Dentaltown October 2016 - 44


general practice
message board

lecture on the subject and see if it can be made available for free, since I don't think too many
people would pay for it. ■
12/2/2015

Howard Goldstein
Member Since: 09/16/03
Post: 103 of 118

In 1996, I was in excruciating pain from herniated discs impinging on my spinal nerves. Picture
"slamming your thumb in a car door" type of pain, 24 hours a day, all the way down your neck and
into your right arm. I was desperate for relief. After three weeks, I went to a noted acupuncturist.
So I was on his table, still in extreme pain, and all I could think was, "OK, I am still having no
relief ... but now, in addition, I have over 100 freaking needles sticking in me." ■
12/2/2015

smith147
Member Since: 04/06/15
Post: 108 of 118

I believe it's very hard to evaluate MRT if you haven't taken a course with either Drs.
Olmos or Beck, because there is almost no published information on the technique. Beck and
his partner, both orthopedic surgeons, developed the tests more than 25 years ago using their
knowledge of medicine, neuroanatomy, neurology, reflexes and embryology. Beck checked the
reflex tests the same way Dr. Travell mapped the referral patterns of trigger points. He would get
a positive response to a reflex test, then do a diagnostic block of the area he thought was causing
the positive response (to block the pain), and repeated the test to check if it was then negative.
Unfortunately, Beck rarely lectured or wrote articles on the subject. I know he did publish two
or three articles on MRT in 2008 in The Pain Practitioner (journal of the AAPM).
As far as pain affecting posture, Olmos published a paper showing that patients with TMD have
a forward head posture. Once the patient's TMD was treated, the patient's head would on average be
4.43 inches more posterior. Dr. Fonder showed in his textbook The Dental Physician (published in
1977, and something I would recommend every dentist read) that when a patient's TMD was treated,
there would be a significant change in posture. He shows one case with radiographs of the patient's
entire spine that shows a significant correction of the patient's scoliosis after TMD treatment. ■
12/3/2015

JasonL
Member Since: 04/13/00
Post: 109 of 118

Why would it be hard to evaluate? It should be fairly easy to report on the physiology
involved. It should also be fairly easy to get some university affiliation to develop a research project that provided some good data. I am not an international lecturer with a special technique, so
maybe my naive understanding of it all is incorrect. Have you kept up on trigger points? There
is doubt about their existence and treatment brewing. One paper and one patient does not equal
very good science. It's interesting, but that's it. ■
12/3/2015

ChipPayet
Member Since: 07/08/03
Post: 110 of 118

So there is no actual research on the subject, and it's never been validated or replicated
by anyone except those two doctors? In 25 years? Except maybe two or three nearly eight
years ago? And otherwise you're still referencing a text from 1977 that has nothing newer to
support it? And, as Jason mentioned, were you aware that the very existence of trigger points
as described by Travell has been called into question? (I confess: I didn't know that myself
until this past summer.) ■
12/3/2015

smith147
Member Since: 04/06/15
Post: 111 of 118

44

One of my points was not that it would be hard to do a research study on MRT but that it
is difficult for a dentist who has never taken a course on MRT to make intelligent comments
about the tests. Unfortunately, it's more difficult than you think to get a university to agree to
do a study on MRT. MRT is used not by only two clinicians but by several hundred around the

OCTOBER 2016 // dentaltown.com


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Table of Contents for the Digital Edition of Dentaltown October 2016

On Dentaltown.com
Howard Speaks: Repeatedly Reap the Rewards of Selling Your Practice
Professional Courtesy: Waiting For Something Better
Continuing Education Update
Industry News
New Products
Poll
Show Your Work: Putty in My Hands
Message Board: I Could Give a Flip About TMD, and Here is Why!
Message Board: Fixed Lingual Retainer Wire
Message Board: Paying at Time of Service
Message Board: Buffering Anesthetic Carpules
You Be The Judge: A Dose of Reality
Building a Mandible
Patient Financing Programs
Sealing The Gaps
Beyond Clinical Care
Message Board: Your Best Advice in 5 Words or Less
Corporate Profile: An Inside Look at an Implant Giant
Product Profile: Wand Dental
Ad Index
Product Profile: Scheduling Institute
Product Profile: 3M
CE: Magnification in Endodontics
Dentally Incorrect
Dentaltown October 2016 - Intro
Dentaltown October 2016 - Cover1
Dentaltown October 2016 - Cover2
Dentaltown October 2016 - 1
Dentaltown October 2016 - 2
Dentaltown October 2016 - 3
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Dentaltown October 2016 - 6
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Dentaltown October 2016 - On Dentaltown.com
Dentaltown October 2016 - 13
Dentaltown October 2016 - Howard Speaks: Repeatedly Reap the Rewards of Selling Your Practice
Dentaltown October 2016 - 15
Dentaltown October 2016 - 16
Dentaltown October 2016 - 17
Dentaltown October 2016 - Professional Courtesy: Waiting For Something Better
Dentaltown October 2016 - 19
Dentaltown October 2016 - Continuing Education Update
Dentaltown October 2016 - 21
Dentaltown October 2016 - 22
Dentaltown October 2016 - 23
Dentaltown October 2016 - Industry News
Dentaltown October 2016 - 25
Dentaltown October 2016 - New Products
Dentaltown October 2016 - 27
Dentaltown October 2016 - Poll
Dentaltown October 2016 - 29
Dentaltown October 2016 - 30
Dentaltown October 2016 - 31
Dentaltown October 2016 - Show Your Work: Putty in My Hands
Dentaltown October 2016 - 33
Dentaltown October 2016 - 34
Dentaltown October 2016 - 35
Dentaltown October 2016 - Message Board: I Could Give a Flip About TMD, and Here is Why!
Dentaltown October 2016 - 37
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Dentaltown October 2016 - Message Board: Fixed Lingual Retainer Wire
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Dentaltown October 2016 - Message Board: Paying at Time of Service
Dentaltown October 2016 - 55
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Dentaltown October 2016 - Message Board: Buffering Anesthetic Carpules
Dentaltown October 2016 - 59
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Dentaltown October 2016 - 61
Dentaltown October 2016 - 62
Dentaltown October 2016 - 63
Dentaltown October 2016 - 64
Dentaltown October 2016 - 65
Dentaltown October 2016 - You Be The Judge: A Dose of Reality
Dentaltown October 2016 - 67
Dentaltown October 2016 - 68
Dentaltown October 2016 - 69
Dentaltown October 2016 - Building a Mandible
Dentaltown October 2016 - 71
Dentaltown October 2016 - 72
Dentaltown October 2016 - 73
Dentaltown October 2016 - 74
Dentaltown October 2016 - 75
Dentaltown October 2016 - Patient Financing Programs
Dentaltown October 2016 - 77
Dentaltown October 2016 - 78
Dentaltown October 2016 - 79
Dentaltown October 2016 - Sealing The Gaps
Dentaltown October 2016 - 81
Dentaltown October 2016 - 82
Dentaltown October 2016 - 83
Dentaltown October 2016 - 84
Dentaltown October 2016 - 85
Dentaltown October 2016 - Beyond Clinical Care
Dentaltown October 2016 - 87
Dentaltown October 2016 - 88
Dentaltown October 2016 - 89
Dentaltown October 2016 - Message Board: Your Best Advice in 5 Words or Less
Dentaltown October 2016 - 91
Dentaltown October 2016 - Corporate Profile: An Inside Look at an Implant Giant
Dentaltown October 2016 - 93
Dentaltown October 2016 - 94
Dentaltown October 2016 - 95
Dentaltown October 2016 - Product Profile: Wand Dental
Dentaltown October 2016 - Ad Index
Dentaltown October 2016 - Product Profile: Scheduling Institute
Dentaltown October 2016 - 99
Dentaltown October 2016 - Product Profile: 3M
Dentaltown October 2016 - 101
Dentaltown October 2016 - CE: Magnification in Endodontics
Dentaltown October 2016 - 103
Dentaltown October 2016 - 104
Dentaltown October 2016 - 105
Dentaltown October 2016 - 106
Dentaltown October 2016 - 107
Dentaltown October 2016 - 108
Dentaltown October 2016 - 109
Dentaltown October 2016 - 110
Dentaltown October 2016 - 111
Dentaltown October 2016 - Dentally Incorrect
Dentaltown October 2016 - Cover3
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