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Program Overview

This two-day course provides a basic understanding of Temporomandibular Disorder (TMD) and Craniofacial Pain (CFP). Participants will learn the 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 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. This course is an excellent preparatory course for the CRAFTA courses.

About the Instructor

Michael Karegeannes, PT, MHSc, LAT, MTC, CFC, CCTT, CMTPT  has practiced physical therapy since 1989.  He is the owner of Freedom Physical Therapy Services with 4 clinics in WI. 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 for Health Sciences) who is the leading international 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 dry needling and is certified through Myopain Seminars.

His diverse experience, knowledge, and manual skills allow Michael to be highly effective in the evaluation and treatment of his patients. Michael is a member of the APTA, WPTA, NATA, AAOP, PTBCCT, PAMA, and IMS.




The course is designed for physical therapists and physical therapy assistants, physicians, physician assistants and nurse practitioners, dentists, and chiropractors.  All participants are expected to participate in the hands-on portion of the course.

Learning Outcomes

Participants will be able to:

  • Describe basic TMJ anatomy, biomechanics, and pathomechanics
  • Recognize how postural or cervical dysfunction might contribute to TMJ disorders
  • Evaluate the TMJ and develop a working hypothesis
  • Demonstrate appropriate manual and exercise techniques for the treatment of TMD
  • Identify the PT’s role within the dental community for the treatment of TMD
  • Recognize other treatment options outside of PT
  • Educate clients in the management of TMD

Day 1

7:30 am      Registration

8:00 am      Introductions and TMJ anatomy

9:30 am      TMJ biomechanics

10:15 am     Break

10:30 am     Pathomechanics, abnormal mechanics, and Parafunction

11:30 am     Evaluate ROM of TMJ

12:00 pm    Lunch

12:30 pm     Hypermobility, History/Etiology of TMD, Diagnostic Imaging

1:15 pm        Evaluation of TMDs

2:30 pm        Break

2:45 pm        Muscle/Arthritic/Disc Treatment Techniques

3:30 pm        TMJ mobilization techniques

5:00 pm        Adjourn


Day 2

8:00 am      Review and Q&A regarding day one

8:30 am      Rocabado 6×6/Hyperboloid Exercises

9:30 am      Marketing Strategy

10:15 am     Break

10:30 am     Upper Cervical Anatomy and Forward Head Posture/Upper Cervical Spine Treatment

12:30 pm      Lunch

1:00 pm        TMD Home Exercises/Posture Exercises/Ergonomics

2:30 pm        Break

2:45 pm        Appliance Therapy

3:30 pm        Summary, questions, and review techniques

4:15 pm        Surgical Options

5:00 pm        Adjourn