Andreas Roeim

One of the reasons I see so much failed TMJ treatments in my clinic is because their actual cause of it was missed. They get night splints, scans, injections etc but no lasting relief. Years ago, I started to ask myself why are these muscles locked down around the TMJ. I had an insight, they were stressed! Clinching was subconscious to them and a lot were grinding in their sleep. I also saw a pattern, that these patients also had neck hypertonicity, headaches a lot of the time in addition to TMJ. In these patients they had too much stress. I call these "Stress injuries". When I identified that root cause for them was stress I would tell them that and they would argue with me saying I am not stressed! Most people live at constant level of stress that they are unaware of I found. I asked them to meditate but patient after patient refused so I gave up on that as I realized I had better luck asking them to change their religion! (literally) A great help was a GOOD CBD 3x a day at a dose they feel relaxed at in 2.5 hrs. Side note: I have found TMJ patients to be the least complaint patients I have ever worked with! What has worked for you?

New comment 18h ago

Andreas Roeim

0 likes • 18h

I believe there are two main TMJ dysfunction patterns. One is tension based, where basically autonomous dysregulation ends up causing mechanical issues with the jaw. The other being «truly» mechanical, so it’s actually the other way around, mechanical issues in the jaw and long standing pain and compensation patterns give rise to secondary tension issues. The first is very treatable by physio and responds well to psychomotor therapy / basal body awareness method type interventions. The second type in my experience needs a dental / ortho intervention but who knows maybe skilled and specialized manual therapy can be relevant.

Andreas Roeim

1 like • 18h

Great point and its always helpful if they had exam by a dentist before physio. I am lucky enough to share hallways with a very good dental practice so I can send the patient straight to them to book an eval if they haven’t had one :)

Ryan Whelton

22h •

General discussion

Mystery Diagnosis/Diagnoses -What is your Dx?

Take a stab at it, leave what you think was causing all this in the comments below.... 7 years ago patient had neck adjustment, L fascial numbness, L arm numbness, L genital and glut numbness and L LE weakness. Neurologist x 2 scanned MRIs were negative, MRA of brain negative, EMG negative, PTs, chiros etc etc no help since then I had her strength back and numbness gone in 5 mins! Hint: There were 3 diagnoses

New comment 18h ago

Andreas Roeim

1 like • 18h

Sacral torsion/shear, si joint irritation, and likely some sort of upper cervical mechanical issues? Would bet this patient had little to no spontaneous gliding movement of their sternum in breathing, flared ribs, tight scm+neck extensors and a slight head tilt.

Andreas Roeim

1 like • 18h

@Ryan Whelton fun :) obviously we can’t dx from the symptoms alone but knowledge from your materials do give us some ideas as to the likely culprits.

Ryan Whelton

Apr 8 •

General discussion

What Are You Struggling With to Rehab? Let Me Help...

Comment below a condition(s) that frustrates you to rehab, we all have them. What's yours?? I usually can help!

New comment 28d ago

Andreas Roeim

0 likes • 30d

calcific tendinopathies of the shoulder. Generally I get great results with shoulder tendinopathies, starting them off on a high frequency isometric protocol, then a phase two with fairly heavy rotation exercises in the 10-12 then 8-10 rep range, with prolonged eccentric phase. I do some thoracic mobility and scapula control in non-provoking angles simultaneously across all phases, and finish of in a phase three often with more mobility work if needed and more functionally demanding exercises like overhead presses, often stuff patients would never believe they were going to do again. Every now and then I will have a patient with great response to the isometrics, but when we progress to the phase two heavy eccentrics they will flare up dramatically. After this they won’t tolerate even isometrics for weeks and months. If I have them do an ultrasound with my colleague the finding is generally that they have a lot of calcium deposits in the tendon and they are flared up in what I believe is called the resorptive phase in English . Other frustrating conditions: Heel pad syndrome. Shin splints.

Andreas Roeim

0 likes • 30d

@Ryan Whelton thank you I will look into this. Your shoulder protocol, is that in the introductory shoulder course?

Ryan Whelton

Nov '25 •

General discussion

💡 A Different Way to Think About Neck Tension & Pain

I recently treated a patient with persistent neck tension and pain — something I see all the time. She’d already tried everything: 💊 muscle relaxants 💆‍♀️ massage 💥 chiropractic 🏋️‍♂️ traditional PT But here’s the thing — in my experience, the issue is not primarily muscular. It’s neurological.The nervous system controls the muscles. When the nervous system is dysregulated, the muscles stay “on” — constantly guarding, tight, and reactive. So instead of chasing muscles, I target the nervous system. Once that calms, the muscular system naturally relaxes. Ask yourself: “Why does my patient’s neck feel like they’ve been in an MVA… when they haven’t?” For this particular patient, I had her order a grounding pillowcase on Amazon to sleep on (if you haven’t yet, watch The Earthing Movie on YouTube — it explains the science beautifully). Usually, I see around a 30% reduction in neck tension just from grounding interventions…But this patient? No neck pain after one week. 🙌Watch the Earthing Movie here ==>> https://youtu.be/44ddtR0XDVU?si=3RvYbty6obhWFkqY

New comment Dec '25

Andreas Roeim

1 like • Nov '25

@Ryan Whelton yes I am considering getting the landlord to add a grounded wall plug in my bedroom. I am becoming curious since reading your recommendation of it and that of a few other people I respect.

Andreas Roeim

1 like • Dec '25

@Lisa Packheiser incredibly in my country there are still ungrounded outlets. We don’t have three prong plugs here but two prongs and a little metal tab thingy which goes to earth/ground and these only have anything to connect to in the grounded outlets. Code requires all outlets in any room to be either grounded or not, no mixing within the same room. So I have ungrounded outlets in my bedroom. Grounded outlets in my bathroom and kitchen. This is fairly usual in old homes here and even the firms who sell grounded pillowcases etc are clear you need a grounded outlet or connect them to an earth spear.