Orofacial Pain Clinic
Specialized treatments in Orofacial Pain and Mandibular Cervical Skull Dysfunction. Cervical and jaw pain is the object of study and treatment in this clinic.
TMJ PHYSICAL THERAPY
We perform an Individualized Assessment of each case to offer a Treatment according to the pathology presented by each patient.
Professionals trained specifically in the diagnosis and treatment of Mandibular Cervical Skull Dysfunction and Orofacial Pain.
Monday to Friday: 9:00 a.m. to 9:00 p.m.
Saturdays and Sundays: Closed.
Contact telephone number: (+34) 91 755 39 35 |(+34) 630 637 510
DISORDERS OF THE TEMPOROMANDIBULAR JOINT (MUSCLE PAIN, ARTICULAR, …).
CERVICAL PAIN AND TEMPOROMANDIBULAR DYSFUNCTION.
MAXILLOFACIAL PHYSIOTHERAPY: REHABILITATION PRE AND POST OPERATIVE.
HEADACHE AND MIGRAINE.
Currently, Physical Therapy is the treatment of choice in TMJ and Orofacial Pain at Cervico-Mandibular Disorders, for the efficiency shown,
as well as for constituting a Conservative and Reversible Treatment.
Recently it has been shown that pain in the upper third of the body, is one of the most disabling and that more health care costs.
All the techniques used are aimed at alleviating the Cervical and Mandibular Pain of the Patient and try to restore the Normal Function to eliminate that Dysfunction that in many occasions is generating the Pain.
The Treatments carried out are currently the ones with the greatest Scientific Evidence in the Treatment of Cervical and Mandibular Pathologies.
Through the initial diagnosis that we made in the first appointment, we obtain the necessary data to adapt the Treatment to the needs of each person in particular according to their ailments. Integrating a multidisciplinary team.
We have different Treatment Techniques that can be applied in each specific Pathology, after carrying out the Evaluation you will be informed of the most appropriate Treatment, based on Maxillofacial Physiotherapy.
We have equipment to corroborate or rule out certain pathologies in the clinic. For this we first perform a complete clinic history of the patient, orthopedic tests to check the dysfunction.
If necessary to corroborate the diagnosis, we have ultrasound to visualize the state of the musculature or the disc of the TMJ, the ultrasound unlike other methods allows us to visualize the structures during the movement or function and we can mobilize the tissues including to see their behavior or status before them.
During certain treatments we use ultrasound to be able to successfully locate the structures that we will treat with dry needling.
Ultrasound is currently the diagnostic method of choice for soft tissue, we also obtain the results at the same time without needing unnecessary waiting.
We combine different types of TMJ treatments, supported by different scientific studies on the Cervico Mandibular Cervico, Orofacial Pain and TMJ (TemporoMandibular Joint)
We use different measurement techniques for the Diagnosis of Pathologies in the Cervical Mandibular Cranium and Chronic Orofacial Pain.
Manual Therapy for the Craneo-Cervico-Mandibular level
Manual therapy on the cranio-cervico-mandibular complex that returns a normal movement to the area to try to reduce the pain and restore the correct functioning.
TMJ treatment techniques
Manual Therapy on the ATM
improvement of joint biomechanics
Manual therapy supposes an effective treatment in the therapies on the ATM, the physiotherapy for the treatment of the dysfunction of the ATM bases the treatment in the manual therapy.
Physiotherapy plays a fundamental role in the treatment of TemporoMandibular Dysfunction (TMD), returning to the tissues the mechanical capacities so that they can perform their function again.
The objectives of physiotherapy are to promote tissue repair, improve function and treat pain. The treatment should be based on fundamental criteria such as diagnosis, pain mechanisms, clinical situation, psychosocial aspects involved and should always take into account the patient’s preferences.
Manual therapy is defined as a “clinical approach that uses precise manual techniques, including, but not limited to manipulation / mobilization techniques, and which are practiced by physiotherapists to diagnose and treat soft tissues and joint structures for the purpose of to obtain a modulation in pain; increase the range of movement; reduce or eliminate inflammation of the soft tissues; induce relaxation; improve the repair of contractile and non-contractile tissues, their extensibility, and / or stability; facilitate movement; and improve the function. ”
the use of dry needling on the musculature for the treatment of trigger points.
The physiological mechanisms that explain the benefits of dry needling are still unknown.
Changes in the modulation of pain have been observed both peripherally and centrally (Nervous System). After a multitude of investigations, it is postulated that dry needling acts through neural signaling, with the possible participation of brain substances and sensitive areas have been identified in the central nervous system.
In the last decade, scientists began to investigate with functional Magnetic Resonance and saw that with real dry needling (no placebo) there were changes in the modulation of activity in specific areas of the brain, including somatosensory cortex, limbic system, ganglia basal, brainstem and cerebellum.
The guidelines of the American Academy of Orofacial Pain on temporomandibular dysfunction recommend the use of dry needling for the treatment of pain and the improvement of joint function.
There are numerous scientific articles, such as meta-analysis and systematic reviews that support the use of the same in the treatment of orofacial pain and temporomandibular dysfunction (ATM treatment and mandibular musculature).
Controlled exercises for cervical stability
Through a specific program of cervical exercises, we try to improve the craniocervical stability, both the flexor and extensor musculature.
In most cases the lack of coordination between the deep and superficial cervical musculature results in microtrauma on the joints between vertebrae that have a harmful effect and increase both cervical and head pain (headache).
Controlled exercises for the improvement of the cranio-cervical stability
Stabilizer is a tool that allows us, on the one hand, to evaluate the condition of the deep cervical flexor musculature, as well as its treatment through specific controlled exercise.
Through biofeedback we get the activation of the stabilizing muscles of the cervical and decrease the activity of the superficial muscles, which allows the improvement of the specific movement of the cervical segment.
Cervical pain acts on the deep muscles, inhibiting their contraction capacity, which is why the implementation of contraction capacity is one of the objectives of treatment.
When we obtain a coordinated movement where the musculature works in a coordinated manner, we diminish the microtrauma that sometimes cause cervical pain.
In addition, in most situations of cervical instability, the cervical musculature itself develops pain due to sensitization and overuse. That is why controlled therapeutic exercise generates pain reduction and improvement of function.
In most cases, pain is part of the pathologies present in the head and neck, what we usually call craniomandibular dysfunction. When the pain responds to tissue damage it is evident that it is part of an alert system that is set in motion to try to prevent us from doing more damage. Although, when the tissue damage disappears, the normal thing would be that the pain disappears, sometimes that is not the case and a chronic pain process begins that not only represents the presence of pain maintained over time but a series of associated emotional alterations. to the pain that transform the biological responses of our organism to the painful experience.
It is not as it is sometimes thought a psychological alteration, but biological of the brain structures involved in the pain, either in the transmission or in the interpretation of it.
That is why knowing in some degree of depth these mechanisms, possible failures and how to deal with this situation has proven to be a fundamental tool in the treatment of patients with pain that allows them to acquire and maintain skills that help them manage their lives optimally with your disease, while trying to restore with the rest of the techniques those tissues that are involved in the pain.