Darron Goralsky is the Clinical Director, Principal Physiotherapist and founder of Melbourne TMJ & Facial Pain Centre and the Goralsky Craniomandibular Method. He has travelled internationally to attend conferences, courses and work in clinics with some leading experts such as Ms Erica Reid, Professor Mariano Rocabado and Dr (Prof) Jeffery Okeson.
A search for solutions:
Darron has dedicated his professional career to finding the best clinical solutions for the thousands of patients suffering from some form of Temporomandibular Disorder (TMD) and its associated symptoms. These symptoms commonly include jaw pain / stiffness / clicking / locking , teeth clenching / grinding. Associated symptoms commonly also include headache, facial pain / pressure, earache / blocking / ringing, lightheadedness / dizziness, brain fog and neck pain / stiffness.
Having treated literally thousands of patients Darron understands that these symptoms may be stemming from not only the jaw structures (temporomandibular) but also from the head (cranio) and neck structures (cervical). These symptoms may be made worse by anything causing stress, leading to increased muscle tension, teeth clenching and poor-quality sleep.
Effects of posture & lifestyle factors:
As physiotherapists we are also very aware that poor/sustained posturing – including unsupported sleeping postures (an often-overlooked fact) – compounds the mechanical overloading of these structures. Having a good understanding of the interdependent relationship of these areas (jaw-head-neck) both functionally and as a common source of symptoms, is therefore essential to create a comprehensive Management Plan for not only treating these various symptoms and their causes, but also for avoiding recurrence in the future.
Furthermore, identifying and improving lifestyle factors that may be contributing to TMD and associated issues are always addressed as part of our comprehensive clinical approach because if you go back to habits and activities that created the issue in the first place, then your symptoms are likely to return. The Goralsky Craniomandibular Method (GCMM) – Integrated Approach To Management Of TMD & Facial Pain is the hallmark of our clinical approach at Melbourne TMJ & Facial Pain Centre.
Why TMD & related conditions can cause confusion:
It is important to understand that pain/symptoms that are referred from various structures but experienced elsewhere can create confusion as to the actual source of these symptoms. This commonly leads to sufferers consulting various Medical / Dental Professionals who may only address those aspects of the condition within their scope of practice.
Not knowing where to turn for help:
Unfortunately, there is also often a gap in communication between the various Professions to adequately facilitate and direct you towards the other forms of therapy required to address each aspect. Our mission is to help bridge that gap by not only providing you with our very specific treatment approach, but also by liaising with your GP, Dentist or Specialist and making appropriate referrals where other interventions are necessary.
Applying standard principles of musculoskeletal treatment to a complex condition:
Despite being more complex, the jaw, neck and their structures are in many regards no different from other parts of the body in that they have bones, muscles, joints, ligaments and nerves. A part of our management thus applies the standard principles of treatment for musculoskeletal conditions, incorporating very specific hands-on joint and muscle treatment techniques. Our comprehensive treatment approach is rounded out by including important rehabilitative exercise and self-help techniques to empower our patients to self-manage.
Incorporating Specific Dental management into our comprehensive approach:
Darron has also incorporated very specific Dental management of TMD in his approach when required, with the addition of experienced TMD and Sleep Medicine Dentists on our therapy team. This inclusion blends our unique physiotherapy approach with specialised occlusal splinting therapy if required and or other investigations (such as for sleep apnoea) when necessary. Our innovative approach to patient care and treatment is also one of the reasons our clinic is recognised among Melbourne’s leading TMJ Centres, drawing patient referrals from various Medical and Dental Specialists across Victoria.
Ensuring you get the treatment you need when you need it:
As of 2020 Darron is no longer consulting directly with patients as he has chosen to focus exclusively on ongoing training and mentoring of our experienced clinical team, all of whom are Goralsky Craniomandibular Method (GCMM) Certified. This ensures that patients can expect the same, consistent, high levels of care no matter who their treating therapist is. Complex case discussion is a weekly occurrence between Darron and all our therapists, facilitating a collaborative approach for cases that require it.
Our continuously evolving approach for best clinical outcomes:
Darron and the Team are passionate about staying on the cutting edge, always continuing their professional development. The Goralsky Craniomandibular Method is always evolving to incorporate new techniques and updates from current research to ensure evidence based, best practice treatment is provided for the most optimal outcomes.
Darron and his approach are highly regarded. He lectures to qualified Dentists in their bi-annual PD program at Melbourne Dental School and presented at the 2019 Australia New Zealand Academy of Orofacial Pain (ANZAOP) Conference in Adelaide. Darron has also been a guest presenter to many Dental Special Interest groups as well as to the Australian Physiotherapy Association (APA) recent graduates’ group.
We would love to help you too so please let us, it give us great joy:
Our dedicated team is looking forward to helping you too overcome your TMD related issues. Please don’t suffer unnecessarily for a single day more. CLICK HERE or contact us TODAY on 98248868 to book your appointment, or to learn more about how treatment from a respected and sought-after TMJ centre in Melbourne can benefit you too.
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What is the TMJ?
TMJ stands for temporo-mandibular joint which is your jaw joint. What is the TMJ? Learn more about the TMJ The temporo-mandibular joint is formed by the mandible or jaw bone.Read More
What is TMJ Disorder?
The TMJ or jaw is a common area that can become injured or sprained causing jaw pain or ache, face pain, ear pain, neck pain or headaches. This commonly occurs due to clenching or grinding (bruxing) of the teeth due to stress.Read More
Causes of TMJ Disorder (TMD)
TMJ disorder and facial pain is a common, sometimes very disconcerting problem experienced by many people. It can be a complex problem with many contributing factors.Read More
Symptoms of TMJ Disorder
Headaches are a very common symptom affecting millions of people every day. People suffering from TMJ Disorder (TMD) often experience headache felt in the temple area and around the ear.Read More
Experiencing pain in the jaw, face or ear can be a very confronting feeling and often one that causes severe stress for sufferers. Problems associated with the TMJ (jaw joint) and face are often complex and pose a real challenge for the medical, dental and manual therapy professions. If left to worsen, TMJ disorders can seriously affect your quality of life, preventing you from enjoying daily function and normal jaw movement.
At Melbourne TMJ & Facial Pain Centre, we frequently have patients who have been treated before by many different types of Dentists, Doctors or Therapists but feel like they are not improving. If this sounds like you, then you can rest assured that we understand your frustrations and are here to help. As Physiotherapists with over 24 years of experience assisting people like you, we know what we can do to help you, being the leading TMJ Physiotherapists for treatment in Armadale, Melbourne.
Our experience with these types of conditions also assists us to make appropriate referrals where necessary to a trusted group of Dental and other Specialists who are also experienced managing TMJ conditions. Our practice is the local to residents throughout Melbourne seeking TMJ treatment, including Armadale, Prahran, Caulfield, South Yarra and well beyond! In-fact many patients travel across the state to seek our help.
As an in-demand TMJ centre in Melbourne we understand the importance of delivering consistent and thorough treatment plans to each of our valued patients. We work closely with each individual, allowing us to gain an in-depth understanding of their condition and ensure we can prescribe a course of treatment to deliver effective and lasting pain relief.
Common signs of a TMJ disorder include jaw pain, stiffness, clicking and locking. Melbourne residents seeking relief from these painful symptoms should look no further than Melbourne TMJ & Facial Pain Centre. A clicking jaw that becomes louder, more painful or feels like it’s beginning to cause jaw locking (with restricted opening), should been seen urgently. Jaw joints that are locked closed so you can only open 2 fingers width (“closed lock”), can become adaptively locked if not unlocked within a maximum of 2-week window. If this describes your symptoms then please call us on 03 9824 8868 TODAY to book an appointment.
Often, these symptoms are triggered by clenching your jaw or grinding your teeth (bruxism), which is more likely to happen if you experience a lot of stress. Those experiencing worrisome symptoms such as jaw pain, clicking, locking or stiffness can visit our Armadale clinic for tailored treatment programs, hands-on manual therapy, helpful self-management exercises and appropriate referrals.
So if you want to find effective relief from persistent jaw pain and discomfort make sure you contact the staff at our TMJ centre in Melbourne.
Another confronting symptom many suffer from is face pain or sinus type pain. There can be a variety of causes for these symptoms, one of which is pain from musculo-skeletal structures. This can be the result of trauma to the neck or face or may appear for no known reason. Melbourne's Armadale and surrounding suburbs residents experiencing headaches, facial soreness, sinus type pain should seek prompt treatment from Melbourne TMJ & Facial Pain Centre as face pain can become debilitating if left to worsen.
Symptoms of face or sinus type pain can respond well to very specific physiotherapy techniques when the cause of the pain is musculo-skeletal. Treatment is gentle and non-invasive and includes educating you on how you can assist yourself. We work closely with GP's, Dental Specialists and ENTs (Ear Nose & Throat Specialists) who refer patients to us for treatment when other sources of the pain have been ruled-out. We are results focused and expect that if treatment is going to be helpful it will usually do so within the first few sessions.
Our professional relationships, quality of care and comprehensive treatment plans are just a few of the reasons our clinic is recognised as one of Melbourne’s most trusted TMJ centres.
Don't Delay CALL 03 98248868 today to arrange an appointment.
1: Be Brilliant At The Basics.
Sounds so obvious but often the basics are ignored or performed poorly. We pride ourselves on doing the basics brilliantly, from the way we interact with and care for you, to the structured and comprehensive way in which we provide our physical treatment and guide you in self-help techniques.
2: We Genuinely Hear You
So often we see clients who feel that despite seeing others, they have just not been heard. It is a core value of ours to genuinely take the time to listen to your concerns, your goals and your aspirations for which you are seeking our help.
3: Fun, Friendly & Focused
When you enter our practice, you will feel our care and warmth. It is a core value of ours to give you our care in a fun, light-hearted manner, while always remaining laser focussed on getting you great results.
4: Rapid Relief & Lasting Results
Another of our core values is to get you feeling better as quickly as we can. In addition, we strive to help you improve your health and wellbeing by addressing the root causes of your issue and equipping you with self-help skills to ensure you get lasting results.
5: An Experience More Than You Expect
We go the extra mile to deliver the best experience for you right from the time you first make contact. We hold ourselves accountable to make your time with us both as enjoyable and as rewarding as we can while delivering great clinical outcomes for you. This is at the heart of our core values.
COVID STAGE 4 - PRACTICE UPDATE - PLEASE READ CAREFULLY
COVID 19 & STAGE 4 RESTRICTIONS WE ARE STILL OPEN FOR FACE TO FACE CONSULTS UNDER DHHS REGULATIONS
Please consider Tele-Health Consults as an alternative to a face to face consultation unless you meet the criteria as outlined by DHHS below.
PLEASE NOTE: All online bookings for face to face in-clinic consultation will be called to ensure you qualify with current criteria as outlined by the DHHS which states
"Allied Health Practices may only provide services that prevent a significant change/deterioration in functional independence necessitating escalation of care." This means that :
We will NOT be able to see you for face to face consultation
if ANY of the following apply:
REFERRALS - You do not need a referral to see us.
TRAVEL RESTRICTIONS - These do not apply when travelling to a medical type appointment if you are not able to access alternative services closer to home (<5km).
IN-CLINIC MEASURES TO KEEP EVERYONE SAFE:
We have taken extreme measures to ensure the safety of you, our valued patients and our wonderful team. These have included removing reception furniture, enclosing our reception desk with a protective perspex barrier, implementing touchless payment processes, spacing out appointments to reduce patient numbers in our clinic, implementing a touchless payment processes, constant surface disinfecting measures, the use of personal protective equipment for our team, taking temperatures and asking patients to sanitise their hands on entering. We are asking for your help by arriving right on time, wearing your face mask, avoiding touching any surfaces and bring a clean towel to lie on.