1/10. Myofascial pain syndrome masquerading as temporomandibular joint pain.Myofascial pain syndrome of the TMJ region is not uncommon. It is important to realize that these patients often have a history of TMJ trauma, frequently have positive physical findings of the TMJ, and often have positive roentgenographic findings which continue following successful therapy of myofascial pain syndrome mimicking pain of the TMJ. Because of this, the malady is often diagnosed as TMJ disease, refractory to treatment, rather than correctly as myofascial pain syndrome. Continued investigation of myofascial pain syndrome of the TMJ region is indicated.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
2/10. Myofascial pain dysfunction and viola playing.Two cases are illustrated to demonstrate the importance of occupation, in the form of viola playing, in the aetiology of myofascial pain dysfunction. An understanding of the contribution of tension and playing style, together with physical limitations, is emphasised and, consequently, it is acknowledged that modification may be necessary to the formulation of a treatment plan.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
3/10. Temporomandibular joint dysfunction and facial pain in children: an approach to diagnosis and treatment.A model for the diagnosis and treatment of temporomandibular joint dysfunction and facial pain in children is presented. Emphasis is placed on systematic assessment of physical, psychologic, and behavioral factors when conservative medical therapy is inadequate for symptom relief. The model represents a multidisciplinary approach to patient care which is described through case presentations. The results of research on the incidence of primary psychopathology in 53 children and 322 adults evaluated during a 3-year period for temporomandibular joint dysfunction and facial pain are also presented. It was found that children were more likely to be psychiatrically impaired (25%) than adults (7%). Children had a variety of psychiatric diagnoses including depression, conversion and adjustment disorders, overanxious behavior, and anorexia nervosa. The benefits of a multidisciplinary approach are discussed in terms of the efficacy of this coordinated treatment effort in ameliorating symptoms.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
4/10. temporomandibular joint dysfunction syndrome. A clinical report.We have presented two clinical case reports of patients with TMJ dysfunction syndrome as an example of coordinated treatments between dentists and physical therapists. The clinical profiles of these patients with craniocervical pain were compiled from comprehensive physical therapy and dental-orthopedic evaluations. The significance of the relationship between the rest position of the mandible and forward head posture has been shown by the changes observed after correction of the postural deviations and vertical resting dimensions by dental treatments and physical therapy. Additional research is necessary to determine long-term effects of this combined approach in TMJ dysfunction syndrome.- - - - - - - - - - ranking = 3keywords = physical (Clic here for more details about this article) |
5/10. Stress, anxiety and the dental patient: the missing specification.The importance of stress and anxiety as contributing to the complex aetiology of dental disease is becoming more widely recognized. Clinical examples of organic dental disease which were relieved when their psychological causes had been uncovered are described. It suggested that specialized psychiatric skills are not always necessary in dealing with such cases. The dentist's own personal life experience, his human understanding and his interest his patients' well-being are usually sufficient. Equal attention must be given to all data in both physical and psychological spheres if the patient's best interests are to be served.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
6/10. Muscular contraction headache and dental imbalance.A physical explanation for the contraction of the muscles of mastication, in muscular contraction headache, is described. It is suggested the role of tension is over emphasized as the main aetiological factor. In the younger dentate group, the presence of dental imbalance requires diagnosis by a dental practitioner. In the older, edentulous group, the family physician can easily diagnose mandibular overclosure from the facies (Fig. 1) or absence of molar teeth (Fig. 7) especially if combined with wearing the same set of dentures for more than ten years. When these signs are present, the family physician should consider referring such patients for a dental opinion.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
7/10. Treatment of temporomandibular joint syndrome for relief of cervical spine pain: case report.An adult female presenting with clinical impressions of cervical myositis with radiculopathy which began three days earlier following a motor vehicle accident, was referred for dental consultation because of tenderness over the left temporomandibular joint; response of the cervical spine pain to manipulation and physical therapy, including transcutaneous electrical nerve stimulation (TENS), was minimal. Dental examination revealed a malocclusion and following treatment with an intraoral orthotic device, along with chiropractic care, the patient's cervical spine pain was completely relieved. It was concluded that cervical spine pain of this nature may be interrelated with temporomandibular joint syndrome due to malocclusion and that when such cervical spine pain is not satisfactorily responsive to routine chiropractic care, dental examination may be indicated.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
8/10. Postarthroscopy physical therapy management of a patient with temporomandibular joint dysfunction.arthroscopy of the temporomandibular joint (TMJ) is a new, relatively noninvasive surgical procedure for treating patients with TMJ dysfunction beyond nonsurgical management. The purpose of this commentary is to introduce a four-stage rehabilitation protocol currently used by the authors in the physical therapy management of a postarthroscopy TMJ patient with a diagnosis of bilateral capsular impingement and adhesions. The patient underwent diagnostic TMJ arthroscopy and the four-stage rehabilitation protocol. Stage I exercises to maintain mandibular mobility began in the recovery room. Stage II exercises consisted of hands-on and take-home stretching exercises. Stage III and IV exercises were completed to improve muscular function. The patient was discharged from physical therapy in a month with full range of motion and diminished pain and headaches. At 1-year follow-up, the patient demonstrated full range of motion without pain, further treatment, or medications.- - - - - - - - - - ranking = 6keywords = physical (Clic here for more details about this article) |
9/10. The dental-chiropractic cotreatment of structural disorders of the jaw and temporomandibular joint dysfunction.OBJECTIVE: To present a case demonstrating the concept of integrated dental-orthopedic and craniochiropractic care for treating structural disorders of the jaw, neck and spine. CLINICAL FEATURES: A 33-yr-old woman sought orthodontic therapy for an overbite and severe crowding of the lower teeth. She reported a history of bilateral headaches and jaw popping. Orthodontic examination revealed degenerative changes in the right temporomandibular joint and restricted jaw opening. While in treatment, the patient began to experience severe temporomandibular joint pain and neck/lower back pain, which convinced her to accept chiropractic care. Initial chiropractic sacro-occipital technique (SOT) evaluation found Category II weight-bearing instability of the sacroiliac joint, specific thoracic and cervical vertebral subluxations, cranial sutural restrictions and temporomandibular dysfunction. Cervical x-rays revealed absence of the anterior cervical curve, characterized by parallel vertebral base lines. INTERVENTION AND OUTCOME: In addition to orthodontic treatment, the patient also received semiweekly (then bimonthly) adjustments of the spine, neck and cranial sutures. The cotreatment approach eliminated pain while improving head, jaw and tooth position. CONCLUSION: The position of the jaw and head and neck are intricately linked. The acute symptoms experienced during the initial dental treatment phase were caused by the inability of the head and neck to adapt to maxillary and mandibular changes. chiropractic treatments enabled the body to respond positively to the dental changes. As the mandibular position improved, further improvements were indicated by physical testing and x-rays.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
10/10. Generalized vibrotactile allodynia in a patient with temporomandibular disorder.This report presents the findings from a psychophysical study of vibrotactile responses in a patient diagnosed with temporomandibular disorder (TMD). This patient unexpectedly reported pain due to innocuous vibrotactile stimulation, and this allodynia appeared to have a component of temporal summation. The pain response occurred not only in the region of the clinical pain (the face), but also on the volar forearm, where the patient reported no clinical pain. Administration of the N-methyl-D-aspartate (NMDA) receptor antagonist dextromethorphan (DM), but not vehicle, attenuated the vibration-induced pain at both sites.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
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