Course Notes: The Last Craniocervical Mandibular Restoration Evahhhhh

You’d Think I’d Learn it the First Time Around You’d think, but CCM is one of the hardest PRI courses to conceptualize.  It didn’t hurt that my work was hosting the Ron’s last time teaching this course, as next year we will see Cervical Revolution instead. I took this course last February, and it’s amazing how different the two courses were. We had a room filled with PRI vets, and the Ronimal went into so much more depth this time around. It was such a great course that I would love to share with you some of the clarified concepts. If you want a course overview, take a look here.  The TMCC  The right TMCC pattern consists of the following muscles with the following actions: Cranial retruders/mandibular protruders Right anterior temporalis Right Masseter Right medial pterygoid Sphenobasilar flexors Left rectus capitis posteror major Left obliquus capitis OA flexors that maintain appropriate cervical lordosis Right rectus capitis anterior Right longus capitis Right longus colli If this chain stays tonically active, then there is better accessory muscle respiratory capacity present. These muscles provide the fixed point needed for an apical breathing pattern. We want the muscles on the other side, the left TMCC, to be active. Their activity will allow alternating reciprocal cranial function to be possible. We also call this gait.  Keep Ya Sphenoid Flexed One cranial goal we have is to achieve sphenobasilar flexion, but what does this mean? In the RTMCC pattern, the sphenoid is in an extended position.

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A Fly on the Wall of the Hruska Clinic

The Saga Continues  This post is way over due, but a lot has been going on in life. I have just moved to Arizona to start anew, and the change is bittersweet. The Midwest is all that I have known for the past 27 years. I’m leaving a lot of loved ones behind that I will miss dearly. However, getting out of the Midwest to a warmer place has always been a dream for me, and I finally got that opportunity. I also get to work at an awesome clinic alongside like-minded clinicians. One of my good friends will even be there. Plus, summer forevaaaaaaaaaaaahhhhh!!!!!! So with this transition in my life marks a good time to reflect on one of my many experiences at the Hruska Clinic. This time, I will show you how the clinic itself operates. And their operation is a beautiful thing. The General Feel You walk in the door and can immediately shift into your left hip. That’s what this place is like upon entering. With various shades of purple and tan, you just feel at ease being there. It screams parasympathetic. This build was no accident of course. Purple is a calming color, giving those at the clinic a huge home-field advantage. I bet there is also a reason why you walk left to check-in at the front desk. The clinic is an interdisciplinary dream. The staff includes 5 physical therapists, an optometrist, a dentist, and a podiatrist. This setup allows for great communication

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Treatment at the Hruska Clinic: PRI Dentistry and Vision

For part 1, click here For part 3, click here Jaws will Drop  I’m in the dentist chair, The room slowly get darker and darker. I feel my mouth open, and I wasn’t sure what would happen next. Then Dr. Schnell places the necessary goup in my mouth to get an impression for my splint. I bite, and out comes the finish product. Before the impression was taken, Ron came in and explained what he was hoping to accomplish. He wanted to fit me for a gelb splint to give my tongue some space to move in my crowded mouth. This splint would also help bring my mandible forward. Dr. Schnell: “Is he neutral right now?” Ron: [throws a towel over my eyes and sets my neck in a lordosis] “Now he is.” And with that, the above sequence occurred and I was ready for vision. I couldn’t leave the room without that overarching reminder Ron gave me: Ron: “Margo, if this was your son, what would you do with those wisdom teeth?” Dr. Schnell: “I’d have them pulled.” Yikes! An Eye Opening Experience  It was so much fun watching Ron and Heidi teach together, that I could only imagine what it was like seeing them treat. They did not disappoint. My session was getting videotaped for their marketing department, so I again told them my story. It ought to end up on the Internet sometime, so stay tuned for that! They began the session by showing some of my

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Treatment at the Hruska Clinic – Initial Evaluation

For part 2, click here. For part 3, click here. “Do you produce enough saliva?” That was the first interview question Ron Hruska asked me; something I will never forget. I went to Lincoln, NE for almost a week to take a course, get treated, and observe PRI in it’s purest form. I wanted to see Ron out of curiosity and because I cannot achieve neutrality on my own. I have done most every exercise that could be thought of and been “worked on” by my fellow comrades and a couple PRI instructors in courses; nothing could budge. I knew I needed some type of orthotic to get somewhere; the question was which one? Subjective Complaints I do not have any pain really. My only complaints are a tight neck and I can’t seem to deadlift without feeling most of the effort in my back. I don’t see this deadlifting problem as a form issue necessarily. Interning with Bill Hartman at IFAST cleaned that up, and for a long time I could feel glutes and hamstrings all day when I deadlift. But not now. Other “issues” I have Left TMJ clicks; nonpainful. Clench jaw at night. Eye strain after reading on a computer too long (duh). By PRI standards, I am a classic PEC. I have no pathology anywhere, but I am limited in almost every motion.  I knew this and so did Ron. Objective Exam  First Ron had me walk and was pointing out some things to my student-to-be Trevor,

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