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Headache, Orofacial Pain and Bruxism E-Book

Headache, Orofacial Pain and Bruxism E-Book

Peter Selvaratnam | Kenneth Robert Niere | Maria Inez Zuluaga | Pamela Oddy

(2009)

Abstract

Headache, Orofacial Pain and Bruxism: Diagnosis and multidisciplinary approaches to management has been written by clinicians for clinicians. It contains the collective knowledge of hundreds of years of clinical experience. The authors are drawn from a range of disciplines which regularly encounter patients with headache, orofacial pain or bruxism. They have described evidence-informed clinical practice derived from anatomical, physiological, and biomechanical concepts.

Patients who present with headache, orofacial pain or bruxism provide a clinical challenge to make sense of symptoms, sources, and contributing factors. There are many structures associated with problems in this region and patients may call on any of a number of health practitioners for diagnosis and treatment. It is often beyond the expertise of a single practitioner to address all facets of the problem without the assistance of colleagues.

  • This book provides clinicians with the theoretical and clinical information required to appreciate the role of each discipline involved in the management of patients with headache, orofacial pain and bruxism.
  • Clinicians are encouraged to use a multidisciplinary approach and to collaborate in the comprehensive management of these patients.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Headache, Orofacial Pain and Bruxism iii
Copyright Page iv
Contents v
Contributors vii
Foreword xi
Preface xiii
Acknowledgements xv
Section 1: Diagnosis 1
Chapter 1: Headache in general practice 3
Role of the general practitioner 4
'Red flags' 4
Headache types 7
Conclusion 10
References 11
Chapter 2: Catastrophic and sinister headache 13
Diagnosis 13
Conclusion 21
References 22
Chapter 3: Migraine 23
Definition 23
Epidemiology 23
Pathophysiology 24
Associated or predisposing factors 26
Differential diagnosis 26
Treatment 27
Prophylactic agents 30
Conclusion 30
References 31
Chapter 4: Headache in childhood and adolescence 33
History 34
Examination 35
Acute recurrent headache 36
Chronic progressive headache 37
Chronic non-progressive headache 38
Other headaches 39
Conclusion 42
References 42
Chapter 5: Headache and the upper cervical zygapophyseal joints 43
Definition 43
Background 44
Anatomy 44
Neuroanatomy 45
Neurophysiology 45
Clinical features 46
Diagnostic nerve blocks 47
Treatment 49
Conclusion 51
References 51
Chapter 6: Sleep structure, bruxism and headache 55
Sleep structure and bruxism 56
Sleep-related and morning headaches 59
Referral and management strategies 63
Conclusion 65
References 65
Chapter 7: Temporomandibular disorders and related headache 69
Temporomandibular disorders 69
Bruxism 74
Occlusion 75
Management of temporomandibular disorders 76
Temporomandibular disorders and headache 76
Conclusion 79
References 79
Chapter 8: Clinical features of cervicogenic and temporomandibular-related headache 83
Clinical features of cervicogenic headache 84
Clinical features of TMD-related headache 86
Differential diagnosis 88
Conclusion 91
References 91
Chapter 9: Central nervous system processing in cervicogenic headache 95
CNS processing of cervical nociceptive input 95
Patient interview and history 100
Physical examination 107
Management and treatment 109
Conclusion 110
References 110
Chapter 10: ENT causes of orofacial pain 115
Otalgia 115
Facial pain 120
Tinnitus 122
Conclusion 124
References 124
Chapter 11: Ocular causes of headache 127
Headache, facial pain and eye disease 127
Specific ophthalmic pain syndromes 131
Ocular manifestations of migraine 134
Headache referred from the neck 137
Conclusion 137
References 137
Chapter 12: Vestibular dysfunction 139
Epidemiology 140
Anatomy, physiology and pathology 140
Clinical syndromes 142
Clinical assessment 144
Medical management 148
Physical management 148
How effective is vestibular rehabilitation? 150
Conclusion 151
References 151
Chapter 13: Measurement of headache 153
Clinical measurement of headache 153
Measurement of musculoskeletal impairment 160
Measurement of headache-related disability 160
Conclusion 164
References 164
Section 2: Approaches 167
Chapter 14: Physiotherapy management of cervicogenic headache: Part 1 169
The cervical spine and headache 169
Diagnosis of cervicogenic headache 170
Cervical musculoskeletal impairment in headache 172
Patterns of impairment in cervicogenic headache 179
Conclusion 180
References 180
Chapter 15: Physiotherapy management of cervicogenic headache: Part 2 181
Pain management 182
Conclusion 189
References 189
Chapter 16: Chiropractic approach 195
SMT, the cervical spine and head pain 197
Evidence for SMT in headache management 197
Chiropractic assessment of headache 200
Chiropractic management of headache 201
Craniomandibular disorder 202
Multidisciplinary considerations 207
Conclusion 207
References 208
Chapter 17: Osteopathic approach 211
Osteopathic principles 211
Osteopathic diagnosis 214
Osteopathic manipulative prescription 216
Vertebrobasilar insufficiency 219
Evidence supporting practice 221
Conclusion 221
References 222
Chapter 18: Integrative medicine approach 225
Integrative medicine 225
Dietary factors 225
Toxic overload 229
Conclusion 233
References 233
Chapter 19: Management of temporomandibular and cervical components of headache 237
TMD and headache 238
Cervicogenic headache 239
Assessment 240
Clinical decision making and management 251
Conclusion 256
References 256
Chapter 20: Management of parafunctional activities and bruxism 261
Epidemiology 261
Etiology 262
Clinical examination 263
Management 265
Patient education and behavioral interventions 267
Conclusion 273
References 273
Chapter 21: Psychological management 277
The functional model of chronic headache 278
Psychological assessment of headache 281
Treatment of headache 283
How effective are psychological treatments? 284
How long do improvements last? 285
Predictors of response to psychological treatment 285
Can treatment be administered cost-effectively? 286
Should treatments be combined? 286
Conclusion 287
References 287
Chapter 22: Psychiatric management 289
Headache and psychiatric conditions 289
Psychiatric assessment 290
Depression and other mood disorders 290
Factitious disorder 293
Management 293
Case studies 295
Conclusion 296
References 297
Section 3: Treatment 299
Chapter 23: Myofascial trigger point treatment for headache and TMD 301
Myofascial trigger points 301
Assessment 303
Trigger point examination 304
Muscles contributing to headache or TMD 306
Treatment of trigger points 316
Conclusion 316
References 319
Chapter 24: Dry needling, acupuncture and laser 321
Myofascial trigger points 322
Research evidence 323
Guidelines for dry needling 326
Needling and peripheral neural pathways 328
Contraindications and precautions 329
Management with dry needling 330
Laser phototherapy 332
Conclusion 336
References 336
Chapter 25: The Feldenkrais Method 339
The Feldenkrais Method in practice 339
The Feldenkrais Method and headache 340
How does the Feldenkrais Method work? 343
Conclusion 345
References 346
Chapter 26: Botox injections 347
Mechanism of action 348
Clinical procedures 349
Botulinum neurotoxin use in primary headache 351
Conclusion 355
References 355
Chapter 27: Neurosurgery 357
Conditions treated with neurosurgery 358
Conclusion 363
References 363
Index 365