.
The oto-mandibular ligaments are the discomalleolar ligament (DML), which arises from the malleus (one of the ossicles of the middle ear) and runs to the medial retrodiscal tissue of the TMJ, and the anterior malleolar ligament (AML), which arises from the malleus and connects with the lingula of the mandible via the sphenomandibular ligament[3][4].


Closing – masseter, anterior and middle temporalis, medial pterygoid, superior head lateral pterygoid. Laterotrusion (side to side) – ipsilateral middle and posterior temporalis, contralateral inferior head lateral pterygoid.
Learn about the shoulder in this month's Physiopedia Plus learn topic with 5 chapters from textbooks such as Magee's Orthopedic Physical Assessment, 2014 & Donatelli's Physical therapy of the shoulder 2012. This style can provide the client acoustic seal while adapting to any problem areas in the external ear’s shape. The disc articulates with the mandibular fossa of the temporal bone above and the condyle of the mandible below. The sphenomandibular ligament runs from the spine of the sphenoid bone to the lingula of mandible. Each of these movements are performed by a number of muscles working together to perform the movement while controlling the position of the condyle within the mandibular fossa.
Opening is also controlled by eccentric contraction of the closing muscles against gravity. Discomalleolar and anterior malleolar ligaments: possible causes of middle ear damage during temporomandibular joint surgery.
The petrotympanic fissure: a link connecting the tympanic cavity and the temporomandibular joint. The discomallear ligament and the anterior ligament of malleus: an anatomic study in human adults and fetuses.
A direct anatomical study of the morphology and functionality of disco-malleolar and anterior malleolar ligaments. Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider.
It is named after French physician Prosper Meniere who first described the syndrome in 1861.


Temporomandibular disorders are common and sufferers will often seek physiotherapeutic advice and treatment.
Opening is a complex movement consisting of an early rotary component in the first 2-3cms of movement with a forward glide towards the end of range.
Since there are no retainer areas on this mold in the helix or concha a long canal is recommended for retention purpose. The canal portion of a shell mold is reduced to a tubing size for part of the canal length. Good knowledge of the anatomy of the TMJ and related structures is essential to correct diagnosis and appropriate treatment. The disc is also attached to the condyle medially and laterally by the collateral ligaments. The articular disc moves forward with the condyle as it glides forward, effectively extending the superior articular surface of the mandibular fossa. This mold offers the dispenser the benefits of a Free Field Mold, a Janssen Mold and variable venting.
The anterior disc attaches to the joint capsule and the superior head of the lateral pterygoid. The posterior portion attaches to the mandibular fossa and is referred to as the retrodiscal tissue[1].



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