tag:blogger.com,1999:blog-86499314013867269882010-04-12T11:47:54.943-07:00Meli Thttp://www.blogger.com/profile/13014055967476853680noreply@blogger.comBlogger91125tag:blogger.com,1999:blog-8649931401386726988.post-658738610574244242010-04-12T11:47:00.001-07:002010-04-12T11:47:54.990-07:00

This blog is now located at http://chicago-headaches.blogspot.com/. You will be automatically redirected in 30 seconds, or you may click here. For feed subscribers, please update your feed subscriptions to http://chicago-headaches.blogspot.com/feeds/posts/default.

edanjouhttp://www.blogger.com/profile/08131219203643566035noreply@blogger.comtag:blogger.com,1999:blog-8649931401386726988.post-84039495424299075102010-04-10T20:02:00.000-07:002010-04-10T20:06:40.833-07:00

I came across this interesting abstract (below) on the spenopalatine ganglion and how it can cause remote effects. According to the article published in Arch Phys Med Rehabil. 1979 Aug;60(8):353-9 it can be responsible for wide ranging disorders. "Symptoms are primarily spastic, involving both visceral and voluntary muscles including muscle spasm in the neck, shoulder, and low back; asthma,

Dr Shapirahttp://www.blogger.com/profile/04729350412439193373noreply@blogger.comtag:blogger.com,1999:blog-8649931401386726988.post-34399383262948368702010-04-04T19:22:00.000-07:002010-04-04T20:45:15.671-07:00

I came across this interesting abstract (below) on the spenopalatine ganglion and how it can cause remote effects. According to the article published in Arch Phys Med Rehabil. 1979 Aug;60(8):353-9 it can be responsible for wide ranging disorders. "Symptoms are primarily spastic, involving both visceral and voluntary muscles including muscle spasm in the neck, shoulder, and low back; asthma,

Dr Shapirahttp://www.blogger.com/profile/04729350412439193373noreply@blogger.comtag:blogger.com,1999:blog-8649931401386726988.post-17682783214490589392010-04-04T13:42:00.000-07:002010-04-04T13:50:14.810-07:00

I HAVE BEEN TRETING PATIENTS WITH CHRONIC HEAD AND NECK PAIN, FACIAL PAIN, MIGRAINES TENSION-TYPE HEADACHES FOR 30 YEARS. I SEE PATIENTS PRIMARILY IN MY GURNEE OFFICE AND OVER THE YEARS PATIENTS HAVE FOUND THAT IT WAS WORTH THE DRIVE FOR RELIEF OF PAIN. I HAVE RECENTLY CREATED CICAGOLAND DENTAL SLEEP MEDICINE ASSOCIATES AND I AM ABLE TO SEE PATIENTS IN SCHAUMBURG IN THE OFFICES OF DR ALAN

Dr Shapirahttp://www.blogger.com/profile/04729350412439193373noreply@blogger.comtag:blogger.com,1999:blog-8649931401386726988.post-29978440724657390572010-04-04T13:11:00.000-07:002010-04-04T13:32:15.864-07:00

The article "emporomandibular dysfunction: an often overlooked cause of chronic headaches" published in Ann Allergy Asthma Immunol. 2007 Oct;99(4):314-8 recommends evaluating patients with chronic daily headaches for TMJ disorders. This interesting article looks at 25 years of Pub Med searches of the keywords " temporomandibular dysfunction, temporomandibular disorder, temporomandibular joint,

Dr Shapirahttp://www.blogger.com/profile/04729350412439193373noreply@blogger.comtag:blogger.com,1999:blog-8649931401386726988.post-25078763530273202212010-04-04T09:03:00.000-07:002010-04-04T09:08:23.666-07:00

A mechanism for retro-orbital pain and TMD is presented in this anatomical dissection of the the temporal branch of the zygomatic nerve passing through an accessory canal in the sphenozygomatic suture. This anatomical placement of the nerve would allow temporal muscle tension to cause nerve irritation and retro-orbital pain. Utilization of a diagnostic neuromuscular orthotic could

Dr Shapirahttp://www.blogger.com/profile/04729350412439193373noreply@blogger.comtag:blogger.com,1999:blog-8649931401386726988.post-64808358651953310992010-04-04T07:07:00.000-07:002010-04-04T07:48:13.828-07:00

A new study Chronic Headache and Comorbibities: A Two-Phase, Population-Based, Cross-Sectional Study in Headache. 2010 Feb 12 is very revealing. It was evaluating chronic daily headaches, pschiatric disorders and TMD. In the study "Individuals who reported headaches on 4 or more days per week were then evaluated by a multidisciplinary team. CDH (chronic daily headache) were classified according

Dr Shapirahttp://www.blogger.com/profile/04729350412439193373noreply@blogger.comtag:blogger.com,1999:blog-8649931401386726988.post-84180052839311692442010-04-03T20:17:00.000-07:002010-04-03T20:23:24.221-07:00

All patients with TMJ disorders especially if they get morning headaches or are tired during the day should be evaluated for sleep apnea. Sleep apnea (see www.ihatecpap.com) is a collapse of the airway during sleep.Patients with clicking or popping TM joints will frequently have resolution of the TM Joint (temporomandibular joint) clicking if they wear a sleep apnea oral appliance.The appliance

Dr Shapirahttp://www.blogger.com/profile/04729350412439193373noreply@blogger.comtag:blogger.com,1999:blog-8649931401386726988.post-3252107799073555592010-04-03T13:50:00.000-07:002010-04-03T14:46:47.390-07:00

Much of this material is taken from my delanydentalcare.com website and from Sleep and Health's article on Neuromuscular Dentistry http://www.sleepandhealth.com/neuromuscular-dentistry which I highly suggest you read for a more detailed explanation of neuromuscular dentistry science and physiological principles.Neuromuscular Dentistry is founded on the basic premise that healthy physiologic

Dr Shapirahttp://www.blogger.com/profile/04729350412439193373noreply@blogger.comtag:blogger.com,1999:blog-8649931401386726988.post-54872908650285335762010-04-02T07:56:00.000-07:002010-04-02T11:10:15.793-07:00

It is an intresthing phenomenon that medication overuse headaches are an enormous problem in neuromuscular dentistry even though most neuromuscular dentists use very little medication. By the time patients have been seen by a neuromuscular dentist they have frequently seen numerous physicians and other medical specialists and are using multiple perscription and over the counter

Dr Shapirahttp://www.blogger.com/profile/04729350412439193373noreply@blogger.comtag:blogger.com,1999:blog-8649931401386726988.post-65540224828046054042010-04-02T07:01:00.000-07:002010-04-02T07:11:45.080-07:00

I am currently working very diligently to make the I Hate Headaches site the most comprehensive source for Neuromuscular Dentistry and to help the public "find a Neuromuscular Dentist" While there are a few doctors who are early members of our site I will help patients find neuromuscular dentists in their area.I frequently find that patients wish to come to my office to see me personally. My

Dr Shapirahttp://www.blogger.com/profile/04729350412439193373noreply@blogger.comtag:blogger.com,1999:blog-8649931401386726988.post-4590208769215067922010-03-31T17:01:00.000-07:002010-03-31T17:15:29.883-07:00

IMPROVEMENT IN QUALITY OF LIFE WITH TMD TREATMENT HAS RECENTLY BEEN PUBLISHED. THIS STUDY USED EVIDENCED BASED ARTICLES FROM Medline and Cochrane Library databases. This severely limited the number of studies considered and eliminates publications of exciting clinical work and case reports. This type of search tends toward bias toward drug therapy.The study showed almost universal improvement

Dr Shapirahttp://www.blogger.com/profile/04729350412439193373noreply@blogger.comtag:blogger.com,1999:blog-8649931401386726988.post-1941582679262617722010-03-27T04:31:00.000-07:002010-03-27T04:45:28.742-07:00

A RANDOMIZED CONTROLLED TRIAL (see abstract below) OF OSTEOPATHIC TREATMENT AND CONVENTIONAL TMD TREATMENT REVEALED THEY WERE APPROXIMATELY EQUAL WITH THE OSTEOPATHIC GROUP USING LESS MEDICATION.THIS STUDY IS IMPORTANT FOR TWO REASONS. FIRST, IT SHOWS THAT THERE IS AN INTIMATE CONNECTION BETWEEN THE NECK AND THE JAW. FOR THE PURPOSES OF A STUDY IT MAKES SENSE TO DO A RANDOMIZED TRIAL. IF THE

Dr Shapirahttp://www.blogger.com/profile/04729350412439193373noreply@blogger.comtag:blogger.com,1999:blog-8649931401386726988.post-31396669697449116172010-03-25T08:13:00.000-07:002010-03-27T05:05:22.836-07:00

An interesting article in Science Daily (http://www.sciencedaily.com/releases/2010/03/100324094644.htm) discusses an new method to estimate the risk of falls. Neuromuscular Dentistry can reduce the risks of falls. It has been used to treat vertigo and dizziness as well as other middle ear dysfunctions related to the TM Joint (TMJ). THE RISK OF FALLING IS A MAJOR CONCERN FOR OLDER ADULTS BUT

Dr Shapirahttp://www.blogger.com/profile/04729350412439193373noreply@blogger.comtag:blogger.com,1999:blog-8649931401386726988.post-21267862965030781092010-03-25T07:21:00.001-07:002010-03-25T07:27:27.734-07:00

DANGERS OF WISDOM TOOTH REMOVAL: PARESTHESIA & TMJ DAMAGE ARE THE PRIMARY CONCERNS OF WHEN REMOVING MANDIBULAR THIRD MOLARS THIS IS A REPRINT OF A SLEEP AND HEALTH JOURNAL BLOG. I THINK IT IS IMPORTANT TO UNDERSTAND THAT THERE MAY BE A RELATION BETWEEN CHRONIC HEADACHES, MIGRAINES AND TMJ DISORDERS AND REMOVAL OF WISDOM TEETH. I BELIEVE THERE IS A BETTER ALTERNATIVE.The removal of mandibular

Dr Shapirahttp://www.blogger.com/profile/04729350412439193373noreply@blogger.comtag:blogger.com,1999:blog-8649931401386726988.post-84853493033453297182010-03-17T15:10:00.000-07:002010-03-17T15:17:09.432-07:00

Patients missing one or more permanent molars are more prone to headaches and TMJ disorders. Missing just a single first molar has been shown to double the resk of headaches, sinus pain and /TMJ disorders. When the molars are missing there can be drastic increases in headaches and TMJ disorders. Patients with loss of vertical dimension are more prone to morning headaches, sleep apnea and

Dr Shapirahttp://www.blogger.com/profile/04729350412439193373noreply@blogger.comtag:blogger.com,1999:blog-8649931401386726988.post-70568829811529785542010-03-17T06:10:00.000-07:002010-03-17T08:26:15.503-07:00

A new article in the Journal of Musculoskeletal Pain by Michael Sorrell, MD of Tufts University showed excellent results in treating Migraine utilizing trigger point injections and physical therapy with supervised home stretching. The examination of the myofascial trigger points is a step rarely done in working up migraine patients,The majority of patients had received previous diagnosis of

Dr Shapirahttp://www.blogger.com/profile/04729350412439193373noreply@blogger.comtag:blogger.com,1999:blog-8649931401386726988.post-53603228180480187072010-03-09T10:28:00.000-08:002010-03-09T15:19:38.166-08:00

I frequently hear stories of patients who have severe circumstances that result from relatively non-invasive treatment. An example below is the letter I just received.A temporary crown placed in the middle of January 2010 caused horrible face pain, eye pressure stabbing ear pains, refered tooth pains, migraines on opposite side of normal, facial numbness and neck spasms. Extreme pain for about 7

Dr Shapirahttp://www.blogger.com/profile/04729350412439193373noreply@blogger.comtag:blogger.com,1999:blog-8649931401386726988.post-68136926009976456202010-03-01T19:36:00.000-08:002010-03-01T19:49:10.996-08:00

When chronic or acute ear pain occurs an evaluation by an otolaryngologist or ENT is a good way to begin treatment. The exception to this rule is when movements of the lower jaw cause the ear pain or the motion of the lower jaw is limited. This is a sign of a TMJ disorder. If it happens suddenly it may be the sign of an acute close-lock of the TM Joint and a dentist with experience in treating

Dr Shapirahttp://www.blogger.com/profile/04729350412439193373noreply@blogger.comtag:blogger.com,1999:blog-8649931401386726988.post-66607515218275393942010-02-28T17:12:00.000-08:002010-02-28T17:50:24.570-08:00

Chronic pain is frequently multifactorial in nature. Neuromuscular dentistry has been very successful in treating TMD, Migrines, Tension Type headaches and other disorders. Frequently it is not a total cure but 50-80% reduction in pain is usually attained within several visits. There are many disorders and symptoms associated with TMD including:Ear Aches or OtalgiaSinus PainTM Joint Clicking

Dr Shapirahttp://www.blogger.com/profile/04729350412439193373noreply@blogger.comtag:blogger.com,1999:blog-8649931401386726988.post-22224167558226872592010-02-26T13:50:00.000-08:002010-02-26T14:42:56.124-08:00

I just attended the 2010 American EquilibrationSociety meetng in Chicago titled "TREATING THE TMD PATIENT: Putting the Puzzle pieces together". Great news for patients with migraines, tension headaches and Temporomandibular disorders.The meeting opened with an excellent letter by Henry Gremillion, who was recently named Dean of the Louisiana School of Dentistry. He spoke on "MYOGENOUS

Dr Shapirahttp://www.blogger.com/profile/04729350412439193373noreply@blogger.comtag:blogger.com,1999:blog-8649931401386726988.post-19427651964389029162010-02-24T19:34:00.000-08:002010-02-24T19:35:02.495-08:00

Dr Shapirahttp://www.blogger.com/profile/04729350412439193373noreply@blogger.comtag:blogger.com,1999:blog-8649931401386726988.post-52636271041949420512010-02-23T20:08:00.000-08:002010-02-23T20:25:13.510-08:00

Patients with thyroid problems frequently also have headaches, TMJ disorders and sleep disorders. The treatment of pain disorders frequently is aided by normalization of thyroid hormone. Free T3 is the activ e form of thyroid hormone and appears to be the most important thyroid hormone when dealing with chronic pain problems.In the midwest theree is low naturally occuring iodine in the water.

Dr Shapirahttp://www.blogger.com/profile/04729350412439193373noreply@blogger.comtag:blogger.com,1999:blog-8649931401386726988.post-11974911931442550802010-02-23T06:34:00.000-08:002010-02-23T08:09:27.619-08:00

A new article in Medical Hypothesis (see Pub Med abstract below) on Atypical Trigeminal Neuralgia discusses the pathogenisis of Central Sensitization in patients with Trigeminal Neuralgia. A percentage of patients with Trigeminal Neuralgia will have pressure on the trigeminal nerve either from blood vessels or tumors usually in the area of the foramen ovale.Many patients who have trigeminal

Dr Shapirahttp://www.blogger.com/profile/04729350412439193373noreply@blogger.comtag:blogger.com,1999:blog-8649931401386726988.post-42482641875201087062010-02-22T05:07:00.000-08:002010-02-22T05:18:15.858-08:00

A recent article points to the use of CRCP (Calcitonin gene-related peptide) antagonists to treat migraines. Levels of CGRP rise during migraine and experimentally injecting IV CRCP can provoke migraine. Two CGRP antagonists are being tested inthe study from Acta Neurol Belg. 2009 Dec;109(4):252-61.CGRP is produced by the trigeminovascular system. Many patients who undergo treatment with a

Dr Shapirahttp://www.blogger.com/profile/04729350412439193373noreply@blogger.com