Questions and 100% Correct Answers
______________ is a decrease in the velocity and range of mandibular movement. THe
full range of movement cannot be achieved by the patient. Passive stretching by the
examiner can often achieve a more normal range of movement
______________________ - Answer Structural dysfunction
Soft end feel
What is the general goal of therapy for local myalgia? - Answer To reduce sensory input
that can lead to cyclic muscle pain
What are the main ways to reduce sensory input that can lead to local myalgia? (4) -
Answer Eliminate any ongoing altered sensory or proprioceptive input
Educate patient and encourage self regulation
Occlusal appliance therapy
Consider use of mild analgesics (ibuprofen, muscle relaxants, cyclobenzaprine)
What are ways to educate patient and encourage physical self regulation for local
myalgia? (4) - Answer Decrease jaw use to within painless limits (Soft food, slow
chewing, smaller bites)
Stimulate proprioceptors with normal muscle use
Promote emotional stress awareness/reduction
Encourage reduction of non-functional tooth contacts (cognitive awareness)
When should you expect results for treatment of local myalgia? - Answer 1-3 weeks
If local myalgia treatment is not successful consider? (2) - Answer Etiology factors are
not being controlled
, Misdiagnosed disorder
Protracted, regional, myogenous pain condition characterized by local areas of firm,
hypersensitive bands of muscle tissue (trigger points). - Answer Myofascial pain
Heterotopic pains are a characteristic of what condition - Answer myofascial pain
Myofascial pain etiology (6) - Answer Continued source of pain input
Continued increased levels of emotional stress
Sleep disturbances
Systemic factors (Viral infections, hypovitaminosis, poor physical conditioning, fatigue)
Local factors (muscle strain, habits, posture, chilling)
Idiopathic trigger point mechanisms
Systemic factors leading to myofascial pain? (4) - Answer Viral infections
Hypovitaminosis
Poor physical conditioning
Fatigue
Local factors leading to myofascial pain? (4) - Answer Muscle strain
Habits
Posture
Chilling
The concept of myofacial pain is? - Answer Managment and NOT cure