Friday, August 25, 2017

Precision Personalized Medical Treatment for Headaches and Migraines: SomatoSensory and Autonomic Nervous Systems

Prevention and Elimination of  all types of headaches including tension headaches, muscle tension headaches, sinus headaches, cluster headaches, migraines and other autonomic cephalgias require careful but deliberate application of a combination of autonomic and somato-sensory approaches to idealization of neural input

Measurement is essential for precision medical treatment! "If it is measured it is a fact otherwise it is an opinion" Barney Jankelson father of the field of precision neuromuscular medical / physiological approach to treatment of dental occlusion and treatment of Trigeminal disorders and TMJ Disorders.

In general treatment for headaches and migraines is far from personalized or precision but rather consists of trial and error treatment with pharmaceuticals. Many neurologists use a "chinese menu approach" of one from column A and 2 from column B" When this is not successful they up the dosage.

100% of Headaches and Migraines are Trigeminally innervated either partially or predominantly. There is only one precision approach to the Trigeminal Nervous System that concentrates on reducing nociception and that is Neuromuscular Dentistry.

The fastest connection in the trigeminal nervous system, the brain or anywhere in the body is the Proprioceptive Mesencephalic Nucleus of the Trigeminal Nerve. This incredibly important area is the only place in the nervous system that has direct electrical conduction of impulses between neurons rather that the more common and slower acting chemical neurotransmitters found in other nerve connections. Only precise personalized precision adjusts of neuromuscular dentistry accurately adjust this crucial and unique area of the brain.

The brain is very complex and there are different chemical neurotransmitters that transmit impulses across neuro-junctions. Much of the pharmaceutical attack on headache symptoms concentrate on altering these neurotransmitters such as serotonin, Norepinephrine, CGRP, Substance P, Acetyl Choline, glutamate (most prevalent and usually excitatory 90% of the time), aspartate, γ-aminobutyric acid (GABA) which is the second most prevalent. Gamma-Aminobutyric Acid, or GABA, which is inhibitory at more than 90% of the synapses that do not use glutamate.

Learn more about the Personalized Precision Medicine Approach to correcting nociptive input into the trigeminal nervous system that is a major cause of all headaches, migraines and autonomic cephalgias at http://www.sphenopalatineganglionblocks.com

Elimination of headaches is different than correction of the nociceptive input into the CNS due to neuroplasticity and previous muscle splinting, taut bands, triggerpoints and other myofascial issues from chronic muscle over-adaptation. Correcting long standing problems requires directly addressing myofascial trigger points and taut bands with ULF-TENS, trigger point injections, spray and stretch, myofascial trigger point therapy, myofascial release and other techniques as well as correcting postural issues throughout the body. Trigger Point Injections as espoused by Dr Janet Travell and David Simons MD is perhaps one of the single most personalized precision types of treatment for headaches, myofascial pain and Fibromyalgia as opposed to the dangerous approach of pharmaceuticals used in a shotgun fashion. There is a place for medications in all these disorders but it should be secondary or tetiarry not primary.

The autonomic nervous system is also a major area of concern and perhaps the best approach is to avoid all psychoactive drugs with their widespread side effects and instead alter the incoming messages into the autonomic nervous system with Sphenopalatine Ganglion (SPG) Blocks which can turn off the Sympathetic Fight or Flight response and allow the Parasympathetic system to predominate with its Feed and Breed or Eat and Digest functions.

Neuromuscular Dentistry was the first to utilize electrical Stimulation of the Sphenopalatine Ganglion and has over a fifty years safety record with remarkable results for patients.  This is due to the position of the Sphenpopalatine Ganglion (also known as Pterygopalatine Ganglion, Meckels ganglion, nasal ganglion and Sluder's ganglion) on the Maxillary branch of the Trigeminal nerve.  While the primary purpose of the Myomonitor or ULF-TENS invented by Dr Barney Jankelson was to relax the Trigeminal musculature and use that to create a neuromuscular occlusion there was also incidental stimulation of the facial nerve and both sympathetic and parasympathetic fibers of the autonomic nervous system.  The Sphenopalatine Ganglion is the largest Parasympathetic Ganglion of the head but it also has sympathetic  fibers from the cervical chain that feeds into it.  Both of these autonomic fibers run though the same trigeminal nerves along side of the somato-sensory fibers.

Neuromuscular Dentistry has an incredible effect on resolving and preventing all types of headaches including tension headaches, muscle tension headaches, sinus headaches, cluster headaches, migraines and other autonomic cephalgias due to this unique combination of autonomic and somatosensory approaches.  Starting treatment with a Diagnostic Neuromuscular Orthotic is the ultimate in precision personalized medicine.

Personalized Precision Medicine is also ideally approached in the autonomic nervous system when patients can self administer SPG Blocks, the same technique used by DR Milton Reder in the best selling book about his practice "Miracles on Park Avenue" which discussed the miraculous "cures" that were obtained with this amazing block first discovered and reported by Dr Sluder in 1908.

This link is video stories of  patients who have had SPG Blocks:
https://www.reddit.com/r/SPGBlocks/

This link is stories of patients treated with Neuromuscular Dentistry
https://www.reddit.com/r/NeuroMuscularDent/

Dr Shapira practices Neuromuscular Dentistry in Highland Park, IL a suburb of Chicago.

Ira L Shapira DDS, D,ABDSM, D,AAPM, FICCMO
Chair, Alliance of TMD Organizations
Diplomat, American Academy of Pain Management
Diplomat, American Board of Dental Sleep Medicine
Regent & Fellow, International College of CranioMandibular Orthopedics
Board Eligible, American Academy of CranioFacial Pain
Dental Section Editor, Sleep & Health Journal
Member, American Equilibration Society
Member, Academy of Applied Myofunctional Sciences
http://www.ThinkBetterLife.com
http://www.DelanyDentalCare.com
http://www.IHateCPAP.com
http://www.iHateHeadaches.org
http://www.SleepandHealth.com
http://www.SphenopalatineGanglionBlocks.com