I have been using your Myo Manual for the exercises. My client can trap with mouthwash, but not the water. I am afraid that I am missing something (which is why I need to come to your intensive course). She is an adult with a relapse, open bite. She said that at times, she could not feel her lateral margins of her tongue. She is being treated for migraines by the neurologist and has arm, leg numbness, blue toes, chest pain that are much better since she has been on medication (celexa), has HTN and is 28. Therefore, she has some interesting issues as well as being a smoker. She will not quit smoking. What percentage do you see people succeed who have a high/narrow palate? Should they go through orthodontia first, and then come in? I will take your suggestions and see what I can figure out.
Hi Her lack of sensitivity throughout her body, including her tongue is a big concern. Perhaps the potency of the mouthwash is a stronger signal to the tongue’s lateral borders than plain water, offering her more stimulation and guidance to assist with suctioning. This lady is only 28 years old but has quite a complicated history. Is she diabetic The smoking seems to be so very dangerous with her symptoms. I guess what I can comment about most intelligently is the palate. When she suctions her tongue, just how well does it fit inside that palatal arch? That is the key. If she has a lot of overflow way beyond the outer borders of her dentition, I would be wary of doing the therapy program since it relies on the tongue’s being able to suction the bolus firmly prior to the swallow. I wish I had more to offer, but I’d have to see her in person at the very least….to give some kind of opinion. Best of luck with her…..