Friday, March 16, 2018

Eye Pain: Headaches, Migraines, and TMJ Disorders Are the Usual Suspects


Eye Pain, Retro-orbital or behind the eye pain is frequently associated with TMJ disorders and is almost always carried by autonomic and somatosensory fibers of the Trigeminal Nervous System.  TMJ disorders are a common underlying cause.

Eye Pain can be related to medical issues.  If you are experiencing Eye Pain, Behind the Eye pain or flashing lights in your eye your first stop should be at an ophthalmologist to rule out both eye issues and intracranial issues in the brain.
The good new is that most eye pain and behind the eyes pain is actually referred Myofascial Pain and a dentist trained in Orofacial PainCraniofacial Pain and especially Neuromuscular Dentistry can probably help you out.  A small percentage of the time it can be a sinus infection but studies have shown most patients with sinus pain DO NOT HAVE AN Infection.
The Trigeminal Nerve is usually the mediator of most chronic head and neck pain including all types of headaches and migraines.  The Trigeminal Nerve goes to the teeth, gums, periodontal ligaments, dental pulps, jaw muscles, jaw joints, lining of the sinuses and control the blood flow to the anterior two thirds of the meninges of the brain.
Myofascial Pain in the head and neck is usually related to jaw function.
There is an excellent website (www.triggerpoints.net) that details the patterns of referred myofascial pain.
The Sphenopalatine Ganglion (SPG) is the largest parasympathetic ganglion of the head and it has significant input from sympathetic nerves.  It is located on the Maxillary branch of the Trigeminal Nerve.  Sympathetic fibers, parasympathetic fibers and somatosensore fibers all pass thru the Sphenopalatine Ganglion.
Eye and retro-orbital pain  pain and headaches are usually also influenced by the autonomic nervous system.
Neuromuscular Dentists are the most equipped to deal with problems from these structures.  The ULF-TENS works trigeminally innervated muscles as well as on the Sphenopalatine Ganglion.  These are the primary mediators of myofascial pain that refers to the head.  The TENS also works on facial muscles thru the facial nerve.

The Myomonitor, the ULF-TENS used in Neuromuscular Dentistry has a fifty year safety record for stimulating the Sphenopalatine Ganglion and there is a personal version (BNS 40) available for home use by prescription.  
Sphenopalatine Ganglion Blocks can turn off retro-orbital and eye pain from myofascial sources.  They can also be used to prevent and mitigate migraines, cluster headaches and TMJ disorders.  An old article from the 1930's by Dr Hiram Byrd looked at 10,000 Sphenopalatine Ganglion Blocks in 2000 patients in a paper "Sphenopalatine Phenomena"  He described 100% success in relieving all types of eye pain with SPG Blocks. https://www.sphenopalatineganglionblocks.com/relief-wide-variety-eye-pains-spg-blocks/
There are numerous videos on youtube of my patients responding to SPG Blocks, Neuromuscular Treatment and direct treatment of Myofascial pain with trigger point injection and Travell Spray and Stretch Techniques.