JUNIPER PUBLISHERS-Anatomy Physiology & Biochemistry International Journal
The Diagnostic Challenges of Pain in Temporomandibular Joints Area
Authored by Bordea Ioana Roxana*
Chronic pain is difficult to manage
and detrimental to the patients’ quality of life. Temporomandibular joint (TMJ)
pain is caused by multiple etiological factors and, in some cases, several
factors can be associated. Sometimes, TMJ pain can radiate or be referred in
other anatomical regions; thus, setting the diagnosis could be challenging for
the medical practitioner. Moreover, the pain originating from various adjacent
or remote tissues and organs can be referred to the TMJ area. For this reason,
the patients often address to physicians of different specialties and undergo
multiple laboratory and imagistic examinations without revealing the real
pathology. This article presents the case of a 36-year-old woman with the
following symptoms: bilateral chronic pain localized in the TMJ areas radiating
to the upper jaw and headache radiating to the cervical spine. She had been
examined by several doctors, who referred her for cranial CT scan and MRI, but
these examinations showed no signs of pathology. This paper also discusses the
diagnostic challenges for the practitioners and the patient’s evolution after
non-invasive local treatments: low level laser therapy (LLLT) and functional
therapy.
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