Headache Treatment Oakland References

Headache Treatment Oakland References

Headache treatment Oakland made references to medical literature that showed dental orthopedic therapy to be 85% effective at eliminating headaches.  Below are some of these abstracts.

Med Oral Patol Oral Cir Bucal. 2012 Nov 1;17(6):e1042-6.

Temporomandibular disorders dysfunction in headache patients.

Source

Health sciences, Federal University of Sergipe, São Cristóvão, SE, Brasil.

Abstract

OBJECTIVE:

To identify the frequency of signs and symptoms of temporomandibular disorder (TMD) and its severity in individuals with headache.

STUDY DESIGN:

60 adults divided into three groups of 20 individuals: chronic daily headache (CDH), episodic headache (EH) and a control group without headache (WH). Headache diagnosis was performed according to the criteria of International Headache Society and the signs and symptoms of TMD were achieved by using a clinical exam and an anamnestic questionnaire. The severity of TMD was defined by the temporomandibular index (TMI).

RESULTS:

The TMD signs and symptoms were always more frequent in individuals with headache, especially report of pain in TMJ area (CDH, n=16; EH, n=12; WH, n=6), pain to palpation on masseter (CDH, n=19; EH, n=16; WH, n=11) which are significantly more frequent in episodic and chronic daily headache. The mean values of temporomandibular and articular index (CDH patients) and muscular index (CDH and EH patients) were statistically higher than in patients of the control group, notably the articular (CDH=0.38; EH=0.25;WH=0.19) and muscular (CDH=0.46; EH=0.51; WH=0.26) indices.

CONCLUSIONS:

These findings allow us to speculate that masticatory and TMJ pain are more common in headache subjects. Besides, it seems that the TMD is more severe in headache patients.

PMID:22926473
Continuum (Minneap Minn). 2012 Aug;18(4):869-82. doi: 10.1212/01.CON.0000418648.54902.42.

Facial pain, cervical pain, and headache.

Source

The Pain Center at Cedars-Sinai, Los Angeles, CA, USA. Steven.Graff-Radford@cshs.org

Abstract

PURPOSE OF REVIEW:

This review discusses the role of musculoskeletal structures of the jaw and neck in perpetuating or triggering primary headache. Because treatments aimed at these structures often reduce headache, a better understanding of their role in headache is needed.

RECENT FINDINGS:

Central sensitization may result in changes in the afferent pathways, making communication from cervical and temporomandibular nociceptive neurons to the trigeminal nucleus possible. This provides the pathophysiologic basis for directing therapy to the neck or temporomandibular joint to alleviate primary headache.

SUMMARY:

Clinicians should recognize the significant role that musculoskeletal structures of the head and neck play in the perpetuation of headache and the importance of evaluating every patient for temporomandibular disorders and cervical abnormalities.

PMID: 22868547
Neurol Sci. 2011 May;32 Suppl 1:S161-4. doi: 10.1007/s10072-011-0515-6.

Chronic daily headache: suggestion for the neuromuscular oral therapy.

Source

Fondazione IRCCS Cà Granda, Dipartimento di Scienze Chirurgiche Ricostruttive e Diagnostiche Sezione di Odontostomatologia, Università degli Studi di Milano, Via della Commenda 10, 10122 Milan, Italy.

Abstract

Tweny patients (M: 4, F: 16, mean age 37 ± 11 years) with diagnosis of chronic daily headache (CDH), after drug withdrawal, were under electromyography, kinesiography and masticatory muscle deprogramming by TENS to identify the physiological rest position of the mandible. Our purpose was to clarify a possible role of the neuromuscular stomatognathic system. Examinations showed that 17 patients needed a neuromuscular orthosis, an occlusal device, to provisionally correct the detected discrepancies of jaw position. Of those, the 10 patients who showed an occlusal sagittal discrepancy higher than 2 mm and/or a lateral deviation higher than 0.4 mm, associated with more than three parafunctional activities, had a meaningful decrease on frequency/intensity of migraine crisis and/or of days of headache. VAS pain score during crisis decreased from 9.0 ± 0.9 to 4.9 ± 2.7; frequency of crisis were from 20.7 ± 5.2 to 9.5 ± 7.7. Baseline pain were from 5.3 ± 1.2 to 3.0 ± 1.3. Satisfying clinical results can be reached combining behavioural education and neuromuscular orthosis. This can be very helpful in patients who show significant discrepancy of jaw position that only TENS deprogramming can reveal and kinesiography can detect with such accuracy.

PMID:21533736

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