DeVocht James W, Schaeffer Wally, Lawrence Dana J
Palmer Center for Chiropiractic Research, Davenport, Iowa, USA.
Altern Ther Health Med. 2005 Nov-Dec;11(6):70-3.
To describe the chiropractic management of a 30-year-old woman with temporomandibular joint (TMJ) pain and to discuss the general etiology and management of TMJ conditions.
The patient suffered from daily unremitting jaw pain for 7 years, which was the apparent sequela of a series of 8 root canals on the same tooth. Pain radiated from her TMJ into her shoulder and was accompanied by headache, tinnitus, decreased hearing, and a feeling of congestion in her right ear. Symptoms were not reduced by medication or other dental treatments. OUTCOME AND INTERVENTION: The patient underwent a series of chiropractic treatments using the instrument and protocol of Activator Methods, International. During the first 5 months, her VAS rating of jaw pain decreased from 60 (on a scale of 0 to 100) to 9, her ability to eat solid foods increased, headache intensity and frequency diminished, and her maximum mouth opening without pain measurement increased from 22 to 28 mm. Overall, 20 months of chiropractic treatment along with 2 concurrent months of massage therapy yielded slow but continual progress that finally resulted in total resolution of all symptoms except some fullness of the right cheek.
Use of the Activator Methods protocol of chiropractic treatment was beneficial for this patient and merits further study in similar cases.
描述一名30岁颞下颌关节（TMJ）疼痛女性的整脊治疗方法，并探讨颞下颌关节疾病的一般病因和治疗方法。
患者持续每日颌部疼痛7年，这是同一颗牙齿上8次根管治疗的明显后遗症。疼痛从颞下颌关节放射至肩部，并伴有头痛、耳鸣、听力下降以及右耳堵塞感。药物治疗或其他牙科治疗均未减轻症状。结果与干预：患者采用国际激活器方法的仪器和方案接受了一系列整脊治疗。在最初的5个月里，她颌部疼痛的视觉模拟评分（VAS）从60（0至100分制）降至9分，食用固体食物的能力增强，头痛强度和频率降低，无痛状态下的最大张口度从22毫米增加到28毫米。总体而言，20个月的整脊治疗加上2个月同时进行的按摩治疗取得了缓慢但持续的进展，最终除右脸颊有些饱满外，所有症状均完全消失。
使用激活器方法的整脊治疗方案对该患者有益，值得在类似病例中进一步研究。
