Guest guest Posted October 19, 2004 Report Share Posted October 19, 2004 Hi All, & Hi Dermot Dermot wrote: > May, It usually manifests within the pattern of Lover Qi Stag, so > using LV03 and PC06 works well. I would also use CV24 and SI19 > (both sides). Results are usually very good. Ummm ... Dermot, is Lover Qi Stag [a slip of the pen[is]?] the root cause of the " Seven Year Itch " ? ;-)) Google has many hits oon AP & bruxism. See: http://www.yinyanghouse.com/chinesetheory/etiology-tmj.html Bruxism is a symptom/sign of an underlying disorder / imbalance. It can arise in many TCM patterns, as exemplified in the case history below. Classical TCM treatment addresses the complete pattern, not just using points for the teeth / TMJ / jaw / stress. See: http://acupuncturejournal.com/AJASple3.html " Case 5: Chronic Insomnia: This 45-year-old woman presented with a history of insomnia of 4 years duration dating from the shock and grief of losing her husband in a motor vehicle accident. She was only able to sleep 2 to 3 hours, then was awake the remainder of the night. Various lifestyle modifications, herbal teas, etc., and ongoing psychotherapy were ineffective at breaking the cycle. She is also obese, has chronic sinus headaches, rhinorrhea, bruxism, irregular menstruation, hot soles of her feet with pain at times, a painful right eye associated with fatigue, and is under chronic work related stress. She sought light therapy for help with the insomnia and stress management. Her tongue revealed a midline crease and swelling of the sides. Pulse was deficient in Liver and Kidney positions. Violet light was applied to ear point Zero, Shenmen, Master Cerebral, Tranquilizer, Psychosomatic, Lung, Insomnia 1 and 2, and body points Yintang, PC-7, HT-7, and LU-9 for a total of 4 treatments. The night of the first treatment, she slept 8 hours, and woke refreshed with her muscles feeling relaxed. Her sleep pattern continued to improve, averaging a good night's sleep at least 5 nights per week. After the third treatment, she remembered a dream for the first time in years. She also noted relief from the chronic headaches and rhinorrhea. This patient had several syndromes simultaneously as many people do: Shen disturbance, yin deficiency, dampness and Liver Qi depression. Appropriate light therapy to key points was able to start bringing her back to a state of balance, give her substantial relief, and improve her quality of life. It would have been interesting to see how many of the seemingly unrelated symptoms would have improved had she continued treatment. " In contrast to Google, Medline has little on AP & bruxism. See these Abstracts: Romoli M, Ridi R, Giommi A. Electromyographic changes in bruxism after auricular stimulation. A randomized controlled clinical trial [Article in Italian]. Minerva Med. 2003 Aug;94(4 Suppl 1):9-15. Federazione Italiana Societa di Agopuntura (F.I.S.A.), Prato. markro AIM: The aim of this study was to verify in bruxism patients the possible efficacy of auricular stimulation in reducing the hypertonicity of some masticatory muscles. METHODS: 43 bruxism patients were randomly allocated to 3 groups: AP, needle contact for 10 seconds, no treatment (control). Helkimo's clinical dysfunction index (CDI) and anamnestic dysfunction index (ADI) were used to assess the functional state of the masticatory system. The resting electrical activity of the anterior temporalis (AT), masseter (MM), digastric (DA) and sternocleidomastoid (SCM) muscles was measured, according to Jankelson, with surface electrodes at baseline, after stimulation and continually for 30 minutes (120 measurements in total). The electromyographical variations in the 3 groups were studied with t test for independent samples. RESULTS: AP and needle contact were superior to control in reducing the muscle hypertonicity of all muscles except SCM. In the comparison between AP and needle contact the former showed better results only for the right TA and left DA (p = 0.000). CONCLUSION: In this study it was possible to measure the efficacy of the stimulation of only one point or area, which is an ideal model for research in AP. The auricular area we chose for stimulation was never used before for the purpose of relaxing masticatory muscles. AP and needle contact for 10 seconds showed similar effects. Publication Types: Clinical Trial Randomized Controlled Trial PMID: 15108607 [PubMed - indexed for MEDLINE] Magalhaes MH, Kawamura JY, Araujo LC. General and oral characteristics in Rett syndrome. Spec Care Dentist. 2002 Jul- Aug;22(4):147-50. Department of Oral Pathology, School of Dentistry, University of Sao Paulo, SP, Brazil. mhcgmaga Rett syndrome (RS) is a neurodegenerative disorder characterized by developmental arrest of parts of the brain. It is an X chromosome-linked condition which affects females almost exclusively. Recent reports have been generated concerning the multidisciplinary management of individuals exhibiting Rett syndrome. The aim of the present report was to provide an update on the oral manifestations of the disorder. We evaluated the general and oral characteristics of RS in 13 female patients. The most frequent manifestations were stereotyped hand movements and bruxism. The treatment we carried out included the use of biteplanes and AP. PMID: 12449458 [PubMed - indexed for MEDLINE] Dahlstrom L. Conservative treatment methods in craniomandibular disorder. Swed Dent J. 1992;16(6):217-30. Public Dental Service, Molndal, Sweden. Conservative methods should be a basic treatment principle in CMD. In spite of similar signs and symptoms, the etiology may vary and treatment should, if possible, be directed towards the cause, but the management may often just be mitigating. Counselling may be crucial. Occlusal appliances of different design obviously influence the muscular activity significantly but equilibration may include a strong placebo effect. While relaxation is incompletely investigated, biofeedback seem possibly effective. The application of physical medicine procedures is almost entirely empirically based. Experience from other areas also motivates pharmacotherapy in CMD while intra-articular injections seem reasonably well founded. Investigations of pain- alleviating methods like TENS and AP, though sometimes promising, are often uncontrolled. Manipulation, even if effective, may not necessarily be a " disc recapturing " manoeuvre. The results of conservative treatment for joint clicking seem unpredictable and long-term results of treatment with repositioning splints are not encouraging. A need for well-controlled, randomised clinical studies in diagnostic subgroups and controls has been expressed. Although most patients with CMD can be successfully treated with different conservative methods, often with remarkably similar results, other options must be considered for some. Publication Types: Review Review, Academic PMID: 1481129 [PubMed - indexed for MEDLINE] Goddard G, Karibe H, McNeill C, Villafuerte E. AP and sham AP reduce muscle pain in myofascial pain patients. J Orofac Pain. 2002 Winter;16(1):71-6. Department of Pediatric Dentistry, Nippon Dental University, Tokyo, Japan. goddard AIMS: To compare the effectiveness of dry needling in classically recognized AP points ( " AP " ) with dry needling in skin areas not recognized as AP points ( " sham AP " ) in reducing masseter muscle pain in a group of patients with myofascial pain of the jaw muscles. METHODS: Eighteen patients were randomly assigned to 1 of 2 experimental groups: Ten patients received AP and 8 received sham AP. A visual analog scale (VAS) was used to measure changes in masseter muscle pain evoked by mechanical stimulation of the masseter muscle before and after the experiment. RESULTS: Both groups showed a statistically significant reduction in VAS pain scores (P = .001). Seven out of 10 AP subjects had a 10 mm or greater VAS reduction in pain, while 4 out of 8 of the sham AP subjects had that great a pain reduction. There was no significant difference between the 2 groups. CONCLUSION: Both AP and sham AP reduced pain evoked by mechanical stimulation of the masseter muscles in myofascial pain patients. However, this reduction in pain was not dependent on whether the needling was performed in standard AP points or in other areas of the skin. These results suggest that pain reduction resulting from a noxious stimulus (i.e., needling) may not be specific to the location of the stimulus as predicted by the classical AP literature. Publication Types: Clinical Trial Randomized Controlled Trial PMID: 11889662 [PubMed - indexed for MEDLINE] McMillan AS, Nolan A, Kelly PJ. The efficacy of dry needling and procaine in the treatment of myofascial pain in the jaw muscles. J Orofac Pain. 1997 Fall;11(4):307-14. Department of Restorative Dentistry, University of Newcastle, Newcastle upon Tyne, United Kingdom. In patients with myofascial pain, painful trigger points are often treated using dry needling and local anesthetic injections. However, the therapeutic effect of these treatments has been poorly quantified, and the mechanism underlying the effect is poorly understood. In a randomized, double-blind, double-placebo clinical trial, a pressure algometer was used to measure pain- pressure thresholds in the masseter and temporalis muscles of 30 subjects aged 23 to 53 years with myofascial pain in the jaws, before and after a series of dry needling treatments, local anesthetic injections, and simulated dry needling and local anesthetic treatments (treatment group A: Procaine + simulated dry needling; treatment group B: dry needling + simulated local anesthetic; control group C: simulated local anesthetic + simulated dry needling). Subjects rated pain intensity and unpleasantness using visual analogue scales, and the data were analyzed using analysis of variance. Pain pressure thresholds increased slightly after treatment, irrespective of the treatment modality. Pain intensity and unpleasantness scores decreased significantly at the end of treatment in all groups. There were no statistically significant between-group differences in pain pressure thresholds and visual analogue scale scores at the end of treatment. The findings suggest that the general improvement in pain symptoms was the result of nonspecific, placebo-related factors rather than a true treatment effect. Thus, the therapeutic value of dry needling and Procaine in the management of myofascial pain in the jaw muscles is questionable. Publication Types: Clinical Trial Randomized Controlled Trial PMID: 9656906 [PubMed - indexed for MEDLINE] Sugimoto K, Konda T, Shimahara M, Hyodo M, Kitade T. A clinical study on SSP (silver spike point) electro-therapy combined with splint therapy for temporo-mandibular joint dysfunction. AP Electrother Res. 1995 Jan-Mar;20(1):7-13. Department of Oral Surgery, Osaka Medical College, Japan. When the functional limits of the muscles related to the temporo-mandibular joint and adjacent tissue exceed their anatomical capability, pain, crepitation, and functional abnormality appear as the main complaints. Although the precise nature of the condition is unknown, pain at the temporo-mandibular joint sometimes in combination with muscular tension is assumed to be due to compression of the myoneural mechanism. It is reported that occlusal lifting using a splint enables the alleviation of this muscular tension. On the other hand, there are only a few reports on the usefulness of SSP therapy for Temporo-Mandibular Joint Dysfunction. We studied the efficacy of SSP therapy combined with splint therapy in 33 patients diagnosed as having Temporo- Mandibular Joint Dysfunction who consulted our department primarily due to pain, and report our findings below. Evaluation of the results was conducted 2 weeks later. Very beneficial results were seen in 6 cases. Beneficial results were seen in 7 cases. Slightly beneficial results were seen in 18 cases, while there were no changes found in 2 cases. When combined SSP and splint therapies were conducted for Temporo-Mandibular Joint Dysfunction, favorable results were seen in about 90% of the cases. PMID: 7572330 [PubMed - indexed for MEDLINE] McMillan AS, Blasberg B. Pain-pressure threshold in painful jaw muscles following trigger point injection. J Orofac Pain. 1994 Fall;8(4):384-90. Department of Clinical Dental Sciences, Faculty of Dentistry, University of British Columbia, Vancouver, Canada. Pain and tenderness at trigger points and referral sites may be modified in subjects with myofascial pain in the head and neck region by injecting local anesthetic into active trigger points, but the effect of injection on jaw muscle pain-pressure thresholds has not been measured. The mechanism by which trigger-point injection affects muscle tenderness is also unclear and may be related to the " hyper-stimulation analgesia " induced by stimulation of an AP point. A pressure algometer was used before and after an active trigger point injection in the masseter to measure the pain- pressure threshold in the masseter and temporal muscles of 10 subjects with jaw muscle pain of myogenous origin. The pain- pressure threshold in the masseter and temporal muscles was also measured in a matched control group before and after an AP-point injection in the masseter. The pain-pressure threshold was significantly lower in myofascial pain subjects than in control subjects at all recording sites. Pain-pressure thresholds increased minimally in the masseter after trigger-point injection, whereas the temporal region was relatively unaffected. In the control group, the pain-pressure threshold increased significantly at all recording sites in the masseter after AP-point injection. Although local anesthetic injection acts peripherally at the painful site and centrally where pain is sustained, pain-pressure thresholds were not dramatically increased in myofascial pain subjects, in contrast to controls. This suggests that in subjects with myofascial pain, there was continued excitability in peripheral tissues and/or central neural areas which may have contributed to the persistence of jaw muscle tenderness. PMID: 7670426 [PubMed - indexed for MEDLINE] List T. AP in the treatment of patients with craniomandibular disorders. Comparative, longitudinal and methodological studies. Swed Dent J Suppl. 1992;87:1-159. Department of Prosthetic Dentistry, Faculty of Odontology, University of Goteborg, Sweden. The aim of the thesis was to compare the short- and long-term effects of AP and occlusal splint therapy in patients with craniomandibular disorders (CMD). One hundred and ten patients, 23 males and 87 females, participated in the study. All patients exhibited moderate or severe signs and symptoms of CMD and had had pain for more than six months. The participants were randomly assigned to three groups: AP, occlusal splint therapy or control. Ten different subjective and/or clinical assessment variables were used in the evaluation of the treatment effect. Immediately after treatment, AP and occlusal splint therapy had reduced the symptoms as compared with the control group which remained essentially unchanged. AP gave better subjective results than occlusal splint in the short-term. In the 12-month long-term follow- up, 57% of the patients who received AP and 68% of the patients who received occlusal splints benefitted subjectively and clinically from the treatment. There were no statistically significant differences between the two groups in any of the assessment variables. Those patients who received various additional therapies following AP and/or occlusal splints rarely responded favorably to additional treatment. No serious adverse events or complications were observed in the study. AP seems to have adverse events of a more general nature whereas adverse events of the occlusal splint seem to be more related to the orofacial region. The majority of the patients responded positively to the comfort of both treatment modes. In order to measure tenderness (pressure pain threshold, PPT) more objectively, the usefulness of an algometer was evaluated. A good reliability and validity was found for the algometer in recording the PPT in the masticatory muscles. The reliability was further improved by connection of a stopwatch to the algometer so that the pressure rate could be kept within acceptable limits. A moderate but statistically significant correlation was found between PPT and clinical and subjective variables. The algometer was sensitive enough to detect pre- and post-treatment changes. A statistically significant reduction in tenderness was found immediately after and at the 6-month follow- up for both treatment modes. This series of studies showed that AP gave results similar to those of occlusal splint therapy in patients with primarily myogenic CMD symptoms over a 1-year period. Publication Types: Clinical Trial Randomized Controlled Trial PMID: 1492307 [PubMed - indexed for MEDLINE] Jensen LB, Tallgren A, Troest T, Jensen SB. Effect of AP on myogenic headache. Scand J Dent Res. 1977 Sep;85(6):456-70. The purpose of the investigation was to study the effect of AP on myogenic headache and to examine whether electromyographic recordings of jaw muscle activity would provide objective evidence of the effect of such treatment. In 21 dental students, 14 males and seven females, with a history of 2--10 years of headache, AP was performed unilaterally in the foot between the 4th and 5th metatarsal bones (G 41). The needle was inserted to a depth of 10-- 15 mm and moved continuously by hand for 15--20 min. Electromyographic recordings of postural activity in the right and left anterior temporal and masseter muscles were obtained in the same sitting before, during and after AP treatment. In clinical controls 24 h, 1 month and 4 months after the treatment, 12 subjects reported considerable improvement, two variable results, and seven no change. The electromyographic recordings showed an average decrease in postural activity during AP, particularly of the temporalis muscles, and a further decrease after completed treatment. However, marked individual variations in muscular response were noted. The results indicate that AP treatment can relieve headache, and that electromyographic recordings may provide objective evidence of the effect of AP. PMID: 271343 [PubMed - indexed for MEDLINE] Best regards, Email: < WORK : Teagasc, c/o 1 Esker Lawns, Lucan, Dublin, Ireland Mobile: 353-; [in the Republic: 0] HOME : 1 Esker Lawns, Lucan, Dublin, Ireland Tel : 353-; [in the Republic: 0] WWW : http://homepage.eircom.net/~progers/searchap.htm Chinese Proverb: " Man who says it can't be done, should not interrupt man doing it " Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2004 Report Share Posted October 19, 2004 Hi Phil, Not sure I get that one. But yes...it goes without saying that, not all " teeth grinding " falls into the pattern of Liver Qi Stagnation. I would always treat in accordance with the pattern presenting but usually add CV 24 and Si 19 as local points. Kind regards Dermot - " " < <Chinese Medicine > Tuesday, October 19, 2004 3:24 PM Re: Grinding teeth [bruxism] > > Hi All, & Hi Dermot > > Dermot wrote: > > May, It usually manifests within the pattern of Lover Qi Stag, so > > using LV03 and PC06 works well. I would also use CV24 and SI19 > > (both sides). Results are usually very good. > > Ummm ... Dermot, is Lover Qi Stag [a slip of the pen[is]?] the root > cause of the " Seven Year Itch " ? ;-)) > > Google has many hits oon AP & bruxism. See: > http://www.yinyanghouse.com/chinesetheory/etiology-tmj.html > > Bruxism is a symptom/sign of an underlying disorder / imbalance. > It can arise in many TCM patterns, as exemplified in the case > history below. Classical TCM treatment addresses the complete > pattern, not just using points for the teeth / TMJ / jaw / stress. > > See: http://acupuncturejournal.com/AJASple3.html > > " Case 5: Chronic Insomnia: This 45-year-old woman presented with > a history of insomnia of 4 years duration dating from the shock and > grief of losing her husband in a motor vehicle accident. She was > only able to sleep 2 to 3 hours, then was awake the remainder of > the night. Various lifestyle modifications, herbal teas, etc., and > ongoing psychotherapy were ineffective at breaking the cycle. She > is also obese, has chronic sinus headaches, rhinorrhea, bruxism, > irregular menstruation, hot soles of her feet with pain at times, a > painful right eye associated with fatigue, and is under chronic work > related stress. She sought light therapy for help with the insomnia > and stress management. Her tongue revealed a midline crease and > swelling of the sides. Pulse was deficient in Liver and Kidney > positions. > > Violet light was applied to ear point Zero, Shenmen, Master > Cerebral, Tranquilizer, Psychosomatic, Lung, Insomnia 1 and 2, > and body points Yintang, PC-7, HT-7, and LU-9 for a total of 4 > treatments. > > The night of the first treatment, she slept 8 hours, and woke > refreshed with her muscles feeling relaxed. Her sleep pattern > continued to improve, averaging a good night's sleep at least 5 > nights per week. After the third treatment, she remembered a > dream for the first time in years. She also noted relief from the > chronic headaches and rhinorrhea. > > This patient had several syndromes simultaneously as many > people do: Shen disturbance, yin deficiency, dampness and Liver > Qi depression. Appropriate light therapy to key points was able to > start bringing her back to a state of balance, give her substantial > relief, and improve her quality of life. It would have been interesting > to see how many of the seemingly unrelated symptoms would have > improved had she continued treatment. " > > In contrast to Google, Medline has little on AP & bruxism. See > these Abstracts: > > Romoli M, Ridi R, Giommi A. Electromyographic changes in > bruxism after auricular stimulation. A randomized controlled clinical > trial [Article in Italian]. Minerva Med. 2003 Aug;94(4 Suppl 1):9-15. > Federazione Italiana Societa di Agopuntura (F.I.S.A.), Prato. > markro AIM: The aim of this study was to verify in bruxism > patients the possible efficacy of auricular stimulation in reducing > the hypertonicity of some masticatory muscles. METHODS: 43 > bruxism patients were randomly allocated to 3 groups: AP, needle > contact for 10 seconds, no treatment (control). Helkimo's clinical > dysfunction index (CDI) and anamnestic dysfunction index (ADI) > were used to assess the functional state of the masticatory > system. The resting electrical activity of the anterior temporalis > (AT), masseter (MM), digastric (DA) and sternocleidomastoid > (SCM) muscles was measured, according to Jankelson, with > surface electrodes at baseline, after stimulation and continually for > 30 minutes (120 measurements in total). The electromyographical > variations in the 3 groups were studied with t test for independent > samples. RESULTS: AP and needle contact were superior to > control in reducing the muscle hypertonicity of all muscles except > SCM. In the comparison between AP and needle contact the > former showed better results only for the right TA and left DA (p = > 0.000). CONCLUSION: In this study it was possible to measure the > efficacy of the stimulation of only one point or area, which is an > ideal model for research in AP. The auricular area we chose for > stimulation was never used before for the purpose of relaxing > masticatory muscles. AP and needle contact for 10 seconds > showed similar effects. Publication Types: Clinical Trial > Randomized Controlled Trial PMID: 15108607 [PubMed - indexed > for MEDLINE] > > Magalhaes MH, Kawamura JY, Araujo LC. General and oral > characteristics in Rett syndrome. Spec Care Dentist. 2002 Jul- > Aug;22(4):147-50. Department of Oral Pathology, School of > Dentistry, University of Sao Paulo, SP, Brazil. mhcgmaga > Rett syndrome (RS) is a neurodegenerative disorder characterized > by developmental arrest of parts of the brain. It is an X > chromosome-linked condition which affects females almost > exclusively. Recent reports have been generated concerning the > multidisciplinary management of individuals exhibiting Rett > syndrome. The aim of the present report was to provide an update > on the oral manifestations of the disorder. We evaluated the > general and oral characteristics of RS in 13 female patients. The > most frequent manifestations were stereotyped hand movements > and bruxism. The treatment we carried out included the use of > biteplanes and AP. PMID: 12449458 [PubMed - indexed > for MEDLINE] > > Dahlstrom L. Conservative treatment methods in craniomandibular > disorder. Swed Dent J. 1992;16(6):217-30. Public Dental Service, > Molndal, Sweden. Conservative methods should be a basic > treatment principle in CMD. In spite of similar signs and > symptoms, the etiology may vary and treatment should, if possible, > be directed towards the cause, but the management may often just > be mitigating. Counselling may be crucial. Occlusal appliances of > different design obviously influence the muscular activity > significantly but equilibration may include a strong placebo effect. > While relaxation is incompletely investigated, biofeedback seem > possibly effective. The application of physical medicine procedures > is almost entirely empirically based. Experience from other areas > also motivates pharmacotherapy in CMD while intra-articular > injections seem reasonably well founded. Investigations of pain- > alleviating methods like TENS and AP, though sometimes > promising, are often uncontrolled. Manipulation, even if effective, > may not necessarily be a " disc recapturing " manoeuvre. The > results of conservative treatment for joint clicking seem > unpredictable and long-term results of treatment with repositioning > splints are not encouraging. A need for well-controlled, randomised > clinical studies in diagnostic subgroups and controls has been > expressed. Although most patients with CMD can be successfully > treated with different conservative methods, often with remarkably > similar results, other options must be considered for some. > Publication Types: Review Review, Academic PMID: 1481129 > [PubMed - indexed for MEDLINE] > > Goddard G, Karibe H, McNeill C, Villafuerte E. AP and sham AP > reduce muscle pain in myofascial pain patients. J Orofac Pain. > 2002 Winter;16(1):71-6. Department of Pediatric Dentistry, Nippon > Dental University, Tokyo, Japan. goddard AIMS: To > compare the effectiveness of dry needling in classically recognized > AP points ( " AP " ) with dry needling in skin areas not recognized as > AP points ( " sham AP " ) in reducing masseter muscle pain in a > group of patients with myofascial pain of the jaw muscles. > METHODS: Eighteen patients were randomly assigned to 1 of 2 > experimental groups: Ten patients received AP and 8 received > sham AP. A visual analog scale (VAS) was used to measure > changes in masseter muscle pain evoked by mechanical > stimulation of the masseter muscle before and after the > experiment. RESULTS: Both groups showed a statistically > significant reduction in VAS pain scores (P = .001). Seven out of > 10 AP subjects had a 10 mm or greater VAS reduction in pain, > while 4 out of 8 of the sham AP subjects had that great a pain > reduction. There was no significant difference between the 2 > groups. CONCLUSION: Both AP and sham AP reduced pain > evoked by mechanical stimulation of the masseter muscles in > myofascial pain patients. However, this reduction in pain was not > dependent on whether the needling was performed in standard AP > points or in other areas of the skin. These results suggest that pain > reduction resulting from a noxious stimulus (i.e., needling) may not > be specific to the location of the stimulus as predicted by the > classical AP literature. Publication Types: Clinical Trial > Randomized Controlled Trial > PMID: 11889662 [PubMed - indexed for MEDLINE] > > McMillan AS, Nolan A, Kelly PJ. The efficacy of dry needling and > procaine in the treatment of myofascial pain in the jaw muscles. J > Orofac Pain. 1997 Fall;11(4):307-14. Department of Restorative > Dentistry, University of Newcastle, Newcastle upon Tyne, United > Kingdom. In patients with myofascial pain, painful trigger points are > often treated using dry needling and local anesthetic injections. > However, the therapeutic effect of these treatments has been > poorly quantified, and the mechanism underlying the effect is > poorly understood. In a randomized, double-blind, double-placebo > clinical trial, a pressure algometer was used to measure pain- > pressure thresholds in the masseter and temporalis muscles of 30 > subjects aged 23 to 53 years with myofascial pain in the jaws, > before and after a series of dry needling treatments, local > anesthetic injections, and simulated dry needling and local > anesthetic treatments (treatment group A: Procaine + simulated > dry needling; treatment group B: dry needling + simulated local > anesthetic; control group C: simulated local anesthetic + simulated > dry needling). Subjects rated pain intensity and unpleasantness > using visual analogue scales, and the data were analyzed using > analysis of variance. Pain pressure thresholds increased slightly > after treatment, irrespective of the treatment modality. Pain > intensity and unpleasantness scores decreased significantly at the > end of treatment in all groups. There were no statistically > significant between-group differences in pain pressure thresholds > and visual analogue scale scores at the end of treatment. The > findings suggest that the general improvement in pain symptoms > was the result of nonspecific, placebo-related factors rather than a > true treatment effect. Thus, the therapeutic value of dry needling > and Procaine in the management of myofascial pain in the jaw > muscles is questionable. Publication Types: Clinical Trial > Randomized Controlled Trial PMID: 9656906 [PubMed - indexed for > MEDLINE] > > Sugimoto K, Konda T, Shimahara M, Hyodo M, Kitade T. A clinical > study on SSP (silver spike point) electro-therapy combined with > splint therapy for temporo-mandibular joint dysfunction. AP > Electrother Res. 1995 Jan-Mar;20(1):7-13. Department of Oral > Surgery, Osaka Medical College, Japan. When the functional limits > of the muscles related to the temporo-mandibular joint and > adjacent tissue exceed their anatomical capability, pain, > crepitation, and functional abnormality appear as the main > complaints. Although the precise nature of the condition is > unknown, pain at the temporo-mandibular joint sometimes in > combination with muscular tension is assumed to be due to > compression of the myoneural mechanism. It is reported that > occlusal lifting using a splint enables the alleviation of this > muscular tension. On the other hand, there are only a few reports > on the usefulness of SSP therapy for Temporo-Mandibular Joint > Dysfunction. We studied the efficacy of SSP therapy combined > with splint therapy in 33 patients diagnosed as having Temporo- > Mandibular Joint Dysfunction who consulted our department > primarily due to pain, and report our findings below. Evaluation of > the results was conducted 2 weeks later. Very beneficial results > were seen in 6 cases. Beneficial results were seen in 7 cases. > Slightly beneficial results were seen in 18 cases, while there were > no changes found in 2 cases. When combined SSP and splint > therapies were conducted for Temporo-Mandibular Joint > Dysfunction, favorable results were seen in about 90% of the > cases. PMID: 7572330 [PubMed - indexed for MEDLINE] > > McMillan AS, Blasberg B. Pain-pressure threshold in painful jaw > muscles following trigger point injection. J Orofac Pain. 1994 > Fall;8(4):384-90. Department of Clinical Dental Sciences, Faculty > of Dentistry, University of British Columbia, Vancouver, Canada. > Pain and tenderness at trigger points and referral sites may be > modified in subjects with myofascial pain in the head and neck > region by injecting local anesthetic into active trigger points, but > the effect of injection on jaw muscle pain-pressure thresholds has > not been measured. The mechanism by which trigger-point > injection affects muscle tenderness is also unclear and may be > related to the " hyper-stimulation analgesia " induced by stimulation > of an AP point. A pressure algometer was used before and after an > active trigger point injection in the masseter to measure the pain- > pressure threshold in the masseter and temporal muscles of 10 > subjects with jaw muscle pain of myogenous origin. The pain- > pressure threshold in the masseter and temporal muscles was also > measured in a matched control group before and after an AP-point > injection in the masseter. The pain-pressure threshold was > significantly lower in myofascial pain subjects than in control > subjects at all recording sites. Pain-pressure thresholds increased > minimally in the masseter after trigger-point injection, whereas the > temporal region was relatively unaffected. In the control group, the > pain-pressure threshold increased significantly at all recording sites > in the masseter after AP-point injection. Although local anesthetic > injection acts peripherally at the painful site and centrally where > pain is sustained, pain-pressure thresholds were not dramatically > increased in myofascial pain subjects, in contrast to controls. This > suggests that in subjects with myofascial pain, there was > continued excitability in peripheral tissues and/or central neural > areas which may have contributed to the persistence of jaw muscle > tenderness. PMID: 7670426 > [PubMed - indexed for MEDLINE] > > List T. AP in the treatment of patients with craniomandibular > disorders. Comparative, longitudinal and methodological studies. > Swed Dent J Suppl. 1992;87:1-159. Department of Prosthetic > Dentistry, Faculty of Odontology, University of Goteborg, Sweden. > The aim of the thesis was to compare the short- and long-term > effects of AP and occlusal splint therapy in patients with > craniomandibular disorders (CMD). One hundred and ten patients, > 23 males and 87 females, participated in the study. All patients > exhibited moderate or severe signs and symptoms of CMD and had > had pain for more than six months. The participants were randomly > assigned to three groups: AP, occlusal splint therapy or control. > Ten different subjective and/or clinical assessment variables were > used in the evaluation of the treatment effect. Immediately after > treatment, AP and occlusal splint therapy had reduced the > symptoms as compared with the control group which remained > essentially unchanged. AP gave better subjective results than > occlusal splint in the short-term. In the 12-month long-term follow- > up, 57% of the patients who received AP and 68% of the patients > who received occlusal splints benefitted subjectively and clinically > from the treatment. There were no statistically significant > differences between the two groups in any of the assessment > variables. Those patients who received various additional therapies > following AP and/or occlusal splints rarely responded favorably to > additional treatment. No serious adverse events or complications > were observed in the study. AP seems to have adverse events of a > more general nature whereas adverse events of the occlusal splint > seem to be more related to the orofacial region. The majority of the > patients responded positively to the comfort of both treatment > modes. In order to measure tenderness (pressure pain threshold, > PPT) more objectively, the usefulness of an algometer was > evaluated. A good reliability and validity was found for the > algometer in recording the PPT in the masticatory muscles. The > reliability was further improved by connection of a stopwatch to the > algometer so that the pressure rate could be kept within > acceptable limits. A moderate but statistically significant > correlation was found between PPT and clinical and subjective > variables. The algometer was sensitive enough to detect pre- and > post-treatment changes. A statistically significant reduction in > tenderness was found immediately after and at the 6-month follow- > up for both treatment modes. This series of studies showed that > AP gave results similar to those of occlusal splint therapy in > patients with primarily myogenic CMD symptoms over a 1-year > period. Publication Types: Clinical Trial Randomized Controlled > Trial PMID: 1492307 [PubMed - indexed for MEDLINE] > > Jensen LB, Tallgren A, Troest T, Jensen SB. Effect of AP on > myogenic headache. Scand J Dent Res. 1977 Sep;85(6):456-70. > The purpose of the investigation was to study the effect of AP on > myogenic headache and to examine whether electromyographic > recordings of jaw muscle activity would provide objective evidence > of the effect of such treatment. In 21 dental students, 14 males and > seven females, with a history of 2--10 years of headache, AP was > performed unilaterally in the foot between the 4th and 5th > metatarsal bones (G 41). The needle was inserted to a depth of 10-- > 15 mm and moved continuously by hand for 15--20 min. > Electromyographic recordings of postural activity in the right and > left anterior temporal and masseter muscles were obtained in the > same sitting before, during and after AP treatment. In clinical > controls 24 h, 1 month and 4 months after the treatment, 12 > subjects reported considerable improvement, two variable results, > and seven no change. The electromyographic recordings showed > an average decrease in postural activity during AP, particularly of > the temporalis muscles, and a further decrease after completed > treatment. However, marked individual variations in muscular > response were noted. The results indicate that AP treatment can > relieve headache, and that electromyographic recordings may > provide objective evidence of the effect of AP. PMID: 271343 > [PubMed - indexed for MEDLINE] > > > Best regards, > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2004 Report Share Posted October 19, 2004 I thought grinding teeth was to do with the Shen. As the mind isn't settled, the teeth can grind together. Attilio Chinese Medicine , " Dermot O'Connor " <dermot@a...> wrote: > > Hi Phil, > > Not sure I get that one. But yes...it goes without saying that, not all > " teeth grinding " falls into the pattern of Liver Qi Stagnation. > > I would always treat in accordance with the pattern presenting but usually > add CV 24 and Si 19 as local points. > > Kind regards > > Dermot Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2004 Report Share Posted October 19, 2004 Hi Attilio et al, > > I thought grinding teeth was to do with the Shen. As the mind isn't > settled, the teeth can grind together. > > Attilio > I personally had a grinding teeth problem which did not subside until my " Shen " took a new course. How to treat the Shen? Yesterday, a friend of mine came over because she had problems breathing. I took her through some simple movement and breathing exercises and then had her lie down. I then took a few moments to " remove " cold qi from her body and placed my hands on her abdomen (Hun) and her Lungs (Po) and rested my hands there until I felt the tell-tale " wave of energy " moving from her Hun to her Po as it passed through her Shen. And then she rested. A couple of years ago I read this very fine article on the nature of the Shen: http://www.acupuncturetoday.com/archives2003/jan/01jiang.html " If we are trying to determine which organ an emotion comes from, the answer will always be the same: all emotions originate in the heart. Chapter eight of the Su Wen states, " The heart holds the office of monarch, whence the spirit light (shen ming) originates. " If we think of this " spirit light " as consciouness, we can say that all emotions originate from within our consciousness. ... So long as the heart and tis consciousness are functioning normally, the emotions will remain peaceful, live a well-governed country. But if the heart and consciousness are disordered, any emotion can surface: not just joy, but anger, sadness, pensiveness, fear; and so on, just like a country at war. " " Chapter 71 of the Ling Shu states, " The heart is the monarch of the five zang and six fu, and houses the essential spirit (jing shen). " In the Ming Dynasty classic Lei Jing, the physician Zhang Jie Bin interpreted this to mean that while different emotions can _gravitate_ to different organs and damage them, all emotions _originate_ in the hert and ultimately cause some damage to it. .. Because they [the emotions] all originate with the heart, the heart is ultimately damaged by them. For this reason, treatment of emotional problems must always include the heart. " " According to chapter eight of the Ling Shu, the liver often works with the heart to generate emotions because " that which goes hither and thither with the spirit is called the soul (hun). " Since the soul is stored in the liver and the spirit is stored in the hear, these two organs work together in the process of creating disordered emotional states. " Regards, Rich Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 20, 2004 Report Share Posted October 20, 2004 Dermot O'Connor wrote: > > Hi Phil, > > Not sure I get that one. Hi Dermot! You had written " Lover " instead of " Liver " , Phil had remarked on it. Get it now? Regards, Pete Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 20, 2004 Report Share Posted October 20, 2004 Yes Pete....Freud would have something to say I'm sure - " Pete Theisen " <petet <Chinese Medicine > Wednesday, October 20, 2004 2:45 AM Re: Re: Grinding teeth [bruxism] > > > Dermot O'Connor wrote: > > > > Hi Phil, > > > > Not sure I get that one. > Hi Dermot! > > You had written " Lover " instead of " Liver " , Phil had remarked on it. Get > it now? > > Regards, > > Pete Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2004 Report Share Posted October 21, 2004 Dermot O'Connor wrote: > > Yes Pete....Freud would have something to say I'm sure Hi Dermot! :-) Regards, Pete Quote Link to comment Share on other sites More sharing options...
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