HA's and facial pain

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HA's and facial pain

Postby matt » Mon Sep 12, 2011 4:01 pm

We are currently treating a patient who has complaints of headaches and severe facial pain/numbness. What techniques other than myofascial release and TMJ mobs can be used?
matt
 
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Re: HA's and facial pain

Postby Sillevis » Mon Sep 12, 2011 8:31 pm

Matt,
Inorder to identify what treatments need or can be used in your patients case you first need to identify what the dysfunction is that results in this patients case. Can you provide some more information about this case? how is the high cervical spine? What about the muscular issues such as the DNF?
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Re: HA's and facial pain

Postby matt » Thu Sep 15, 2011 7:23 am

The patient has a hypomobility of OA in flexion and a hypomobile C2-3 and C3-4, a poppindg of her TMJ on the right, and hypertonicity of the right SCM. Her symptoms are consistent with Bell's palsy.
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Re: HA's and facial pain

Postby Sillevis » Thu Sep 15, 2011 9:38 pm

Not sure how Bell's pulsy and cervical facet related issues correlate. Can you expand on this? Facial numbness could be related to the C1-C3 complex due to the relationship with the trigeminus nerve.
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Re: HA's and facial pain

Postby cpendo » Tue Sep 20, 2011 9:10 pm

I have had positive effects from doing gentle MFR to the face such as following the trigeminal nerve pathways starting near the TMJ, also have found that doing high cervial mobilization, SOR and TP releases in suboccipital as well as suboccipital stretching. (gentle)
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Re: HA's and facial pain

Postby Sillevis » Sat Sep 24, 2011 12:29 am

Not sure what SOR stands for..Is there any evidence for the use of myofascial techniques to the face and improvement in nerve function? what is your rationale for this? What kind of mobilizations do you use?
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Re: HA's and facial pain

Postby cpendo » Wed Oct 26, 2011 12:32 pm

SOR stands for Suboccipital release techinques and technically there is no clinical findings that I have found other than through practical use that says that doing MFR on the face can increase any stimulations with the nerve, however, any stimulation to a nerve cant hurt if it doesnt cause pain, and if there are myofascial restrictions that are restricting the nerve then simply doing myofascial release tchniques may in turn decrease pain or irritation to the nerve. Wouldnt myofascial stretching manually still be able to attain some of the same effects as nerve gliding?
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Re: HA's and facial pain

Postby Maddox » Thu Mar 22, 2012 1:58 pm

Hi Matt
I am curious- how is the patients thorcic mobility and upper quadrant posture? I have treated alot of pts who have had hypomobility in the upper thoracic area- otherwise they cant completely go into extension. If this is the case, then additional compression can be applied to CSA and subocc areas, therefore aggrevating some of the symptoms.
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