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CMD – Jaw problems

What is CMD?

CMD (Craniomandibular Dysfunction) stands for a dysfunction of the skull and lower jaw and is an umbrella term for a variety of problems that can occur in the jaw joint or the chewing muscles. Symptoms include dizziness, pain in the head, jaw or neck, and even tinnitus. Stress, a faulty bite, accident-related head trauma or postural weaknesses are among the triggers of CMD. Since not only the causes but also the symptoms of CMD can be varied, it is often only recognised very late or often not at all. The patient is then plagued with pain for months or years and is limited in his or her physical and mental performance.

How can CMD be treated?

The treatment of CMD by a physiotherapist is coordinated with a dentist. The dentist prepares a functional analysis after examining the patient. The analysis forms the basis for treatment by the physiotherapist. Of course, each treatment is individual and is adapted to the respective patient and his or her complaints. However, there are basic treatment methods that the physiotherapist can use in the course of a CMD treatment. 

How can the physiotherapist help with CMD?

As part of the holistic healing concept, physiotherapy uses massage and stretching techniques to help relieve muscular tension and improve posture overall. First, the physiotherapist takes an anamnesis of the patient, in which the condition of the tissue, muscles, skin and musculoskeletal system is determined. The cervical spine in particular is examined, as problems in this area are often associated with CMD. Depending on the findings, the physiotherapeutic treatment is then adapted. Remedial techniques such as chiropractic and dry needling can also help with CMD. In this way, we restore the correct, pain-free function of the jaw in our physiotherapy practice and free you permanently from your pain.

Yours Michael Boettcher

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Homeoffice – risks and side effects

Due to the ongoing pandemic, more and more people are being forced to work from home, but not everyone has an ergonomic workplace available. People often work at the kitchen table or on the sofa and often lack the time or motivation for compensatory movement after work or during breaks. Especially in the dark season, when it is already dark outside after work, many people find it difficult to get enthusiastic about exercise and sports. Instead, they make themselves comfortable on the sofa with a bag of chips.

From a medical point of view, these factors can in the long term promote physical complaints such as tension in the neck and shoulder area and headaches or lead to pathological obesity and associated chronic cardiovascular diseases. Furthermore, lack of exercise and an ergonomically inappropriate sitting position can increase the potential for musculoskeletal disorders. Through a prophylactic posture, the respiratory muscles tense up, breathing becomes shallower, we feel tired and exhausted and have difficulty concentrating.

Anyone who wants to prevent this should therefore provide for compensatory exercise in their free time. True to the motto “if you rest, you rust”, even small units of one hour per week can provide sufficient mobilization and relaxation. In our practice for physiotherapy and personal training, we offer not only classic physiotherapeutic applications but also an extensive portfolio of holistic training with a focus on joint-sparing movement sequences and medical muscle building.

We recognize and treat dysfunctions so that you can work in your home office in a relaxed and pain-free manner. Say goodbye to pain and make an appointment today.

Your Michael Boettcher Continue Reading

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Neck pain – causes and treatment options

The most common cause of neck pain is tension in the neck/shoulder area. These are usually caused by monotonous movements or an incorrect sitting position at the workplace. Especially in the home office, people do not pay attention to their sitting position, because not everyone has a fully equipped workroom. People often work at the kitchen table or on the sofa, which can lead to permanent incorrect strain on the spine and thus to pain.

What types of neck pain are known to occur?

If the pain is caused by tension that is not based on injury or pathologically changes in the vertebral bodies, it is called non-specific pain. Those are often caused by lack of movement, incorrect sitting posture in an office chair, shallow breathing or overweight. If the pain is the result of an injury or surgery, it is considered to be a specific pain, since the cause can be precisely determined: We adopt a relieving posture and the body tries to avoid movement and the pain that comes with it.

What other factors can contribute to neck pain?

Tension in the neck and shoulder area and resultant muscle hardening can also be favored by the following factors: monotonous movement patterns at work, shallow breathing, psychological factors such as stress and anxiety, posture problems or insufficiently trained neck muscles. The joints are stressed incorrectly or too much, we feel uncomfortable, flabby and have pain. The diaphragm remains largely inactive, the respiratory muscles are put under much greater strain, the muscles in the neck tense up and pain occurs.

How can neck pain be treated?

In our physiotherapy practice we offer various treatment options for neck pain. Starting with classic physiotherapeutic applications such as massages and manual therapy, dry needling, functional training, muscle building in the neck and shoulder area or physiotherapy on the machine. We accelerate the healing process and restore the mobility and stability of your musculoskeletal system so that you can live permanently pain-free and without tension.

Yours Michael Boettcher