Hi Alane,
If you think you will need to mobilize the lower jaw or even consider use of
a Therabite, Orastretch, Dynasplint, touch base the oncology dentist on
stability of the lower jaw. Also try to get into the medial pterygoid along
the inside the lower jaw. I think that it is responsible for some the
trismus along with the TMJ capsule.
Kim
Kim Marshall, DPT, CLT
kim@xxxxxxxxxxxxxxxxxxxxxxxxx
Progressive PT and Rehab
12665 Garden Grove Blvd., ste 603
Garden Grove, CA 92843
Ph 714.643-9012
Fax 714.643-9015
-----Original Message-----
From: aptaoncology-bounce@xxxxxxxxxxxxx <aptaoncology-bounce@xxxxxxxxxxxxx>
On Behalf Of alane curry ("acurryil")
Sent: Tuesday, June 7, 2022 11:17 AM
To: Oncology list serv <aptaoncology@xxxxxxxxxxxxx>
Subject: [aptaoncology] Osteomyelitis of mandible, severe trismus
I have a potential referral for pt post-radiation developed osteomyelitis
and severe trismus.
Does anyone have treatment guidelines and ideas that they can share,
research to support if you have it, and precautions.
Thanks so much. I really appreciate your time.
Alane Curry, PT, MPT
PORI- certified Onc Rehab Specialist
UW Health Regional Cancer Center-Rockford
Sent from my iPhone
