Orofacial Pain: A Guide for the Headache Physician

Shephard, Martina; MacGregor, Anne; Zakrzewska, Joanna M

doi:10.1111/head.12272

Cited by 47 publications

(33 citation statements)

References 106 publications

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“…170 Orofacial pain syndromes including temporomandibular disorders have been extensively reviewed in recent years. 171,172 In summary, the differential diagnosis of ARS includes AR, headache or facial pain syndrome, and dental conditions. Although diagnosis is most often possible solely on clinical grounds, additional testing may be helpful to differentiate ARS from other entities with overlapping symptoms.…”

Section: Vc2 Ars Diagnosis: Differential Diagnosismentioning

confidence: 99%

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

Orlandi

Kingdom

Hwang

et al. 2016

Int Forum Allergy Rhinol

557

888

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Background:The body of knowledge regarding rhinosinusitis (RS) continues to expand, with rapid growth in number of publications, yet substantial variability in the quality of those presentations. In an effort to both consolidate and critically appraise this information, rhinologic experts from around the world have produced the International Consensus Statement on Allergy and Rhinology: Rhinosinusitis (ICAR:RS). Methods:Evidence-based reviews with recommendations (EBRRs) were developed for scores of topics, using previously reported methodology. Where existing evidence was insufficient for an EBRR, an evidence-based review (EBR) was produced. The sections were then synthesized and the entire manuscript was then reviewed by all authors for consensus. Results:The resulting ICAR:RS document addresses multiple topics in RS, including acute RS (ARS), chronic RS (CRS) with and without nasal polyps (CRSwNP and CRSsNP), recurrent acute RS (RARS), acute exacerbation of CRS (AE-CRS), and pediatric RS. Conclusion:As a critical review of the RS literature, ICAR:RS provides a thorough review of pathophysiology and evidence-based recommendations for medical and surgical treatment. It also demonstrates the significant gaps in our understanding of the pathophysiology and optimal management of RS. Too o en the foundation upon which these recommendations are based is comprised of lowerlevel evidence. It is our hope that this summary of the evidence in RS will point out where additional research efforts may be directed. C 2016 ARS-AAOA, LLC. Key Words:rhinosinusitis; chronic rhinosinusitis; acute rhinosinusitis; recurrent acute rhinosinusitis; evidence-based medicine; systematic review; endoscopic sinus surgery List of Abbreviations Used

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Section: Vc2 Ars Diagnosis: Differential Diagnosismentioning

confidence: 99%

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

Orlandi

Kingdom

Hwang

et al. 2016

Int Forum Allergy Rhinol

557

888

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“…16 In addition to seeking healthcare services from dentists, some patients suffering from TMD seek services from medical doctors. [22][23][24] However, medical doctors receive little to no musculoskeletal healthcare training on any anatomical region 25 and are therefore poorly positioned to provide comprehensive, conservative services to patients with TMD. Physical therapists, on the other hand, are trained to provide comprehensive, conservative management of musculoskeletal disorders [26][27][28] and outperform nearly every category of medical doctor on knowledge-based musculoskeletal examination.…”

Section: Introductionmentioning

confidence: 99%

The status of temporomandibular and cervical spine education in credentialed orthopedic manual physical therapy fellowship programs: a comparison of didactic and clinical education exposure

Shaffer

Brismée

Courtney

et al. 2014

Journal of Manual & Manipulative Therapy

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Objective: The purpose of this investigation was to establish a baseline of physical therapist education on temporomandibular disorders (TMD)-related topics during credentialed orthopedic manual physical therapy fellowship training and compare it to cervical spine disorders education. Method: An online survey was distributed electronically to each fellowship program credentialed by the American Physical Therapy Association (APTA) and recognized by the Academy of Orthopedic Manual Physical Therapists (AAOMPT). Data were analyzed to compare overall exposure to TMD educational content, including a direct comparison of TMD and cervical spine disorders education. Results: The response rate was 79%. Thirteen programs (87%) reported providing both didactic and clinical training on both TMD and cervical spine disorders. Didactic education for cervical spine disorders ranged from 16-20 hours to over 25 hours, whereas TMD hours ranged from 0 to 6-10 hours. Clinical education for cervical spine disorders ranged from 11-15 hours to over 25 hours, whereas TMD hours ranged from 0 to 6-10 hours. The number of hours of exposure during didactic training and the number of patients exposed to during clinical training were significantly different when comparing TMD to cervical spine disorders exposure (P,0.0001). Discussion: The data indicate a lack of uniformity between credentialed fellowship programs in orthopedic manual physical therapy with respect to the extent to which programs expose trainees to evaluation and management of TMD. There is consistency in that all programs provided more training on cervical spine disorders than TMD. Despite a high level of clinical specialization, fellows-in-training receive minimal TMD education.

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“…5 Pain in the orofacial region can be derived from several tissues in that region and it is therefore, necessary to determine the cause for its treatment. Many orofacial pain conditions have overlapping presentations, and diagnostic uncertainty is frequently encountered in clinical practice.…”

Section: Introduction:-mentioning

confidence: 99%

“…Many orofacial pain conditions have overlapping presentations, and diagnostic uncertainty is frequently encountered in clinical practice. 5 Dental pain may cause difficulty in eating, socialization and sleep, thus diminishing work productivity and influencing the need for dental care 6,7 Oro-facial problems are highly prevalent among both children and adults, although they are seldom life-threatening, many are chronic. Typically they have acute stages that are treatable and of short duration.…”

Section: Introduction:-mentioning

confidence: 99%