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Trigger Point Therapy for Headaches, Migraines, and TMJD: Summary
Table 1: Conditions (Continued) Conditions Definition
Signs and Symptoms
Accommodations and Considerations Accommodations: • Recognize contributing factors: social and emotional Considerations: • Fever • Confusion • Numbness • Acute episodes environmental, chemical, and Accommodations: • Recognize contributing factors: social and emotional Considerations: • Fever • Confusion • Numbness • Acute episodes environmental, chemical, and
Treatment
Migraine HA
• Several hours or days • Throbbing unilateral pain • Aura: blurred vision, flashing/ jagged lights, auditory hallucinations • Non-Aura:light
• Hormonal shifts • Food sensitivity
• NSAIDS • Beta-blockers • Anti- depressants • Botulinum
(chocolate, red wine, gluten)
Toxin Injections
• Sleep: too
much or too little
• Stress
and noise sensitivity,
N/V, tingling in hands and feet, watering of eyes and nose on the affected side
Cluster HA
• Moments to several hours • Unilateral pain • Typically occur at night • Facility swelling, restlessness, water of the and nose on the affected side
• Hormonal shifts • Food sensitivity (chocolate, red wine, gluten) • Sleep: too much or too little • Stress
• NSAIDS • Beta-blockers • Anti- depressants • Botulinum Toxin Injections
TMJD Definition: Associated with some combination of: • Malocclusion: bite dysfunction
• Tight attachments muscles lead to pain and tissue damage • Misalignment of bite, congenital malformation of bone • Trigger by change in position of head (i.e., forward head posture) Signs and Symptoms: • Jaw neck and shoulder pain • HA • Popping, clicking of jaw
• Bruxism: grinding teeth • Loose ligaments of jaw Pathophysiology:
• A unique joint in the functions-elevation, depression, lateral deviation, protraction
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