Saturday, June 22, 2019

The Diagnostic Challenges of Pain in Temporomandibular Joints Area-Anatomy Physiology & Biochemistry International Journal-Juniper Publishers

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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