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25 Cards in this Set
- Front
- Back
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neuritis (2)
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-sharp, sudden pain
-eg. toothache, acute injury |
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neuralgia (2)
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-aching, prolongued, sharp
-trigeminal, clossopharyngeal |
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odontalgia
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-mediated by peripheral sensory neurons of trigeminal nerve (V2, V3)
-a-delta, a-beta, c fibers |
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myofacial pain:
cause (2) symp (3) |
-etiology less known
-m. spasm, etc -dull, aching, radiating pain, exacerbated by mand fct -trismus -m. tenderness |
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TMJ:
Intermittent arthralgia |
-pain from use
-little referred pain -tx w/ PT |
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TMJ:
inflamm arthralgia (2) |
-when intermittent arthralgia induces inflamm
-secondary symp: headache, myospasm, tenderness |
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TMJ:
non-masticatory arthralgia (3) |
-important distinction
-non-mast arth usually will not respond to masticatory therapy -may be due to arthritis, infection, trauma, pathology |
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TMJ referred pain:
from (5) |
-SCM
-masseter -pterygoid m.'s -other m.'s -from w/in trigeminal network (incl salivary glands) |
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Surgery for TMJ pathology (4)
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-arthrocentesis
-arthroscopy -discectomy -total joint replacement |
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what can mimic TMJ pain (3)
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-Eagle's synd
-glossopharyngeal neuralgia -other |
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trigem neuralgia:
initiating events (5) |
-nerve compression
-demyelinating plaques -herpes -infection (teeth, jaw) -brainstem infarct |
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TN:
clinical symp (5) |
-abrupt onset
-excruciating pain -facial tics -unilateral -can have trigger points |
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need to rule out ____ for TN diagnosis (3)
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-other neurological probs
-CT scan (for brain lesions, vascular malform) -LP and MRI for MS |
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TN drug therapy (3)
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-Tegretol
-Dilantin -Depakene |
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most common surgical procedure for TN (5)
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-microvascular decompression
-BVs compressing nerve are moved away -works well if that is the problem -no sig SEs -30% recurrence w/in 6 yrs |
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TMD history
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"BUST"
-Bruxing -Unusual habits (ice, etc) -Stress -Trauma |
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TMD exam:
check |
-opening (ave 40mm), (R/L exc >5mm)
-deviation -deflection -noise -swelling |
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joint noise:
click, pop, etc indicates crepitation |
-internal derangement
-degen joint ds |
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modified wilkes staging (clinical)
I thru V |
I: painless clicking, full ROM
II: clicking occas painful, some locking, headaches III: frequent pain, etc, limited ROM, painful chewing IV: chronic pain, restricted ROM V: variable pain, joint crepitus, painful fct |
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Modified Wilkes staging (surgical)
I thru V |
I: normal disc, slight AD, clicking
II: ADD thickening III: deformed disc, etc, no bony changes IV: deformed disc, deformed bone V: grossly degen'ed disc and bone, perforation adhesions |
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what stage to ppl usually feel pain
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Stages III, IV. Occasional pain in II, Pain lessens in V
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arthrocentesis/arthroscopy:
goal |
-make painful III not painful (and II or III)
-Arthrocentesis: lube joint and manage m.'s Arthroscopy: incl'd laser debridement, disc stabilization |
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codylotomy:
goal |
-stop II from becoming a III
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discetomy:
goal |
-change painful III/IV to non-painful 5
-remove scarring, degenerated tissues (disc is removed) -allow pseudo disc to form |
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narcotics
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-avoid
-only temp relief, chance of addiction high |
