CHIROPRACTIC MANAGEMENT OF ATYPICAL HARD-PALATE PAIN: A CASE REPORT
Main Article Content
Keywords
Orofacial Pain, Palate Pain, Laser Therapy, Chiropractic Manipulation
Abstract
Objective: To illustrate an exploratory trial of therapy provided to a patient with severe hard-palate pain presenting to an outpatient chiropractic clinic, and the clinical rationale regarding therapy associated with the exhibited case.
Clinical Features: A 76-year-old male had a 2-year history of hard-palate pain centering posterior to the left lateral incisor, following an insidious onset. The patient had seen past healthcare providers for the complaint and subsequently sought chiropractic care. The Patient-Specific Functional Scale (8/10) and Numeric Pain Rating Scale (8/10) were used as outcome assessments.
Intervention Outcomes: The chiropractic interventions included chiropractic manipulative therapy (CMT), craniofacial manual therapies, and laser therapy; a reduction of pain centering around the hard-palate was exhibited. The patient demonstrated mild reductions in pain, chronicity, and continuous involvement regarding his presenting complaint.
Conclusion: Following a trial of chiropractic care, a 25% reduction in the patient’s condition was noted. Ultimately, this suggests that these interventions may be therapeutically beneficial for such a unique presentation. However, further analysis and research is warranted.
Downloads
References
2. Aggarwal VR, Joughin A, Zakrzewska JM, Crawford FJ, Tickle M: Dentists’ and specialists’ knowledge of chronic orofacial pain: results from a continuing professional development survey. Prim Dent Care 2011;18:41–44
3. Ho C, Khan S, Garza I. Overview of craniofacial pain. UpToDate, 2021
4. Harrison D, English J, Engstrom J, Hauser S Josephson S. Harrison’s neurology in clinical medicine. New York: McGraw-Hill Medical Pub. Division 2006:341-348
5. Souza, T. Differential diagnosis and management for the chiropractor. Jones & Bartlett Learning, 2018:867-873
6. Simons D, Travell J, Myofascial pain and dysfunction: the trigger point manual vol 1, 2nd ed. Rose Tree Corporate Center, PA 1999.
7. Bookout GP, Ladd M, Short RE. Burning mouth syndrome. [Updated 2021 Feb 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan.
8. Rubis LM, Rubis D, Winchester B. A collaborative approach between chiropractic and dentistry to address temporomandibular dysfunction: a case report. J Chiropr Med 2014;13(1):55-61 Doi:10.1016/j.jcm.2013.10.003
9. Mehta N, Keith D. Temporomandibular disorder in adults. UpToDate, 2021
10. Ho C, Khan S, Whealy M. Trigeminal neuralgia. UpToDate, 2021
11. Taiminen T, Kuusalo L, Lehtinen L, et al. Psychiatric (axis 1) and personality (axis11) disorders in patients with burning mouth syndrome or atypical facial pain. Scandinavian J Pain 2011;2:155–160
12. Haas M, Spegman A, Peterson D, Aickin M, Vavrek D. Dose response and efficacy of spinal manipulation for chronic cervicogenic headache: a pilot randomized controlled trial. Spine J 2010;10(2):117-28. Doi: 10.1016/j.spinee.2009.09.002.
13. Ross G. How to treat facial pain with photobiomodulation/low-level laser therapy. Dental Products Report, 2019
14. Ritchie A, Kramer JM. Recent advances in the etiology and treatment of burning mouth syndrome. J Dent Res 2018;97(11):1193-1199. Doi: 10.1177/0022034518782462
15. Falaki F, Nejat AH, Dalirsani Z. The effect of low-level laser therapy on trigeminal neuralgia: a review of literature. J Dent Res Dent Clin Dent Prospects 2014;8(1):1-5. Doi: 10.5681/joddd.2014.001
16. Julian T, Syeed R, Glascow N, Angelopoulou E, Zis P. B12 as a treatment for peripheral neuropathic pain: a systematic review. Nutrients 2020;25;12(8):2221. Doi: 10.3390/nu12082221
17. Scardina GA, Messina P. Good oral health and diet. J Biomed Biotechnol 2012;2012:720692. Doi: 10.1155/2012/720692
18. Cotler HB, Chow RT, Hamblin MR, Carroll J. The use of low level laser therapy (LLLT) for musculoskeletal pain. MOJ Orthop Rheumatol 2015;2(5):00068. Doi: 10.15406/ ajor.2015.02.00068
19. Rodine RJ, Aker P. Trigeminal neuralgia and chiropractic care: a case report. J Can Chiropr Assoc 2010;54(3):177-86
20. Méndez-Sánchez R, González-Iglesias J, Puente-González AS, Sánchez-Sánchez JL, Puentedura EJ, Fernández-de-Las-Peñas C. Effects of manual therapy on craniofacial pain in patients with chronic rhinosinusitis: a case series. J Manipulative Physiol Ther 2012;35(1):64-72. Doi: 10.1016/j.jmpt.2011.09.012.
21. Ferreira-Valente MA, Pais-Ribeiro JL, Jensen MP. Validity of four pain intensity rating scales. Pain 2011;152(10):2399-2404. Doi: 10.1016/j.pain.2011.07.005.
22. Mathis RA, Taylor JD, Odom BH, Lairamore C. Reliability and validity of the patient-specific functional scale in community-dwelling older adults. J Geriatr Phys Ther 2019;42(3):E67-E72. Doi: 10.1519/JPT.0000000000000188.
23. Childs JD, Piva SR, Fritz JM. Responsiveness of the numeric pain rating scale in patients with low back pain. Spine 2005;30(11):1331-1334. Doi: 10.1097/01.brs.0000164099.92112.29.
24. Abbott JH, Schmitt J. Minimum important differences for the patient-specific functional scale, 4 region-specific outcome measures, and the numeric pain rating scale. J Orthop Sports Phys Ther 2014;44(8):560-4. Doi: 10.2519/jospt.2014.5248.
25. Evensen J, Soberg HL, Sveen U, Hestad KA, Bronken BA. The applicability of the patient-specific functional scale (PSFS) in rehabilitation for patients with acquired brain injury (ABI) – a cohort study. J Multidiscip Healthc 2020;13:1121-1132. Doi: 10.2147/JMDH.S259151.
26. Moseng T, Tveter AT, Holm I. Pasient-spesifikk funksjons skala – Et nyttig verktøy for fysioterapeuter I primærhelsetjenesten. Nor J Physiother 2013;(2) Norwegian.
27. Basciftci FA, Uysal T, Büyükerkmen A, Sari Z. The effects of activator treatment on the craniofacial structures of Class II division 1 patients. Eur J Orthod 2003;25(1):87-93. Doi: 10.1093/ejo/25.1.87.
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.