Institute of Neural Therapy and Regulatory Medicine, Sabadell, Barcelona, Spain.
Master's Degree in Continuing Education in Medical and Dental Neural Therapy, University of Barcelona, Barcelona, Spain.
J Int Med Res. 2023 Nov;51(11):3000605231214064. doi: 10.1177/03000605231214064.
Orthodontic treatment has been associated with chronic extraoral pain that is often resistant to common treatments such as drugs or physiotherapy, adversely affecting patients' quality of life. In this case series, we discuss the potential impact of orthodontics on chronic cervical spine pain or gonalgia and explore the long-term effect of local anesthetic injections as a possible therapeutic intervention. Six orthodontic patients with chronic cervical spine pain or gonalgia that substantially affected their quality of life were treated with injections of 0.5% procaine into individual lesions and at palpable points of tissue tension in the oral mucosa and extraoral myofascial areas. All patients in this case series reported significant improvement in their chronic pain, with no residual pain recorded at the 6-month follow-up. Injecting local anesthetic at stress points in the oral mucosal and extraoral myofascial regions may be an effective treatment for post-orthodontic neck and knee pain. Further research is required to better understand the potential benefits of this intervention for patients experiencing orthodontic-related musculoskeletal pain.
正畸治疗与慢性口腔外疼痛有关，这种疼痛通常对药物或物理治疗等常见治疗方法有抵抗力，会对患者的生活质量产生不利影响。在本病例系列中，我们讨论了正畸治疗对慢性颈痛或颌痛的潜在影响，并探讨了局部麻醉注射作为一种可能的治疗干预措施的长期效果。六名患有慢性颈痛或颌痛的正畸患者，这些疼痛严重影响了他们的生活质量，我们采用 0.5%普鲁卡因对口腔黏膜和口腔外肌筋膜区域的单个病变和可触及的组织紧张点进行注射治疗。本病例系列中的所有患者均报告称，其慢性疼痛显著改善，在 6 个月的随访中无残留疼痛记录。在口腔黏膜和口腔外肌筋膜区域的应激点注射局部麻醉剂可能是治疗正畸后颈部和膝关节疼痛的有效方法。需要进一步研究以更好地了解这种干预措施对患有与正畸相关的肌肉骨骼疼痛的患者的潜在益处。
