Entrapment of the lingual nerve is uncommon enough that many practitioners won't have come across it, but it's worth knowing what it looks like for the rare occasion it comes through your door.
It occurs when the lingual nerve becomes entrapped between the mandible and the medial pterygoid. The symptoms can include a metallic taste in the mouth, as well as referred discomfort into the jaw, teeth, and the TMJ.
In these cases it's definitely worth referring your client to a dentist to have their bite assessed.
The medial pterygoid does respond to manual therapy, but with little room for movement you'll have to be careful in how you approach it. You'll find the medial pterygoid sitting in a pocket of tissue just inside the lower edge of the mandible. Make sure you occlude the jaw to side of the treating muscle - this allows you to sink in behind the mandible, palpate those tissue, and access the trigger point.
Gently work back and forth for about 5-10 seconds, making sure you check in with your client to make sure they're comfortable.
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These videos are intended to be used for information purposes only and are not intended to be used for medical diagnosis or treatment or to substitute for medical diagnosis and/or treatment rendered or prescribed by a physician or trained healthcare professional. This information is designed as educational material and should not be taken as a recommendation for the treatment of any particular person or patient. Always consult your physician if you think you need treatment or if you feel unwell.
