CRPS / RSD: THE TMD CONNECTION
Emerging Discovery | Temporomandibular Joint Disorders | Dramatic Results
Information regarding a unique dental orthotic device providing near instantaneous relief for CRPS/RSD patients.
One of the most amazing approaches and treatment options I have discovered in the research process.
This noninvasive, cost-efficient process is worth exploring prior to invasive procedures, clinical trials or infusions.
One of the most amazing approaches and treatment options I have discovered in the research process.
This noninvasive, cost-efficient process is worth exploring prior to invasive procedures, clinical trials or infusions.
A TMD Connection to CRPS/RSD
You or a loved one may relate to the first few minutes of this young man relating the background of his disease and treatments endured to date, so to watch the amazing and almost immediate results with both pain reduction and mobility in his extremities following the simple, non-invasive insertion of this custom dental orthotic. Do not miss this page of videos.
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Dr. Demerjian demonstrates a new alternative to traditional care. A form of TMJ treatment involving a custom orthotic helps with CRPS/RSD. He has been suffering from burning pain in legs, left shoulder, chest and arm. He also suffers from Migraines, headaches, neck pain, back pain, jaw pain and vertigo.
TMD Treatment helping with full body pains from Sympathetic Dystrophy. This is the visit where he gets his TMJ mouth piece. Listen to all the changes he feel as he starts wearing his custom adjusted mouthpiece. Published Oct 2015
Relief AT LastPatient feels immediate relief from her Chronic Pain symptoms. At 77, she had tried many traditional treatments and has finally found results with Dr. Demerjian's TMJ orthotic.
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Immediate ResultsPart 1: CRPS/RSD: First visit appointment reviewing health history before starting TMJ treatment.
Part 2: Watch how her CRPS/RSD symptoms just melt away with Dr. Demerjian's TMJ custom orthotic specifically adjusted.
Part 3: Was pain free for two months until chipping orthotic. With in minute after adjustment, pains went away.
For additional information, reach out to Dr. Demerjian at: tmjconnection.com
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CRPS: Dentist Helps Relieve Symptoms
CRPS or Complex Regional Pain Syndrome: Dentist Helps Relieve SymptomsComplex Regional Pain Syndrome is known by many names includingCausalgia, Reflex Sympathetic Dystrophy, Sudeck Atrophy, Shoulder-Hand Syndrome, Algodystrophy, Periferal Trophoneurosis, Sympathetically Maintained Pain and Posttraumatic Pain Syndrome. While CRPS is considered primarily a disorder of the limbs the head and neck is the fifth limb and has a tremendous effects on the upper limbs as well. Many severe types of chronic pain to the head including TMJ disorders, chronic sinus pain cervicalgia may involve CRPS as well.
In 1993 the International Association for the Study of Pain adopted CRPS specifically because it did not imply etiology or cause of the pain. CRPS type 1 replaced Reflex Sympathetic Dystrophy and CRPS type II replaced the term Causalgia.
The term Sympathetically maintained pain is no longer a requirement of CRPS. Having said that blocking of sympathetic and parasympathetic ganglia may be extremely effective for treating this condition. The Sphenopalatine Ganglion (SPG) Block is the largest Parasyympathetic Ganglia and the only ganglia in the body that can be treated and/or blocked topically. The SPG can be accessed thru the nasal cavity. This allows easy and safe self administration of anesthetic solutions at home by the patient. While it may not be universally successful it is miraculous CRPS cure in some patients. The SPG block was popularized in the 1980’s after the publication of the book “Miracles on Park Avenue” that described SPG Blocks being used for all kinds of chronic pain syndrome. There are two injection sites that can be utilized for SPG Blocks, an intra-oral approach and an external approach.
There is also evidence that the Jaws, jaw joints and teeth can directly affect CRPS such as this article: The entire pubmed abstract is provided for your convenience below.
The article below concludes “The results suggest that temporomandibular joint dysfunction plays an important role in the restriction of hip motion experienced by patients with CRPS, which indicated a connectedness between these 2 regions of the body.”
Article:
In 1993 the International Association for the Study of Pain adopted CRPS specifically because it did not imply etiology or cause of the pain. CRPS type 1 replaced Reflex Sympathetic Dystrophy and CRPS type II replaced the term Causalgia.
The term Sympathetically maintained pain is no longer a requirement of CRPS. Having said that blocking of sympathetic and parasympathetic ganglia may be extremely effective for treating this condition. The Sphenopalatine Ganglion (SPG) Block is the largest Parasyympathetic Ganglia and the only ganglia in the body that can be treated and/or blocked topically. The SPG can be accessed thru the nasal cavity. This allows easy and safe self administration of anesthetic solutions at home by the patient. While it may not be universally successful it is miraculous CRPS cure in some patients. The SPG block was popularized in the 1980’s after the publication of the book “Miracles on Park Avenue” that described SPG Blocks being used for all kinds of chronic pain syndrome. There are two injection sites that can be utilized for SPG Blocks, an intra-oral approach and an external approach.
There is also evidence that the Jaws, jaw joints and teeth can directly affect CRPS such as this article: The entire pubmed abstract is provided for your convenience below.
The article below concludes “The results suggest that temporomandibular joint dysfunction plays an important role in the restriction of hip motion experienced by patients with CRPS, which indicated a connectedness between these 2 regions of the body.”
Article:
Influence of the temporomandibular joint on range of motion of the hip joint in patients with complex regional pain syndrome.
Fischer MJ, Riedlinger K, Gutenbrunner C, Bernateck M.
OBJECTIVE:
This study evaluated if patients with complex regional pain syndrome (CRPS) would have an increase in range of motion (ROM) after myofascial release and a similar ROM decrease after jaw clenching, whereas in healthy subjects these effects would be minimal or nonexistent.
METHODS:
Documentation of patients with CRPS (n = 20) was established using the research diagnostic criteria for CRPS, questionnaires, average pain intensity for the past 4 weeks, and the temporomandibular index (TMI). Healthy subjects (n = 20, controls) also underwent the same testing. Hip ROM (alpha angle) was measured at 3 time points as follows: baseline (t1), after myofascial release of the temporomandibular joint (t2), and after jaw clenching for 90 seconds (t3). Comparison of the CRPS and control groups was made using t tests.
RESULTS:
Mean TMI total score and mean pain reported for the last 4 weeks were significantly different between the 2 groups (P < .0005). Hip ROM at t1 was always slightly higher compared to t3, but t2 was always lower in value compared to t1 or t3 for both groups. The differences of all hip ROM values between the groups were significant (P < .0005). Moreover, the difference between t1 or t3 and t2 was significantly different within the CRPS group
(t1 = 48.7 degrees ; t2 = 35.8 degrees ; P < .0005).
CONCLUSIONS:
The results suggest that temporomandibular joint dysfunction plays an important role in the restriction of hip motion experienced by patients with CRPS, which indicated a connectedness between these 2 regions of the body.
OBJECTIVE:
This study evaluated if patients with complex regional pain syndrome (CRPS) would have an increase in range of motion (ROM) after myofascial release and a similar ROM decrease after jaw clenching, whereas in healthy subjects these effects would be minimal or nonexistent.
METHODS:
Documentation of patients with CRPS (n = 20) was established using the research diagnostic criteria for CRPS, questionnaires, average pain intensity for the past 4 weeks, and the temporomandibular index (TMI). Healthy subjects (n = 20, controls) also underwent the same testing. Hip ROM (alpha angle) was measured at 3 time points as follows: baseline (t1), after myofascial release of the temporomandibular joint (t2), and after jaw clenching for 90 seconds (t3). Comparison of the CRPS and control groups was made using t tests.
RESULTS:
Mean TMI total score and mean pain reported for the last 4 weeks were significantly different between the 2 groups (P < .0005). Hip ROM at t1 was always slightly higher compared to t3, but t2 was always lower in value compared to t1 or t3 for both groups. The differences of all hip ROM values between the groups were significant (P < .0005). Moreover, the difference between t1 or t3 and t2 was significantly different within the CRPS group
(t1 = 48.7 degrees ; t2 = 35.8 degrees ; P < .0005).
CONCLUSIONS:
The results suggest that temporomandibular joint dysfunction plays an important role in the restriction of hip motion experienced by patients with CRPS, which indicated a connectedness between these 2 regions of the body.
Sympathetically Maintained Pain (SMP) presenting first as temporomandibular disorder, then as parotid dysfunction.
Giri S, Nixdorf D.
Complex regional pain syndrome (CRPS) is a chronic condition that usually affects extremities, such as the arms or legs. It is characterized by intense pain, swelling, redness, hypersensitivity in a region not defined by a single peripheral nerve and additional sudomotor effects, such as excessive sweating. The clinical criteria for the diagnosis of sympathetically maintained pain as outlined by the International Association for the Study of Pain include: Onset following an initiating noxious event (CRPS-type I) or nerve injury (CRPS-type II). Spontaneous allodynia that is not limited to peripheral nerve distribution and is not proportionate to the inciting event; abnormal sudomotor activity, skin blood flow abnormality, edema, other autonomic symptoms; and exclusion of other conditions that may otherwise contribute to the extent of the symptoms.
Only 13 cases of CRPS involving sympathetically maintained pain in the head and neck region have been described, and all reported trauma as the identifiable etiologic factor. The case presented here is another occurrence of sympathetically maintained pain in the head and neck region, but without nerve injury as a clear initiating factor.
http://thinkbetterlife.com
Complex regional pain syndrome (CRPS) is a chronic condition that usually affects extremities, such as the arms or legs. It is characterized by intense pain, swelling, redness, hypersensitivity in a region not defined by a single peripheral nerve and additional sudomotor effects, such as excessive sweating. The clinical criteria for the diagnosis of sympathetically maintained pain as outlined by the International Association for the Study of Pain include: Onset following an initiating noxious event (CRPS-type I) or nerve injury (CRPS-type II). Spontaneous allodynia that is not limited to peripheral nerve distribution and is not proportionate to the inciting event; abnormal sudomotor activity, skin blood flow abnormality, edema, other autonomic symptoms; and exclusion of other conditions that may otherwise contribute to the extent of the symptoms.
Only 13 cases of CRPS involving sympathetically maintained pain in the head and neck region have been described, and all reported trauma as the identifiable etiologic factor. The case presented here is another occurrence of sympathetically maintained pain in the head and neck region, but without nerve injury as a clear initiating factor.
http://thinkbetterlife.com
Self Administration of SPG Blocks by Patients.
The SPG Block or SphenoPalatine Ganglion Block can be extremely effective at preventing and eliminating migraines. The Sphenopalatine Ganglion is part of the Autonomic Nervous System. It is the Largest Parasympathetic Ganglion and treatment with lidocaine has been shown to be very effective for treating a wide variety of chronic and acute pain syndromes including Migraine, Cluster Headache, Chronic Daily Headache, New Persistent headache, Rebound Headache, Sinus Pain, Trigeminal Neuralgia, Autonomic Cephalgias and many other disorders. It is frequently used for medically refractory headaches where all other treatments have failed. SphenoPalatine Ganglion Blocks are probably grossly undrutilized based on safety and cost effectiveness.
There are multiple routes of administration including through the nose and by intra-oral or suprazygomatic injection.
There are several new FDA approved devices for delivering SPG blocks intranasally. These include the Sphenocath, the Allevio and the TX360. The MiRX protocol is specifically designed to prevent and eliminate migraines. The use of cotton tipped applicators saturated with lidocaine, cocaine or other anesthetic has been utilized for many years. The use of hollow tipped applicators allow a continual feeding mechanism for anesthetic that can easily be accomplished by most patients. This method is extremely cost effective and convenient for patients.
Self administration of SPG Blocks is the key to putting chronic pain patients back in control of their lives.
The injection techniques are most effective in turning off an acute attack. I recently taught a hands on course to neuromuscular dentists at the ICCMO meeting in San Diego several methods of delivering anesthetic to the Sphenopalatine Ganglion.
Self administered Sphenopalatine blocks have been used for multiple conditions including CRPS, Complex Regional Pain Syndrome of the lower extremity (PubMed abstract below), Post Dural Puncture Headache, to treat Tension Headache in pregnant patients, and for OroFacial Pain (PubMed abstract below). The usefulness has been described of SPG blocks in Pain clinics as well (PubMed Abstract below)
Arch Phys Med Rehabil. 2005 Feb;86(2):335-7.
Abstract:
There are multiple routes of administration including through the nose and by intra-oral or suprazygomatic injection.
There are several new FDA approved devices for delivering SPG blocks intranasally. These include the Sphenocath, the Allevio and the TX360. The MiRX protocol is specifically designed to prevent and eliminate migraines. The use of cotton tipped applicators saturated with lidocaine, cocaine or other anesthetic has been utilized for many years. The use of hollow tipped applicators allow a continual feeding mechanism for anesthetic that can easily be accomplished by most patients. This method is extremely cost effective and convenient for patients.
Self administration of SPG Blocks is the key to putting chronic pain patients back in control of their lives.
The injection techniques are most effective in turning off an acute attack. I recently taught a hands on course to neuromuscular dentists at the ICCMO meeting in San Diego several methods of delivering anesthetic to the Sphenopalatine Ganglion.
Self administered Sphenopalatine blocks have been used for multiple conditions including CRPS, Complex Regional Pain Syndrome of the lower extremity (PubMed abstract below), Post Dural Puncture Headache, to treat Tension Headache in pregnant patients, and for OroFacial Pain (PubMed abstract below). The usefulness has been described of SPG blocks in Pain clinics as well (PubMed Abstract below)
Arch Phys Med Rehabil. 2005 Feb;86(2):335-7.
Abstract:
Complex regional pain syndrome involving the lower extremity: a report of 2 cases of sphenopalatine block as a treatment option.
Quevedo JP, Purgavie K, Platt H, Strax TE
We report 2 cases of complex regional pain syndrome (CRPS) involving the lower extremity; in both, a sphenopalatine ganglion (SPG) block was performed as part of a pain management program. In the first case, a woman in her late twenties presented with CRPS in the left lower extremity that was inadequately controlled with typical oral medications. Sympathetic block of the extremity did not provide significant pain relief. However, a noninvasive sphenopalatine blockwith 4% tetracaine resulted in a 50% reduction in pain level. The patient was shown how to self-administer the sphenopalatine blockand was provided with exercises and therapy to help improve her functional status. The second case involved a woman in her mid forties with CRPS in the right lower extremity that was partially controlled with oral medications. The patient experienced a 50% reduction in pain level when SPG block with 4% tetracaine was given. Further study is needed to determine the effects of SPG blocks on symptoms related to chronic regional pain syndrome.
PMID:
15706564
[PubMed – indexed for MEDLINE]
We report 2 cases of complex regional pain syndrome (CRPS) involving the lower extremity; in both, a sphenopalatine ganglion (SPG) block was performed as part of a pain management program. In the first case, a woman in her late twenties presented with CRPS in the left lower extremity that was inadequately controlled with typical oral medications. Sympathetic block of the extremity did not provide significant pain relief. However, a noninvasive sphenopalatine blockwith 4% tetracaine resulted in a 50% reduction in pain level. The patient was shown how to self-administer the sphenopalatine blockand was provided with exercises and therapy to help improve her functional status. The second case involved a woman in her mid forties with CRPS in the right lower extremity that was partially controlled with oral medications. The patient experienced a 50% reduction in pain level when SPG block with 4% tetracaine was given. Further study is needed to determine the effects of SPG blocks on symptoms related to chronic regional pain syndrome.
PMID:
15706564
[PubMed – indexed for MEDLINE]
