Published March 30, 2025
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Managing MPDS: Non-Invasive Approaches to Trigger Point Deactivation
- 1. International Journal of Dental Science and Innovative Research (IJDSIR)
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Abstract
Myofascial Pain Dysfunction Syndrome (MPDS) is a chronic condition affecting the masticatory muscles, characterized by the presence of myofascial trigger points (MTrPs) leading to pain and restricted jaw function. Traditional treatments often involve invasive procedures, but non-invasive approaches are gaining recognition for their effectiveness in managing symptoms with minimal side effects. This review explores various non-invasive methods, including physical therapy, massage, heat and cold applications, ultrasound therapy, transcutaneous electrical nerve stimulation (TENS), acupuncture, cognitive behavioral therapy, and ergonomic modifications. These approaches provide significant relief by deactivating trigger points, enhancing muscle function, and improving the overall quality of life for MPDS patients. A multidisciplinary approach incorporating these methods can optimize treatment outcomes.
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- 1. Travell JG, Rinzler SH. The myofascial genesis of pain. Postgrad Med 1952;11:425–34. 2. Okeson JP. Management of temporomandibular disorders and occlusion. 6th ed. UK: Mosby Inc; 2008. 3. eite F, Atallah A, El Dib R, Grossmann E, Januzzi E, Andriolo RB, et al. Cyclobenzaprine for the treatment of myofascial pain in adults. Cochrane Database Syst Rev 2009;3:CD006830. 4. Wheeler A, Aaron G. Muscle pain due to injury. Curr Pain Headache Rep 2001; 5:441–446. 5. Laskin DM. Etiology of the pain-dysfunction syndrome. J Am Dent Assoc 1969;79(1):147-153. 6. Reji R, Krishnamurthy V, Garud M. Myofascial pain dysfunction syndrome: a revisit. J Dent Med Sci 2017;16(1):13-21. 7. Arora P, Goswami R, Raman S, Jain P. The enigma of myofascial pain dysfunction syndrome. Int J Adv Sci Res 2015;1(1):1-4. 8. Pal US, Singh N, Singh G, Singh M. Trends in management of myofascial pain. Natl J Maxillofac Surg 2014;5(2):109–116. 9. Nirupama S, Suvarna NJ, Rashmi PV, Poonja P, Bhandarkar GP, Kashyap RR, et al. Myofascial Pain Dysfunction Syndrome: A Review. ARC Journal of Dental Science 2018;3(3):1-4. 10. Fricton JR, Kroening R, Haley D, Siegert R. Myofascial pain syndrome of head and neck: a review of clinical characteristics of 164 patients. Oral Surg Oral Med Oral Pathol 1985;60(6): 615-623. 11. Lacey P, Dodd G, Shannon D. A double blind, placebo controlled study of piroxicam in the management of acute musculoskeletal disorders. Eur J Rheumatol Inflamm 1984;7:95–104. 12. Malanga G, Gwynn M, Smith R, Miller D. Tizanidine is effective in the treatment of myofascial pain syndrome. Pain Physician 2002;5:422–432. 13. Amlie E, Weber H, Holme I. Treatment of acute low-back pain with piroxicam: results of a double-blind placebo-controlled trial. Spine (Phila Pa 1976) 1987;12:473–476. 14. Crofford LJ, Rowbotham MC, Mease PJ, Russell IJ, Dworkin RH, Corbin AE, et al. Pregabalin for the treatment of fibromyalgia syndrome. Arthritis Rheum 2005;52:1264–1273. 15. Borg-Stein J. Treatment of fibromyalgia, myofascial pain, and related disorders. Phys Med Rehabil Clin N Am 2006;17:491–510. 16. Plesh O, Curtis D, Levine J, McCall W Jr. Amitriptyline treatment of chronic pain in patients with temporomandibular disorders. J Oral Rehabil 2000;10:834–841. 17. Fallah H, Currimbhoy S. Use of botulinum toxin A for treatment of myofascial pain and dysfunction. J Oral Maxillofac Surg 2012;70:1243–1245. 18. Hong C. Lidocaine injection versus dry needling to myofascial trigger point. The importance of the local twitch response. Am J Phys Med Rehabil 1994; 73:256–263. 19. del Moral OM. Dry needling treatments for myofascial trigger points. J Musculoskelet Pain 2010; 18:411–416. 20. Gam A, Johannsen F. Ultrasound therapy in musculoskeletal disorders: a meta-analysis. Pain 1995; 63:85–91. 21. Pujol J, Pascual-Leone A, Dolz C, Delgado E, Dolz J, Aldoma J. The effect of repetitive magnetic stimulation on localized musculoskeletal pain. Neuroreport 1998;9:1745–1748. 22. Crockett D, Foreman M, Alden L, Blasberg B. Comparison of treatment modes in the management of myofascial pain dysfunction syndrome. Biofeedback Self Regul 1986;11:279–291. 23. Ceylan Y, Hizmetli S, Siliğ Y. The effects of infrared laser and medical treatments on pain and serotonin degradation products in patients with myofascial pain syndrome. A controlled trial. Rheumatol Int 2004;24:260–263. 24. Dylina TJ. A common-sense approach to splint therapy. J Prosthet Dent 2001;86:539–45.