Surface Palpation - Head and Neck - Muscles
Medial Pterygoid [Internal View]
Sitting or standing
 
Anterior or lateral to the patient
 
Please sit (or stand). I would like to check the function of a muscle of your jaw. Please look at this picture of a person clenching the teeth (or . . . forcefully closing the mouth with the teeth in contact), (or . . . Please look at me while I clench my teeth). May I touch the inside your mouth?
(If the answer is yes and with clean hands or gloves) I will gently place my finger on the inside of your mouth while you gently try to contact your teeth without biting my finger.
(If the answer is no) Please clench your teeth, relax, and then repeat this motion.
The patient/client is sitting (or standing) and either facing a mirror or facing the person who will demonstrate clenching the teeth. After showing a picture or demonstrating this motion, ask the patient/client to clench the teeth. With permission and either clean hands or gloves, gently place one or two fingers on the inside of the mouth, deep to the cheek. Keep your finger out of the path of the closing teeth or block the attempt to contact the teeth with an object, such as a cork. With the muscle relaxed initially, ask the patient/client to clench the teeth, then relax and repeat this motion if necessary. If permission is not granted, then observe as the person clenches the teeth, relaxes and then repeats this motion if necessary. While you are not able to observe the muscle contraction, you can assess ability to clench the teeth and the symmetry of jaw closing, knowing that other muscles are involved in this action.

Many people can not reliably distinguish the lateral pterygoid from the medial pterygoid, even though the actions on the temporomandibular joint are opposite.

Palpation of this muscle can not be demonstrated by video from the outer aspect of the face as the muscle is palpated on the inside of the mouth. There is no audio pronunciation for this structure.