Dr. Rob Orman of ERCast fame had posted this initially on his site, and it's too awesome of a trick for me not to include in my Tricks of the Trade series.
Trick of the Trade:
- Massage the masseter muscles before and during the procedure
- Apply rotational force (rather than downward and posterior force) on mandibular ramus
Lowery LE, Beeson MS, Lum KK. The wrist pivot method, a novel technique for temporomandibular joint reduction. J Emerg Med. 2004 Aug;27(2):167-70. Pubmed .