TMD (TMJ) is frequntly an undiagnosed cause of Headache and Facial Pain according to an article in the Annals of Allergy, Asthma and Immunology. The article " Temporomandibular dysfunction: an often overlooked cause of chronic headaches. " is found in Ann Allergy Asthma Immunol 2007 Oct;99(4):314-8. states that
"many patients with the disorder are routinely mislabeled as experiencing chronic sinusitis and are unnecessarily subjected to multiple courses of broad-spectrum antibiotics and other unnecessary therapy"
I have seen this frequently in patients for years who are constantly taking antibiotics for sinus infections that cause their headaches. I have found that when we place these patients in a neuromuscular diagnostic orthotic that nthe headaches subside, as do the "sinus infections" . There is tremendous danger associated with the unnecessary overuse of antibiotics.
An article in Sleep and Health Journal, "SUFFER NO MORE: DEALING WITH THE GREAT IMPOSTER" discusses in detail how patients frequently have the TMD diagnosis missed leading to years of needless suffering. The article can be found at:
http://www.sleepandhealth.com/story/suffer-no-more-dealing-great-impostor
The article states "studies estimate that TMD pain is the cause of chronic headaches in 14% to 26% of individuals with recurrent headaches." I believe this is grossly under-rating the frequency where TMD either causes the headache directly, is a trigger to a secondary cause of headache or is involved in increasing the degree of pain the patient suffers. Nearly all headaches and migraines are trigeminally mediated and these headaches are TMD related.
Many patients do not have joint clicking , noise , locking or pain but have muscular disorders of the stomatognathic system.
Neuromuscular dentists are a small group of highly educated dentists in the field. They are able to deal with more complex issues due to sophisticated tools such as ULF-TENS, EMG, Computerized Mandibular Scans (MKG) and Sonography or JVA.
The article concludes "The disorder should be suspected in individuals with a long-standing history of chronic daily headaches and facial pain without objective evidence of sinus, neurologic, or intracranial abnormalities."
WHAT THIS MEANS IS, IF YOUR HEADACHES ARE NOT CLEARLY IDENTIFIED BY OBJECTIVE STUDIES (MRI, CST SCANS, CULTURE, BLOOD TESTS, ETC ) THAN YOU SHOULD BE EVALUATED FOR TMD.
A Neuromuscular Dentist is probably an excellent starting point for patients with chronic daily headaches, sinus headaches and migraines which do not have objective causes identified by medical testing.
Ann Allergy Asthma Immunol. 2007 Oct;99(4):314-8.
Temporomandibular dysfunction: an often overlooked cause of chronic headaches.
Lupoli TA, Lockey RF.
Source
Division of Allergy and Immunology, Department of Internal Medicine, University of South Florida, University of South Florida College of Medicine, James A. Haley Veteran's Hospital, Tampa, Florida 33612, USA. tlupoli@hsc.usf.edu
Abstract
OBJECTIVE:
To review and discuss the role of temporomandibular dysfunction (TMD) as a cause of chronic headaches and facial pain.
DATA SOURCES AND STUDY SELECTION:
A literature review was performed using the PubMed database for English-language articles published between January 1, 1981, and August 31, 2006, using the following keywords: temporomandibular dysfunction, temporomandibular disorder, temporomandibular joint, and chronic headache. Additional information was obtained from a review of current medical texts.
RESULTS:
Allergists and immunologists are frequently called on to evaluate patients with chronic headaches and facial pain. TMD is known to cause recurrent facial discomfort and headaches. Many individuals with the disorder present with headache or facial discomfort as their only chief complaint. They mistakenly think it is a "sinus" headache. Nearly 10 million Americans are affected by the disorder, and early studies estimate that TMD pain is the cause of chronic headaches in 14% to 26% of individuals with recurrent headaches.
CONCLUSIONS:
TMD is a likely underdiagnosed cause of chronic headache and facial discomfort. As such, many patients with the disorder are routinely mislabeled as experiencing chronic sinusitis and are unnecessarily subjected to multiple courses of broad-spectrum antibiotics and other unnecessary therapy. TMD can be readily diagnosed by a careful history and physical examination. Patients typically respond well to conservative therapy, which includes behavioral modification and nonsteroidal anti-inflammatory drugs. The disorder should be suspected in individuals with a long-standing history of chronic daily headaches and facial pain without objective evidence of sinus, neurologic, or intracranial abnormalities.
PMID: 17941277 [PubMed - indexed for MEDLINE]
Saturday, May 28, 2011
Thursday, May 26, 2011
MIGRAINE TREATMENT WITHOUT DRUGS. MIGRAINES ARE USUALLY RELATED TO THE TRIGEMINAL NERVES, THE BEST TREATMENT IS TO CORRECT NEURAL INPUT.
There are many different kinds of Migraines and headaches. They all share the same basic features, a common pattern that is frequently seen with migraine is an initial dull ache that develops into a constant, throbbing and pulsating pain that can be experienced in the temples, front or back of one side (or both sides)of the head. The pain is usually accompanied by nausea and vomiting, and sensitivity to light and noise.
A common factor in almost all headaches and migraines is the involvement of the Trigeminal Nerve. Treating migraines and other headaches without drugs can frequently be easily accomplished by changing the neural input into the trigeminal nervous system. TMJ disorders (TMD) are often called "The Great Imposter" I strongly recommend that anyone who suffers from Migraines, Tension-Type Headaches, Chronic Daily Headaches or other chronic head and neck pain read
"SUFFER NO MORE: DEALING WITH THE GREAT IMPOSTER" in Sleep and Health Journal at:
http://www.sleepandhealth.com/story/suffer-no-more-dealing-great-impostor
Two of the most common types of migraine are "migraine with aura" or "Classic Migraine" and "migraine without aura" or "common migraine".
Frequently patients with severe headaches are diagnosed as having "migraine" when they actually have a severe tension headache, muscular headache or cervicogenic headache which can present as a migraine. Many patients and physicians can are fooled into thinking every severe headache is a migraine. Severe headaches are frequently neuromuscular in orgin and easy to alleviate or eliminate. This can lead to the wrong treatments being utilized that while helpful they are not ideal and can increase headache frequency and/or drug overuse.
Rebound headaches and drug overuse headaches are among the most difficult to treat because in addition to the original problems we now are also dealing with a medication caused disorder.
The Common Migraine or Migraine without Aura
because the headache is associated with changes in the size of the arteries inside the skull and in the head and neck. The blood flow to the anterior two thirds of the meninges of the brain is controlled by the trigeminal nerve and this type of headache can frequently be eliminated without drugs with a neuromuscular orthotic that stops the nociceptive input to the brain from the fifth cranial nerve or trigeminal nerve. Neuromuscular Dentistry is most effective when it is ussed to intervene before the pre-headache phase when blood vessels constrict; at the time vascular dilation occurs the migraine begins. The The inflamed as well as swollen blood vessels are believed to be the cause of migraine pain and are caused by neurally mediated inflammationand by increasing the pressure on the swollen walls of the blood vessels. Neuromuscular Dentistry is more effective at preventing or eliminating migraines then a stopping them in the middle of an acute attack.
Migraine sufferers may experience only occasional episodes while others have repetitive migraines two to four times per month. Other patients can get continuous migraines that very in intensity. Most migraine headaches last at least four hours, although very severe ones can last up to a week. I recently treated the wife of a physician who had a continuous headache for over 50 years that was eliminated after only two visits. This is unusual but not unheard of when utilizing neuromuscular dental orthotics. Headaches may begin at any time of the day or night; but when they has a TMJ (TMD) disorder and/or sleep apnea. Migraines rarely awaken a person from sleep but morning headaches frequently can convert into full blown migraines. These morning migraines are especially easy to treat with a neurmucular diagnostic orthotic.
Classic Migraine or Migraine with Aura are about a third of the migraine population. These are also trigeminally innervated migraines and when treated by a neuromuscular orthotic may give a different response. I have seen patients who still experience the aura but the pain never follows. Depending on the triggers that percipitate the migraines the orthotic will often decrease the severity and frequency of these headaches but not completely eliminate them
Migraine sufferers frequently experience visual problems during the headache. Migraine that begins with an aura is usually a manifestation of neurological symptoms. These symptoms are most frequently associated with the trigeminal nerve and the aura begins from five to thirty minutes before the actual onset of the headache. Neuromuscular dentists will frequently use Sphenopalatine ganglion blocks to head off this type of migraine before it hits. Once these migrines are in full swing standard migraine medications are the best way to limit and control pain.
I usually will teach patients how to self administer SPG blocks (sphenopalatine ganglion blocks) with local anaesthetic intranasally applied with a Q-tip. Patients may see wavy or jagged lines,wierdly moving blobs reminescent of Lava lamps, squiggles, worms, polka dots or strobe like flashing lights. Any time patients have flashing lights in their eyes they must consider the possibility of a detatched retina. Other symptoms include tunnel vision or blind spots in one or both eyes or vision going black and white and dimming that is similar to being lost in the fog.
Auras can also be non-visual in nature and can involve sounds , dizziness or strange bodily aches or the feeling like something is crawling thru you. It is not uncommon for smells and tastes to be part of an aura and some patients report that the Aura sonunds , tastes and odors can percipitate attacks when they are encountered in real life.
Feelings of numbness or a "pins-and-needles" sensation as well as difficulty in recalling or speaking the correct word can be experienced with migraine but can also be neurological symptoms of a stroke and must be considered serious at all times. Other less common types of migraine include Hemiplegic Migraine, Ophthalmoplegic Migraine, Retinal Migraine, Basilar Artery Migraine and Abdominal Migraine
Many of these other types of migraines can be very difficult to diagnose but it is important to remember they are are mediated by the Trigeminal nervous system and may respond well to treatment with a neuromuscular diagnostic orthotic which can eliminate or drastically decrease both frequency and severity.
A common factor in almost all headaches and migraines is the involvement of the Trigeminal Nerve. Treating migraines and other headaches without drugs can frequently be easily accomplished by changing the neural input into the trigeminal nervous system. TMJ disorders (TMD) are often called "The Great Imposter" I strongly recommend that anyone who suffers from Migraines, Tension-Type Headaches, Chronic Daily Headaches or other chronic head and neck pain read
"SUFFER NO MORE: DEALING WITH THE GREAT IMPOSTER" in Sleep and Health Journal at:
http://www.sleepandhealth.com/story/suffer-no-more-dealing-great-impostor
Two of the most common types of migraine are "migraine with aura" or "Classic Migraine" and "migraine without aura" or "common migraine".
Frequently patients with severe headaches are diagnosed as having "migraine" when they actually have a severe tension headache, muscular headache or cervicogenic headache which can present as a migraine. Many patients and physicians can are fooled into thinking every severe headache is a migraine. Severe headaches are frequently neuromuscular in orgin and easy to alleviate or eliminate. This can lead to the wrong treatments being utilized that while helpful they are not ideal and can increase headache frequency and/or drug overuse.
Rebound headaches and drug overuse headaches are among the most difficult to treat because in addition to the original problems we now are also dealing with a medication caused disorder.
The Common Migraine or Migraine without Aura
because the headache is associated with changes in the size of the arteries inside the skull and in the head and neck. The blood flow to the anterior two thirds of the meninges of the brain is controlled by the trigeminal nerve and this type of headache can frequently be eliminated without drugs with a neuromuscular orthotic that stops the nociceptive input to the brain from the fifth cranial nerve or trigeminal nerve. Neuromuscular Dentistry is most effective when it is ussed to intervene before the pre-headache phase when blood vessels constrict; at the time vascular dilation occurs the migraine begins. The The inflamed as well as swollen blood vessels are believed to be the cause of migraine pain and are caused by neurally mediated inflammationand by increasing the pressure on the swollen walls of the blood vessels. Neuromuscular Dentistry is more effective at preventing or eliminating migraines then a stopping them in the middle of an acute attack.
Migraine sufferers may experience only occasional episodes while others have repetitive migraines two to four times per month. Other patients can get continuous migraines that very in intensity. Most migraine headaches last at least four hours, although very severe ones can last up to a week. I recently treated the wife of a physician who had a continuous headache for over 50 years that was eliminated after only two visits. This is unusual but not unheard of when utilizing neuromuscular dental orthotics. Headaches may begin at any time of the day or night; but when they has a TMJ (TMD) disorder and/or sleep apnea. Migraines rarely awaken a person from sleep but morning headaches frequently can convert into full blown migraines. These morning migraines are especially easy to treat with a neurmucular diagnostic orthotic.
Classic Migraine or Migraine with Aura are about a third of the migraine population. These are also trigeminally innervated migraines and when treated by a neuromuscular orthotic may give a different response. I have seen patients who still experience the aura but the pain never follows. Depending on the triggers that percipitate the migraines the orthotic will often decrease the severity and frequency of these headaches but not completely eliminate them
Migraine sufferers frequently experience visual problems during the headache. Migraine that begins with an aura is usually a manifestation of neurological symptoms. These symptoms are most frequently associated with the trigeminal nerve and the aura begins from five to thirty minutes before the actual onset of the headache. Neuromuscular dentists will frequently use Sphenopalatine ganglion blocks to head off this type of migraine before it hits. Once these migrines are in full swing standard migraine medications are the best way to limit and control pain.
I usually will teach patients how to self administer SPG blocks (sphenopalatine ganglion blocks) with local anaesthetic intranasally applied with a Q-tip. Patients may see wavy or jagged lines,wierdly moving blobs reminescent of Lava lamps, squiggles, worms, polka dots or strobe like flashing lights. Any time patients have flashing lights in their eyes they must consider the possibility of a detatched retina. Other symptoms include tunnel vision or blind spots in one or both eyes or vision going black and white and dimming that is similar to being lost in the fog.
Auras can also be non-visual in nature and can involve sounds , dizziness or strange bodily aches or the feeling like something is crawling thru you. It is not uncommon for smells and tastes to be part of an aura and some patients report that the Aura sonunds , tastes and odors can percipitate attacks when they are encountered in real life.
Feelings of numbness or a "pins-and-needles" sensation as well as difficulty in recalling or speaking the correct word can be experienced with migraine but can also be neurological symptoms of a stroke and must be considered serious at all times. Other less common types of migraine include Hemiplegic Migraine, Ophthalmoplegic Migraine, Retinal Migraine, Basilar Artery Migraine and Abdominal Migraine
Many of these other types of migraines can be very difficult to diagnose but it is important to remember they are are mediated by the Trigeminal nervous system and may respond well to treatment with a neuromuscular diagnostic orthotic which can eliminate or drastically decrease both frequency and severity.
Wednesday, May 25, 2011
Libertyville: TMJ Problems, Learn how Neuromuscular Dentistry can alleviate or eliminate your pain. Learn how Neuromuscular Dentistry can change you
TMJ disorders can cause sever migraines, facial pain, tension-type headaches as well as diverse symptoms like tinnitus, sinus pain and pressure, dizziness and neck pain.
Patients frequently spend years looking for an answer to their pain. All patients with chronic head and neck pain should read "SUFFER NO MORE: DEALING WITH THE GREAT IMPOSTER" in Sleep and Health Journal. Don't suffer needlessly.
http://www.sleepandhealth.com/story/suffer-no-more-dealing-great-impostor
I have been changing lives for years treating TMJ, Sleep and headache disorders wih neuromuscular dentistry. Ibegan utilizing the power of Neuromuscular Dentistry in 1980 to improve my patients lives.
Patients frequently spend years looking for an answer to their pain. All patients with chronic head and neck pain should read "SUFFER NO MORE: DEALING WITH THE GREAT IMPOSTER" in Sleep and Health Journal. Don't suffer needlessly.
http://www.sleepandhealth.com/story/suffer-no-more-dealing-great-impostor
I have been changing lives for years treating TMJ, Sleep and headache disorders wih neuromuscular dentistry. Ibegan utilizing the power of Neuromuscular Dentistry in 1980 to improve my patients lives.
Intense Migraines: Trigeminal Neuralgia, Trigeminal Neuropathy or a simple problem best addressed through Neuromuscular Dentistry and an orthotic.
Carolyn: Intense migrane headaches with jaw, neck, shoulder, face, sinues,eye and ear pain, also numb feeling on face. I had MRI's done of my head and neck and was diagnosed with Trigeminal Neuralgia, seeked Gamma Knife, was told I wasn't a canidate and to have an MRI of my neck, had that done, nothing showed up, then was told I had Trigeminal Neuropothy. I was diagnosed with TMJ a long time ago and had a mouth piece...it didn't do much and as time went on things got worse. I am convienced that my problem is with the Tri nerves and TMJ...no doctor has caught on. I am at my wits end and need to find out what is wrong with my neck and face. Please help me in finding a doctor who could figure out my problem. Thank you!!
Dr Shapira response: Carolyn, I am sorry your life is being destroyed by what sounds like horrible pain. I would strongly suggest avoiding Gamma Knife surgery as a first line treatment.
You did not mention trying non-invasive or minimally invasive treatment such as massage therapy, chiropractic adjustment or Ice Down Therapy which can be helpful. The beauty of Neuromuscular Dentistry is that results can be rapid, amazing and life changing in just a few visits. I would suggest starting with very simple diagnostic evaluation such as spray and stretch with vapo-coolant for myofascial pain, trigger point injections SPG blocks and most importantly a diagnostic neuromuscular orthotic.
I frequently see long distance patients and we can sometimes produce amazing results in just wo to three days of intensive therapy. We do our consultation , work-up and exam the morning of the first day and deliver an orthotic that afternoon. We deactivate trigger point injections with spray and stretch techniques as described by Dr Janet Travell. The second morning we adjust the appliance and do diagnostic/treatment trigger points and blocks and adjust again that afternoon. I work closely with an Atlas orthoganol DC who can address the cervical vertebrae during your stay.
There is no "CURE" for these problems but rapid relief is possible and the orthotic lets you maintain comfort. A real "CURE" would mean you could get back the years you lost to pain, reverse the effects on your life, your relationships and your family. The best we can do is give you a brighter future.
All of the symptoms you descibed are why TMJ disorders are called "The Great Imposter"
Read "Suffer No More: Dealing With The Great Imposter" in Sleep and Health Journal http://www.sleepandhealth.com/story/suffer-no-more-dealing-great-impostor
Contact my office if you would like to schedule a 3 day series of appointments for rapid evaluation and treatment or I will try to find you a knowledgable doctor in your area.
Dr Shapira response: Carolyn, I am sorry your life is being destroyed by what sounds like horrible pain. I would strongly suggest avoiding Gamma Knife surgery as a first line treatment.
You did not mention trying non-invasive or minimally invasive treatment such as massage therapy, chiropractic adjustment or Ice Down Therapy which can be helpful. The beauty of Neuromuscular Dentistry is that results can be rapid, amazing and life changing in just a few visits. I would suggest starting with very simple diagnostic evaluation such as spray and stretch with vapo-coolant for myofascial pain, trigger point injections SPG blocks and most importantly a diagnostic neuromuscular orthotic.
I frequently see long distance patients and we can sometimes produce amazing results in just wo to three days of intensive therapy. We do our consultation , work-up and exam the morning of the first day and deliver an orthotic that afternoon. We deactivate trigger point injections with spray and stretch techniques as described by Dr Janet Travell. The second morning we adjust the appliance and do diagnostic/treatment trigger points and blocks and adjust again that afternoon. I work closely with an Atlas orthoganol DC who can address the cervical vertebrae during your stay.
There is no "CURE" for these problems but rapid relief is possible and the orthotic lets you maintain comfort. A real "CURE" would mean you could get back the years you lost to pain, reverse the effects on your life, your relationships and your family. The best we can do is give you a brighter future.
All of the symptoms you descibed are why TMJ disorders are called "The Great Imposter"
Read "Suffer No More: Dealing With The Great Imposter" in Sleep and Health Journal http://www.sleepandhealth.com/story/suffer-no-more-dealing-great-impostor
Contact my office if you would like to schedule a 3 day series of appointments for rapid evaluation and treatment or I will try to find you a knowledgable doctor in your area.
Friday, May 20, 2011
Cervicogenic Headache and TMD (TMJ): Treatment of TMD Improves Treatment Outcomes of Cervicogenic Headaches
A recent article on cervicogenic headaches published in Cranio (abstract below)titled "Effect of treatment of temporomandibular disorders (TMD) in patients with cervicogenic headache: a single-blind, randomized controlled study." reports on treatment effectiveness being improved when the THJ component are also treated. Even more exciting is that long term improvement in the neck problems were tied to treating the TMD.
This makes perfect sense. The quadrant Theorem of Guszay showed that the center of rotation for the mandible (lower jay) was on the odontoid process of the second vertebrae. The lower jaw actually acts like a counterbalance to the head. As jaw position is corrected less muscle adaptation is required to maintain your head posture reulting in decreased muscle pain, decreased cervicogenic headaches and improved balance and posture.
Cranio. 2011 Jan;29(1):43-56.
Effect of treatment of temporomandibular disorders (TMD) in patients with cervicogenic headache: a single-blind, randomized controlled study.
von Piekartz H, Lüdtke K.
Source
Faculty of Business, Management and Social Science, University of Applied Science, Osnabruck, Germany. H.von-Piekartz@hs-osnabrueck.de
Abstract
The present study was comprised of 43 patients (16 men) with cervicogenic headaches for over three months, diagnosed according to the International Classification of Diagnostic Criteria of Headaches (ICDH-II). The patients were randomly assigned to receive either manual therapy for the cervical region (usual care group) or additional manual therapy techniques to the temporomandibular region to additionally influence temporomandibular disorders (TMD). All patients were assessed prior to treatment, after six sessions of treatment, and at a six-month follow-up. The outcome criteria were: intensity of headaches measured on a colored analog scale, the Neck Disability Index (Dutch version), the Conti Anamnestic Questionnaire, noise registration at the mandibular joint using a stethoscope, the Graded Chronic Pain Status (Dutch version), mandibular deviation, range of mouth opening, and pressure/pain threshold of the masticatory muscles. The results indicate in the studied sample of cervicogenic headache patients, 44.1% had TMD. The group that received additional temporomandibular manual therapy techniques showed significantly decreased headache intensities and increased neck function after the treatment period. These improvements persisted during the treatment-free period (follow-up) and were not observed in the usual care group. This trend was also reflected on the questionnaires and the clinical temporomandibular signs. Based on these observations, we strongly believe that treatment of the temporomandibular region has beneficial effects for patients with cervicogenic headaches, even in the long-term.
PMID:
21370769
[PubMed - indexed for MEDLINE]
This makes perfect sense. The quadrant Theorem of Guszay showed that the center of rotation for the mandible (lower jay) was on the odontoid process of the second vertebrae. The lower jaw actually acts like a counterbalance to the head. As jaw position is corrected less muscle adaptation is required to maintain your head posture reulting in decreased muscle pain, decreased cervicogenic headaches and improved balance and posture.
Cranio. 2011 Jan;29(1):43-56.
Effect of treatment of temporomandibular disorders (TMD) in patients with cervicogenic headache: a single-blind, randomized controlled study.
von Piekartz H, Lüdtke K.
Source
Faculty of Business, Management and Social Science, University of Applied Science, Osnabruck, Germany. H.von-Piekartz@hs-osnabrueck.de
Abstract
The present study was comprised of 43 patients (16 men) with cervicogenic headaches for over three months, diagnosed according to the International Classification of Diagnostic Criteria of Headaches (ICDH-II). The patients were randomly assigned to receive either manual therapy for the cervical region (usual care group) or additional manual therapy techniques to the temporomandibular region to additionally influence temporomandibular disorders (TMD). All patients were assessed prior to treatment, after six sessions of treatment, and at a six-month follow-up. The outcome criteria were: intensity of headaches measured on a colored analog scale, the Neck Disability Index (Dutch version), the Conti Anamnestic Questionnaire, noise registration at the mandibular joint using a stethoscope, the Graded Chronic Pain Status (Dutch version), mandibular deviation, range of mouth opening, and pressure/pain threshold of the masticatory muscles. The results indicate in the studied sample of cervicogenic headache patients, 44.1% had TMD. The group that received additional temporomandibular manual therapy techniques showed significantly decreased headache intensities and increased neck function after the treatment period. These improvements persisted during the treatment-free period (follow-up) and were not observed in the usual care group. This trend was also reflected on the questionnaires and the clinical temporomandibular signs. Based on these observations, we strongly believe that treatment of the temporomandibular region has beneficial effects for patients with cervicogenic headaches, even in the long-term.
PMID:
21370769
[PubMed - indexed for MEDLINE]
Post Traumatic Stress Disorder and Migraine. Is this an example of a neuromusclar Trigeminally mediated headache?
A recent article in "Headache" dated May 17, 2011 (see abstract below) discusses migraines and PTSD. It details how these types of problems are much more common in women and suggests a sex hormonal component to the pain. The statistics are very similar to what is found in MPD (Myofascial Pain and Dysfunction) and TMJ / TMD 9Temporomandibular Dysfunction). These are also found more frequently in women and associated with Migraine, Tension-Type Headache, and Chronic Daily Headache.
this article actually finds a stronger association between PTSD and Migraine in men than women. TMD disorders are frequently found in women and are tied to "Chronic Stress" in particular. The differences between men and women make woomen more prone to problems related to chronic stress. There are estrogen receptors in the TMJoint and Testosterone is importand in healing and muscle repair.
Both men and women usually respond extremely well to treatment of migraines and chronic daily headache when fitted with a neuromuscular diagnostic orthotic. The psychological stress is obviously not treated by an oral appliance but when the pain is eliminate the psychological problems are much easier to treat. Pain is felt in the same area of the brain where we feel emotions and pain can be considered the most negative of all emotions. Elimination of chronic pain thru neuromuscular dentistry can increase effectiveness of PTSD treatment.
Headache. 2011 May 17. doi: 10.1111/j.1526-4610.2011.01907.x. [Epub ahead of print]
Post-Traumatic Stress Disorder and Migraine: Epidemiology, Sex Differences, and Potential Mechanisms.
Peterlin BL, Nijjar SS, Tietjen GE.
Source
From the Department of Neurology, Johns Hopkins University, Bayview Medical Center, Baltimore, MD, USA (B.L. Peterlin and S.S. Nijjar); Department of Neurology, University of Toledo, Toledo, OH, USA (G.E. Tietjen).
Abstract
Migraine is a common, often disabling disorder associated with a significant personal and societal burden. The presence of post-traumatic stress disorder (PTSD) may increase this disability substantially. Migraine and PTSD are both up to 3 times more common in women than in men. The divergence in prevalence rates of migraine and PTSD that occurs between the sexes after puberty suggests that gonadal hormones play an important role. In addition, the preponderance of PTSD in women may be related to their higher rates of interpersonal trauma, the most common cause of PTSD. However, recent data suggest that although the odds of PTSD are increased in both women and men with episodic migraine, this association is stronger in men than women. In this paper, we examine the epidemiology of PTSD and migraine, with an emphasis on the known sex differences. We then discuss the neurobiological changes associated with PTSD, the current hypotheses for the mechanisms relating PTSD and migraine, and the treatment implications of these findings.
© 2011 American Headache Society.
PMID:
21592096
[PubMed - as supplied by publisher]
this article actually finds a stronger association between PTSD and Migraine in men than women. TMD disorders are frequently found in women and are tied to "Chronic Stress" in particular. The differences between men and women make woomen more prone to problems related to chronic stress. There are estrogen receptors in the TMJoint and Testosterone is importand in healing and muscle repair.
Both men and women usually respond extremely well to treatment of migraines and chronic daily headache when fitted with a neuromuscular diagnostic orthotic. The psychological stress is obviously not treated by an oral appliance but when the pain is eliminate the psychological problems are much easier to treat. Pain is felt in the same area of the brain where we feel emotions and pain can be considered the most negative of all emotions. Elimination of chronic pain thru neuromuscular dentistry can increase effectiveness of PTSD treatment.
Headache. 2011 May 17. doi: 10.1111/j.1526-4610.2011.01907.x. [Epub ahead of print]
Post-Traumatic Stress Disorder and Migraine: Epidemiology, Sex Differences, and Potential Mechanisms.
Peterlin BL, Nijjar SS, Tietjen GE.
Source
From the Department of Neurology, Johns Hopkins University, Bayview Medical Center, Baltimore, MD, USA (B.L. Peterlin and S.S. Nijjar); Department of Neurology, University of Toledo, Toledo, OH, USA (G.E. Tietjen).
Abstract
Migraine is a common, often disabling disorder associated with a significant personal and societal burden. The presence of post-traumatic stress disorder (PTSD) may increase this disability substantially. Migraine and PTSD are both up to 3 times more common in women than in men. The divergence in prevalence rates of migraine and PTSD that occurs between the sexes after puberty suggests that gonadal hormones play an important role. In addition, the preponderance of PTSD in women may be related to their higher rates of interpersonal trauma, the most common cause of PTSD. However, recent data suggest that although the odds of PTSD are increased in both women and men with episodic migraine, this association is stronger in men than women. In this paper, we examine the epidemiology of PTSD and migraine, with an emphasis on the known sex differences. We then discuss the neurobiological changes associated with PTSD, the current hypotheses for the mechanisms relating PTSD and migraine, and the treatment implications of these findings.
© 2011 American Headache Society.
PMID:
21592096
[PubMed - as supplied by publisher]
New research on Migriane Medication focuses on Trigeminal Nerve
A recent article in Cephalgia (see abstract below) focuses on the kynurenine family of compounds which are metabolites of tryptophan in treating migraines. The use of Neuromuscular Dentistry uses neural input to correct chemical imbalances in the Trigeminal Nervous System to treat and eliminate migraines and chronic daily headaches.
The use of drugs to alter neurotransmitters has been shown to be effective but correcting the nociceptive input to the nervous system is a more effective and reliable method of treating trigeminally mediated pain.
Reports of 80-95% effectiveness in treating headaches with a neuromuscular diagnostic orthotic are common and side effects are minimum.
Correcting the problem by altering neural input is the closest to a "cure" for migraines.
Effectiveness has never been the major problem in treating Headaches, Migraines and TMJ disorders with Neuromuscular Dentistry. The problem is that while the treatment is extremely effective it is expensive and insurance companies write contracts that limit coverage. The current cost conscious environment virtually insures that patients will continue to suffer needlessly because lack of coverage puts this extremely effective treatment out of financial viability for any patients.
Patients who suffer from migraines and chronic daily headaches and can affrd neuromuscular dentistry will find it extremely effective.
A downside to neuromuscular dental treatment is that it can be time intensive especially at the start of treatment protocols.
Ending needless pain and suffering is always rewarding to both patients, friends , families and the practitioners.
Cephalalgia. 2011 May 18. [Epub ahead of print]
The L-kynurenine signalling pathway in trigeminal pain processing: A potential therapeutic target in migraine?
Guo S, Vecsei L, Ashina M.
Source
University of Copenhagen, Denmark.
Abstract
Introduction: In recent years the kynurenine family of compounds, metabolites of tryptophan, has become an area of intensive research because of its neuroactive properties. Two metabolites of this family have become of interest in relation to migraine and pain processing. Discussion: Experimental studies have shown that kynurenic acid (KYNA) plays an important role in the transmission of sensory impulses in the trigeminovascular system and that increased levels of KYNA decrease the sensitivity of the cerebral cortex to cortical spreading depression. Furthermore, another metabolite of the kynurenine family, L-kynurenine, exerts vasodilating effects similar to nitric oxide by increasing cyclic guanosine monophosphate. Conclusion: This review summarizes current knowledge of the role of kynurenine signalling in trigeminal and central pain processing, including its therapeutic prospects in migraine treatment.
PMID:
21593189
[PubMed - as supplied by publisher]
The use of drugs to alter neurotransmitters has been shown to be effective but correcting the nociceptive input to the nervous system is a more effective and reliable method of treating trigeminally mediated pain.
Reports of 80-95% effectiveness in treating headaches with a neuromuscular diagnostic orthotic are common and side effects are minimum.
Correcting the problem by altering neural input is the closest to a "cure" for migraines.
Effectiveness has never been the major problem in treating Headaches, Migraines and TMJ disorders with Neuromuscular Dentistry. The problem is that while the treatment is extremely effective it is expensive and insurance companies write contracts that limit coverage. The current cost conscious environment virtually insures that patients will continue to suffer needlessly because lack of coverage puts this extremely effective treatment out of financial viability for any patients.
Patients who suffer from migraines and chronic daily headaches and can affrd neuromuscular dentistry will find it extremely effective.
A downside to neuromuscular dental treatment is that it can be time intensive especially at the start of treatment protocols.
Ending needless pain and suffering is always rewarding to both patients, friends , families and the practitioners.
Cephalalgia. 2011 May 18. [Epub ahead of print]
The L-kynurenine signalling pathway in trigeminal pain processing: A potential therapeutic target in migraine?
Guo S, Vecsei L, Ashina M.
Source
University of Copenhagen, Denmark.
Abstract
Introduction: In recent years the kynurenine family of compounds, metabolites of tryptophan, has become an area of intensive research because of its neuroactive properties. Two metabolites of this family have become of interest in relation to migraine and pain processing. Discussion: Experimental studies have shown that kynurenic acid (KYNA) plays an important role in the transmission of sensory impulses in the trigeminovascular system and that increased levels of KYNA decrease the sensitivity of the cerebral cortex to cortical spreading depression. Furthermore, another metabolite of the kynurenine family, L-kynurenine, exerts vasodilating effects similar to nitric oxide by increasing cyclic guanosine monophosphate. Conclusion: This review summarizes current knowledge of the role of kynurenine signalling in trigeminal and central pain processing, including its therapeutic prospects in migraine treatment.
PMID:
21593189
[PubMed - as supplied by publisher]
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