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Clinical Consideration of Trigger Point Injection/Dry Needling Therapy: A Narrative Review

Journal of Oral Medicine and Pain 2017³â 42±Ç 3È£ p.53 ~ 61
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Á¤À籤 ( Jung Jae-Kwang ) - Kyungpook National University School of Dentistry Department of Oral Medicine
º¯Áø¼® ( Byun Jin-Seok ) - Kyungpook National University School of Dentistry Department of Oral Medicine
ÃÖÀç°© ( Choi Jae-Kap ) - Kyungpook National University School of Dentistry Department of Oral Medicine

Abstract


Myogenous temporomandibular disorder is a collective term for pathologic conditions of the masticatory muscles, mainly characterized by pain and dysfunction associated with various pathophysiological processes. Among the subtypes of myogenous temporomandibular disorder, myofascial pain is one of the most common muscle disorders, characterized by the presence of trigger points (TrPs). Various modalities, such as ultrasound, manipulative therapy, spray-and-stretch technique, transcutaneous electrical nerve stimulation, injection/dry needling, and low-level laser therapy are used to inactivate TrPs. Needling/injection on the TrPs is one of the most common treatments for myofascial pain. Despite the evidence, there is continued controversy over defining the biological and clinical characteristics of TrPs and the efficacy of injection/dry needling. This review discusses the current concept of injection/needling to relieve TrPs.

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Dry needling; Injections; Temporomandibular disorders; Trigger points

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