Efficacy of dry needling in patients with myofascial temporomandibular disorders related to the masseter muscle

Özden, Mehmet Cem; Atalay, Belir; Özden, Ali Veysel; Çankaya, Abdülkadir Burak; Kolay, Erdinç; Yıldırım, Sami

doi:10.1080/08869634.2018.1526848

Cited by 18 publications

(11 citation statements)

References 15 publications

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“…They found that PPT is reliable and able to discriminate between individuals with and without pain, indicating an increased sensitivity to pain in patients. Similarly, this phenomenon has been extensively reported in various pain conditions, including postherpetic neuralgia ( 40 ), temporomandibular disorders ( 41 ), and migraine ( 42 ). Our current result further extended previous findings, indicating that FS patients experienced persistent shoulder pain and developed sensitization to pain.…”

Section: Discussionmentioning

confidence: 61%

Deficits in the thalamocortical pathway associated with hypersensitivity to pain in patients with frozen shoulder

Zhao

et al. 2023

Front. Neurol.

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Background and purposeFrozen shoulder (FS) is a chronic pain condition and has been shown to be associated with pain sensitization. However, the underyling brain mechanisms remain unclear. Here, we aimed to explore brain alterations and their association with pain sensitization in patients with FS.Materials and methodsA total of 54 FS patients and 52 healthy controls (HCs) were included in this study. Here, we applied both structural and functional magnetic resonance imaging (MRI) techniques to investigate brain abnormalities in FS patients. Voxel-wise comparisons were performed to reveal the differences in the gray matter volume (GMV) and amplitude of low-frequency fluctuation (ALFF) between FS patients and HCs. Furthermore, the region of interest (ROI) to whole-brain functional connectivity (FC) was calculated and compared between groups. Finally, Pearson's correlation coefficients were computed to reveal the association between clinical data and brain alterations.ResultsFour main findings were observed: (1) FS patients exhibited decreased thalamus GMV, which correlated with pain intensity and pain threshold; (2) relative to HCs, FS patients exhibited a higher level of ALFF within the anterior cingulate cortex (ACC) and the thalamus; (3) FS patients exhibited a significant increase in Tha-S1 FC compared to HCs; and (4) the effect of thalamus GMV on pain intensity was mediated by pain threshold in FS patients.ConclusionThe dysfunctional thalamus might induce pain hypersensitivity, which further aggravates the pain in FS patients.

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Section: Discussionmentioning

confidence: 61%

Deficits in the thalamocortical pathway associated with hypersensitivity to pain in patients with frozen shoulder

Zhao

et al. 2023

Front. Neurol.

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“…Among the included trials discussing dry needling, alternative techniques were also described. Ozden et al compared deep dry needling and superficial dry needling [ 33 ]. They adopted an acupuncture-like technique and introduced the needle into muscle tissue up to 10 or 5 mm, respectively; then, after immersion, the needle was rotated clockwise, left for 10 min and then rotated again.…”

Section: Discussionmentioning

confidence: 99%

Intramuscular Injections and Dry Needling within Masticatory Muscles in Management of Myofascial Pain. Systematic Review of Clinical Trials

Nowak

Chęciński²,

Nitecka-Buchta

et al. 2021

IJERPH

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(1) Background: Myofascial pain is an important cause of disability among the whole population, and it is a common symptom of temporomandibular joint disorders (TMDs). Its management techniques vary widely; however, in recent years, there has been a growing interest especially in needling therapies within masticatory muscles, due to their simplicity and effectiveness in pain reduction. (2) Methods: The construction of the following study is based on PICOS and PRISMA protocols. A systematic literature search was conducted based on the PubMed and BASE search engines. Searching the abovementioned databases yielded a total of 367 articles. The screening procedure and analysis of full texts resulted in the inclusion of 28 articles for detailed analysis. (3) Results: According to analyzed data, clinicians manage myofascial pain either with wet or dry needling therapies. The most thoroughly studied approach that prevails significantly within the clinical trials is injecting the botulinum toxin into the masseter and temporalis. Other common methods are the application of local anesthetics or dry needling; however, we notice the introduction of entirely new substances, such as platelet-rich plasma or collagen. In the analyzed articles, the target muscles for the needling therapies are most commonly localized by manual palpation although there are a variety of navigational support systems described: EMG, MRI or EIP electrotherapy equipment, which often aid the access to located deeper lateral and medial pterygoid muscle. (4) Conclusions: Needling therapies within masticatory muscles provide satisfactory effects while being simple, safe and accessible procedures although there still is a need for high quality clinical trials investigating especially injections of non-Botox substances and needling within lateral and medial pterygoid muscles.

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“…Additionally, no significant differences were found between the 2 groups in the VAS score or GCPS grade. Some studies in the literature have indicated that dry needling, which is a type of trigger point therapy, significantly increases the PPT on the applied muscle 26 . Blasco‐Bonora et al reported that the trigger point therapy applied produced a significant increase in the PPT on the masseter and temporalis muscles 27 .…”

Section: Discussionmentioning

confidence: 99%

The effect of the ischaemic compression technique on pain and functionality in temporomandibular disorders: A randomised clinical trial

Şahin

Mutlu

Şakar

et al. 2021

J of Oral Rehabilitation

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Background Interventions addressing pain and impaired functionality in individuals with temporomandibular disorders (TMDs) are needed. Objective To compare the effects of 4 weeks of exercise combined with ischaemic compression and exercise alone in patients with TMDs. Methods Fifty patients who were diagnosed with TMDs were randomised into Group 1 (exercise combined with ischaemic compression technique) (n = 25) or Group 2 (exercise alone) (n = 25). Both groups performed 4 weeks of Rocabado's exercise and 3 weeks of postural exercise, while Group 1 received ischaemic compression to the masseter muscle for a total of 3 sessions in addition to exercise. A ruler was used to assess range of motion (ROM) (painless mouth opening (PMO), maximum mouth opening, maximum assisted mouth opening (MAMO), left lateral movement and right lateral movement), the visual analogue scale and graded chronic pain scale were used to assess pain, an algometer was used to determine the pain pressure threshold (PPT), and the 8‐item jaw functional limitation scale was used to assess, functionality. The assessments were performed at baseline, at week 1 and at week 4. Results The participants in Group 1 exhibited larger PMO (F = 5.26, P = .02) and MAMO values (F = 6.71, P = .01) than did the patients in Group 2 at week 1. The effect size was small for MAMO (ES = 0.27) and moderate for PMO (ES = 0.51). However, there were no significant differences in any other outcomes between groups at week 1 or 4. Conclusion In summary, this randomised controlled trial indicates that exercise combined with ICT and exercise alone have similar effects on ROM, pain, the PPT and functionality in patients with TMDs.

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Efficacy of dry needling in patients with myofascial temporomandibular disorders related to the masseter muscle

Cited by 18 publications

References 15 publications

Deficits in the thalamocortical pathway associated with hypersensitivity to pain in patients with frozen shoulder

Deficits in the thalamocortical pathway associated with hypersensitivity to pain in patients with frozen shoulder

Intramuscular Injections and Dry Needling within Masticatory Muscles in Management of Myofascial Pain. Systematic Review of Clinical Trials

The effect of the ischaemic compression technique on pain and functionality in temporomandibular disorders: A randomised clinical trial

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