Myofacial pain dysfunction syndrome causes pain, disturbance in jaw movements, and muscle spasms. MPDS is caused by hyperexcitation of peripheral sensory neurons as it produces spasms in the masticatory muscles. Malocclusion, jaw clenching, bruxism, stress, anxiety, etc., are the causes of MPDS. Treatments include rehabilitation, splints, physical therapy, transcutaneous electrical nerve stimulation therapy, etc.
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Query: Hi doctor, My mother, aged 47 years, has pain in the back of her head for more than a week. We did not give her Panadol because it does not suit her intestine. She also takes medications like Anafranil, Zestoretic, and Inderal for anxiety and blood pressure. She also gets panic attacks sometimes, a... Read Full »
Answer: Hi, Welcome to icliniq.com. It seems she has cervical myogenic pain syndrome. Therefore, I recommend that she take Eperisone 50 mg thrice daily for five days, Celecoxib 200 mg twice a day for three days, and apply Indomethacin gel on the affected area as needed for pain. In addition, since she... Read Full »
Query: Hi doctor, For the past four years, I have been suffering from debilitating muscle tightness and pain. I have muscle knots or taut bands everywhere in my body. They can be felt with the fingers. I have tried all conventional therapy without success. As a last resort, I want to try a 1 to 2 week tri... Read Full »
Answer: Hello, Welcome to icliniq.com. As per your history, my provisional diagnosis would be 1. Myofascial pain syndrome (MPS) 2. Fibromyalgia with little more inclination towards MPS. Both are chronic painful conditions. You have tried all oral muscle relaxants, antidepressants, anticholinergics, an... Read Full »
Query: Hi doctor, I have jaw pain while clenching my jaw together and opening my mouth wide. It has pained only on the left side where my two jaw bones meet in the back of the mouth or jaw. I took Advil and the pain has reduced. May I know the reason for this? Please explain. Read Full »
Answer: Hi, Welcome to icliniq.com. The pain you are experiencing may be because of soreness of your masticatory muscles, the muscles used during eating and chewing. Consult your dentist for a physical evaluation to eliminate malocclusion (imperfect positioning of tooth), tooth caries or abscess in the mou... Read Full »