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ABSTRACT
This article offers a revised physical therapy treatment approach for rehabilitating a temporomandibular joint (TMJ) following arthroplastic surgical intervention. Surgical repair is only advised in those chronic cases where refractory symptoms affect the quality of the patient's life and prevent patients from carrying out their normal daily activities. Previous nonsurgical and surgical management usually fails to correct the problem in these types of cases. Rehabilitation guidelines discussed include plication, diskectomy (with or without interpositional implant), costo-chondral graft, fossa implant, and total joint replacement.
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Notes on contributors
Lawrence E. Bertolucci
Lawrence E. Bertolucci received his physical therapy certificate from Stanford University in 1967. Currently, he is the director of Bertolucci Physical Therapy, Inc., as well as a member of the Sacramento Head, Neck and Facial Pain Clinic. Mr. Bertolucci has also taught nationally and internationally in the field of TMJ, as well as in the related fields of head, neck, and facial pain.