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Temporomandibular Dysfunction and the Cranio-Cervico-Pelvic Axis: A Neurofunctional Integrative Perspective

🧠 Temporomandibular Dysfunction and the Cranio-Cervico-Pelvic Axis: A Neurofunctional Integrative Perspective Temporomandibular disorders (TMD) have historically been approached from a dental perspective, focusing on occlusion, dental alignment, and splint therapy. However, recent decades have witnessed a paradigm shift driven by advances in pain neuroscience, functional biomechanics, and physical medicine. This new paradigm recognizes the temporomandibular …

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TMJ Disorders and Whole-Body Impact: A Multidisciplinary Strategy for Lasting Relief

Temporomandibular Joint (TMJ) Disorders Temporomandibular joint (TMJ) disorders have long been underestimated as localized dental or muscular problems. However, advances in pain neuroscience and biomechanical analysis have revealed that TMJ dysfunction can trigger a cascade of musculoskeletal imbalances that affect the patient systemically. Jaw pain is often just the beginning. Tension headaches, persistent neck pain, …

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Intramuscular Stimulation (AIMS): A Neurofunctional Approach to Refractory Myofascial Pain

A significant number of chronic pain patients go through years of consultations and diagnostic imaging without a clear explanation for their symptoms. Standard treatments—painkillers, physical therapy, even surgery—often fail to deliver lasting relief. In many of these cases, the underlying problem is not structural but functional, specifically neuromuscular. Intramuscular Stimulation (AIMS) is an advanced therapeutic …

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Multimodal Management of Temporomandibular Joint Pain: Integrating Physical Therapy, Laser Therapy, and Ultrasound-Guided Injections for Lasting Relief

Temporomandibular joint (TMJ) pain is a prevalent cause of orofacial dysfunction that significantly impacts patient quality of life. While most temporomandibular disorders (TMD) are of non-inflammatory musculoskeletal origin, a substantial proportion of patients develop complex, treatment-resistant conditions. Successful management requires an integrative therapeutic approach combining specialized physical therapy, low-level laser therapy, ultrasound-guided injection techniques, and …

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Shockwave Therapy for Tendon and Joint Disorders: Regenerating Painful Tissues Without Surgery

Shockwave Therapy, also known as Extracorporeal Shockwave Therapy (ESWT), is one of the most significant advancements in modern physical medicine and rehabilitation. Originally developed in urology to disintegrate kidney stones, its application in musculoskeletal medicine is now supported by strong clinical evidence. Today, it’s considered a first-line, non-invasive treatment for chronic tendinopathies, persistent joint pain, …

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Ultrasound-Guided Injections vs. Fluoroscopic Guidance: A Clinical Comparison in Precision Pain Medicine

Interventional pain medicine has advanced significantly in recent decades, integrating imaging technologies that enable procedures to be performed with greater safety, accuracy, and patient-specific adaptation. Two of the most widely used modalities for image-guided pain interventions are ultrasound and fluoroscopy. Both are highly effective, but choosing the right one depends on clinical goals, anatomical considerations, …

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