Adjunctive Therapies for Temporomandibular Disorders
Proper management of patients with temporomandibular pain disorders (TMD) needs a multidisciplinary approach including several professionals such as medical doctors, dentists, physical therapists, osteopaths, chiropractors, acupuncturists, orthodontists,
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Adjunctive Therapies for Temporomandibular Disorders César Fernández-de-las-Peñas and Kimberly Bensen
Abstract
Proper management of patients with temporomandibular pain disorders (TMD) needs a multidisciplinary approach including several professionals such as medical doctors, dentists, physical therapists, osteopaths, chiropractors, acupuncturists, orthodontists, surgeons, and psychologists [1]. Each professional will conduct an exhaustive clinical examination and will plan a multimodal program for these patients. In fact, treatment should be personalized based on the patient’s experience and including different therapeutic strategies such as passive and active techniques, active listening, empathy, and management of psychosocial issues, i.e., depression, anxiety, and catastrophizing, always based on clinical findings during the history and examination. For instance, dentists could recommend hard stabilization appliances [2] or splint therapy [3] for reducing pain in patients with TMD, whereas physical therapists can apply manual therapies or exercises for the same objective. Clinical and scientific evidence suggest that an interdisciplinary work between dentistry and physical therapy increases the effects of each isolated intervention for patients with TMD [4]. The current chapter summarizes different adjunctive therapies including physical therapy and chiropractic therapy for TMD.
C. Fernández-de-las-Peñas (*) Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos, Alcorcón, Madrid, Spain Esthesiology Laboratory, Universidad Rey Juan Carlos, Alcorcón, Madrid, Spain Centre for Sensory-Motor Interaction (SMI), Laboratory for Musculoskeletal Pain and Motor Control, Aalborg University, Aalborg, Denmark e-mail: [email protected] K. Bensen TMJ Therapy, San Jose, CA, USA http://www.drkimberlybensen.com © Springer Nature Switzerland AG 2019 S. T. Connelly et al. (eds.), Contemporary Management of Temporomandibular Disorders, https://doi.org/10.1007/978-3-319-99912-8_7
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C. Fernández-de-las-Peñas and K. Bensen
Introduction
Proper management of patients with temporomandibular pain disorders (TMD) needs a multidisciplinary approach including several professionals such as medical doctors, dentists, physical therapists, osteopaths, chiropractors, acupuncturists, orthodontists, surgeons, and psychologists [1]. Each professional will conduct an exhaustive clinical examination and will plan a multimodal program for these patients. In fact, treatment should be personalized based on the patient’s experience and including different therapeutic strategies such as passive and active techniques, active listening, empathy, and management of psychosocial issues, i.e., depression, anxiety, and catastrophizing, always based on clinical findings during the history and examination. For instance, dentists could recommend hard stabilization appliances [2] or splint therapy [3] for reducing pain in patients with TMD, whereas physical therapists can app
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