Sternomastoids :
Sternomastoids
Mastoids :
Mastoids
Medial pterygoids :
Medial pterygoids
Lateral pterygoids :
Lateral pterygoids
Digastrics :
Digastrics
Composite pain patterns :
Composite pain patterns
DISTINGUISHING FEATURES BETWEENMYOFASCIAL PAIN AND FIBROMYALGIA :
DISTINGUISHING FEATURES BETWEENMYOFASCIAL PAIN AND FIBROMYALGIA MYOFASCIAL PAIN
1:1 male \ female.
Local or regional pain.
Focal tenderness.
Taut bands.
Restricted range of
movement.
Examine for T.P.’s.
Immediate response to
injection of T.P.
20% also have fibromyalgia FIBROMYALGIA
4-9 female : male.
Widespread, general pain.
Widespread tenderness.
Muscle feels soft \ doughy.
Hypermobile.
Examine for T.P.’s.
Delayed or poor response to
injection.
72% also have T.P.’s.
TREATMENT :
TREATMENT Manual technique..
(soft tissue technique)
Stretch and Spray..
Dry needling..
Injection technique..
Medication
ASSOCIATED THERAPY :
ASSOCIATED THERAPY Joint mobilization
Bio Feedback
Exercise program
-- Stretching
-- Strengthening
-- Conditioning
Neurological
rehabilitation
Slide 15:
Orofacial pain falls between dentistry and medicine in that it requires input from both these broad specialities. a multi-disciplinary team, all of whom are active clinicians and all but one have got higher research degrees in the field of pain.