टेम्पोरोमैंडिबुलर जॉइंट सिंड्रोम: जब समर्थित स्व-प्रबंधन ने दर्द को नियंत्रित नहीं किया हो तो क्या करें

References

• Manual therapy, therapeutic exercises and movement re-education should be considered for all types of TMD.
• Psychological therapies e.g., Cognitive behavioural therapy, show benefit in reduction of distress and pain intensity with a low risk of adverse events and is likely beneficial for all TMD subtypes.
• Topical application of Ibuprofen gel externally over the TMJ, if completed safely, with appropriate patch test pre-application, is unlikely to be detrimental and may offer mild, short-term relief in some TMD cases.
• Short-term use for not more than 2 weeks is advisable.
• Oral NSAIDs (non-steroidal anti-inflammatory drugs) are likely to positively affect pain reduction in the TMJ and masticatory muscles and range of jaw movement.
• Concomitant prescription of proton pump inhibitor should be provided with ibuprofen for individuals with increased risk of gastrointestinal problems (Table 9).
• Such physical management techniques may lead to decreased pain, increased range of jaw movement and function and support increased self-efficacy.