CF 2 - Intermediate Cranio Facial

October 8-9, 2022
8:30-5:30 PM Saturday

8:00-4:45 PM Sunday



[Click Here to Register on our Partner's Site] 

Course Description

This seminar will primarily be focused on displacement of the intra-articular disc of the TMJ, but will also cover the role of the subcranial spine in the causation of craniofacial pain and the association between detrimental oral habits (parafunctions) and craniofacial pain. Medial and lateral disc subluxations will be carefully examined, as will disc-condyle and disc-eminence subluxations. The progression of disc subluxation and other intra-articular pathology will be demonstrated by the use of clinical examples and all disorders will be illustrated by imaging. The imaging methods used in the diagnosis and management of the TMJ will be explained; this includes transcranial radiographs and tomography, as well as MRI, used for diagnosis and clinical management of intra-articular disc displacements. The lab sessions will focus on assessment of intra-articular pathology, as well as preparations of the TMJ and subcranial spine for reduction of the intra-articular disc. Finally, participants will have the chance to practice disc reduction and subsequent stabilization of the disc in the reduced position.

Course Objectives

At the completion of this seminar the attendee should be able to:

  • Explain the concept of progression of intracapsular temporomandibular joint (TMJ) disc pathology as an initial stage of dysfunction.
  • Discuss how a medial or lateral disc can progress to an anterior disc subluxation.
  • Predict the effect of oral bad habits in children and adults.
  • Describe the process of craniomandibular parafunction (teeth grinding) as a cause of micro repetitive trauma.
  • Explain the loaded gliding of the TMJ with systemic joint laxity as a cause of progressive joint disc pathology and degenerative joint disease.
  • Apply examination and treatment techniques to soft and hard tissues of the maxillofacial region with special emphasis on proper force and direction to avoid injury.
  • Explain the major cause of condylar height loss and consequential facial assymmetry.
  • Identify the signs and symptoms of vascular irritation for the TMJ.
  • Apply manual and muscular techniques for disc subluxations.
  • Discuss the use of removable interoclusal appliances for joint stabilization.

About the Instructor

Mark Strickland, PT, OCS, MTC, Cert MDT, CFC, CCTT, CODN, is a graduate from the University of Texas Medical Branch, Galveston, in 1984. He received his McKenzie certification in 1994, completed his Board Certification in Orthopedic Specialty in 1999, his Manual Therapy Certification through the University of St. Augustine for Health Sciences in 1999, and his Craniofacial Certification in 2005 also through the University of St. Augustine for Health Sciences. In 2009, he was certified by the Physical Therapy Board of Cervical & Craniofacial Therapeutics (PTBCCT) as a Certified Cervical and Temporomandibular Therapist. In 2012, he completed his Vestibular Certification through the American Institute of Balance and Certification in Orofacial Dry Needling through Myopain Seminars.

For the past twenty years, Mr. Strickland has been a chief clinical instructor for the Physical Therapy School at Texas State University. For the past eleven years he has been an Assistant Professor at the University of St. Augustine for Health Sciences where he teaches online course in Craniomandibular Disorders (beginner, intermediate, advanced, and State of the Art for 9 College credit hours per trimester for seventh semester DPT, post-graduate transitional DPT students and Doctor of Science candidates). He also teaches and is an examiner for the five Continuing Education seminar series (CF1-CF4 and certification) offered through the University of St. Augustine for Health Sciences, leading to Craniofacial Certification (CFC).

Mr. Strickland is currently employed by ATI Physical Therapy as Regional Director of Clinical Excellence, Southwest Region (TX, CO, NV, NM, and NE).

He practices physical therapy in Austin, TX, with primary specialties of spine, manual therapy, and Craniomandibular Disorders, including pre- and post-surgical TMJ cases, total joint replacements, arthroplasty, condylotomy, and arthroscopy with or without plication, orthognathic surgery, and grafts. He routinely sees patients with congenital or developmental deformities such as Melnick Needles Syndrome, Cerebrocostomandibular Syndrome, Hemifacial Microsomia, neuropathies, post-complete or partial facial reconstruction, traumatic head and facial injuries, and disorders of myogenous origin.

In his personal life, he plays Men's Senior Baseball, golf, and works in his garden. Mark holds Black Belts in Kung Jung Mu Sul and Bakido.



08:00-08:30 Course Registration/Breakfast

08:30-10:00 Introduction, History, Epidemiology, Anatomy

10:00 10:15 BREAK

10:15-12:30 Practical: Facial muscle palpation/management, TM joint/mouth ROM assessment and measurements

12:30-0130 LUNCH (on your own)

01:30-03:00 Biomechanics, Arthrokinematics, Role of the cervical spine, Posture

03:00-03:15 BREAK

03:15-05:30 Practical: Craniovertebral joints and facial pain, Suboccipital triangle, Practical Management, Atlas/axis position and correction, C2C3 mobilization, OA mobilization, CS distraction


07:30-08:00 Course Sign-in/Breakfast

08:00-10:00 Pain map, Disc displacement, Role of the Tongue, Mouth Breathing, Parafunction, Cranio-vertebral angle (Lateral Cephalometric measurements)

10:00-10:15 BREAK

10:15-12:30 Practical: Pain map, airway assessment, cranial loading

12:30-01:30 LUNCH (on your own)

01:30-03:00 Facial Asymmetry, Degenerative changes, management of hypermobility and inflammation

03:00-03:15 BREAK

03:15-04:45 Joint mobilizations, Long axis distractions, Medial/lateral glides, Stabilization of the TM joint



Texas Children's Hospital Feigin Center


1st Floor Conference Room A
1102 Bates Street
Houston, TX 77030

Click here for directions

Hotel Accommodations

Coming soon....

For More Information


Send us an email


Who Should Attend




15 contact hours for PTs.