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Sacroiliac Joint Dysfunction Treated Using Neural Therapy to the Temporomandibular Joint: A Case Report
Complementary Medicine Research ( IF 1.8 ) Pub Date : 2021-01-11 , DOI: 10.1159/000513131
Huma Boluk Senlikci 1 , Selin Ozen 2
Affiliation  

Temporomandibular joint disorders (TMJD) include temporomandibular joint dysfunction and bruxism. Sacroiliac joint dysfunction (SJD) is a frequent cause of non-discogenic low back pain. Studies suggest a relationship between TMJD and SJD; however, the link remains unclear. Neural therapy (NT) utilises local anaesthetic injections to treat pain by normalising a dysfunctional autonomic nervous system held responsible for initiating or propagating chronic pain. A 31-year-old female presented with a 1-year history of mechanical left-sided low back pain and sleep bruxism. Examination revealed crepitation of the left TMJ and a trigger point in the masseter muscle. Range of motion of the spine and hip joints were normal, Patrick and Geanslen tests were positive on the left side. Spine and standing flexion tests were also positive. Magnetic resonance imaging of the lumbar spine and sacroiliac joints were normal. A diagnosis of SJD was made, and the patient was treated using NT. Injections of lidocaine 0.5% to the left TMJ, the masseter muscle and intradermal segmental injections at the level of C4 were administered. The patient's back pain and TMJ tenderness reduced and continued so throughout the 3-month follow-up period. SJD may be related to TMJD, and NT may be used in its treatment.

中文翻译:

颞下颌关节神经疗法治疗骶髂关节功能障碍一例

颞下颌关节疾病 (TMJD) 包括颞下颌关节功能障碍和磨牙症。骶髂关节功能障碍 (SJD) 是非椎间盘源性腰痛的常见原因。研究表明 TMJD 和 SJD 之间存在关系;但是,链接仍然不清楚。神经疗法 (NT) 利用局部麻醉剂注射来治疗疼痛,方法是使负责引发或传播慢性疼痛的功能失调的自主神经系统正常化。一名 31 岁女性因机械性左侧腰痛和睡眠磨牙症 1 年就诊。检查显示左侧颞下颌关节颤抖和咬肌中的触发点。脊柱和髋关节的运动范围正常,左侧的 Patrick 和 Geanslen 试验呈阳性。脊柱和站立屈曲试验也呈阳性。腰椎和骶髂关节的磁共振成像正常。诊断为 SJD,患者接受 NT 治疗。向左侧颞下颌关节、咬肌和 C4 水平的皮内节段注射注射 0.5% 的利多卡因。在整个 3 个月的随访期间,患者的背痛和 TMJ 压痛减轻并持续。SJD可能与TMJD有关,NT可用于其治疗。
更新日期:2021-01-11
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