Complementary and alternative therapy use by patients with myofascial temporomandibular disorders

Karen Raphael, Jack J. Klausner, Sangeetha Nayak, Joseph J. Marbach

Research output: Contribution to journalArticle

Abstract

Aims: To examine the prevalence and predictors of complementary and alternative medicine (CAM) use among patients with temporomandibular disorders (TMD), prior to their first treatment with an intraoral splint. Methods: Sixty-three women with a diagnosis of myofascial TMD, and who had never been prescribed an intraoral appliance, reported on their use of CAM and other treatments for their facial pain. In addition to providing a comprehensive symptom history, participants completed a 2-week daily diary in which they described the nature of daily efforts to reduce their facial pain. Results: Although more than half of all participants had not sought any prior treatment for their facial pain, 22.2% had received CAM treatment. The only single type of treatment more commonly used than CAM treatment was medication (28.6%). The most common type of CAM treatment was relaxation therapy (12.7%), followed by chiropractic treatment (9.5%). Although pain duration, pain severity, or mood did not predict CAM use, users were significantly more likely to report work or social disability associated with their facial pain and were more likely to report onset associated with an accident. CAM users were more likely than non-users to employ multiple pain reduction strategies over the 2-week daily diary report, including prescription medication use. Conclusion: A sizeable minority of women with myofascial TMD report CAM treatment for their pain, even prior to an initial treatment with an intraoral splint. Since empirical reports have not adequately demonstrated their safety or efficacy, there is a need for controlled clinical trials evaluating the utility of CAM treatments for TMD.

Original languageEnglish (US)
Pages (from-to)36-41
Number of pages6
JournalJournal of Orofacial Pain
Volume17
Issue number1
StatePublished - 2003

Fingerprint

Temporomandibular Joint Disorders
Complementary Therapies
Facial Pain
Therapeutics
Pain
Splints
Relaxation Therapy
Chiropractic

Keywords

  • Care-seeking
  • Complementary and alternative medicine
  • Myofascial pain
  • Temporomandibular disorders

ASJC Scopus subject areas

  • Clinical Neurology
  • Dentistry(all)

Cite this

Complementary and alternative therapy use by patients with myofascial temporomandibular disorders. / Raphael, Karen; Klausner, Jack J.; Nayak, Sangeetha; Marbach, Joseph J.

In: Journal of Orofacial Pain, Vol. 17, No. 1, 2003, p. 36-41.

Research output: Contribution to journalArticle

Raphael, Karen ; Klausner, Jack J. ; Nayak, Sangeetha ; Marbach, Joseph J. / Complementary and alternative therapy use by patients with myofascial temporomandibular disorders. In: Journal of Orofacial Pain. 2003 ; Vol. 17, No. 1. pp. 36-41.
@article{0c55950747654a89ab07a7ddf0063c8f,
title = "Complementary and alternative therapy use by patients with myofascial temporomandibular disorders",
abstract = "Aims: To examine the prevalence and predictors of complementary and alternative medicine (CAM) use among patients with temporomandibular disorders (TMD), prior to their first treatment with an intraoral splint. Methods: Sixty-three women with a diagnosis of myofascial TMD, and who had never been prescribed an intraoral appliance, reported on their use of CAM and other treatments for their facial pain. In addition to providing a comprehensive symptom history, participants completed a 2-week daily diary in which they described the nature of daily efforts to reduce their facial pain. Results: Although more than half of all participants had not sought any prior treatment for their facial pain, 22.2{\%} had received CAM treatment. The only single type of treatment more commonly used than CAM treatment was medication (28.6{\%}). The most common type of CAM treatment was relaxation therapy (12.7{\%}), followed by chiropractic treatment (9.5{\%}). Although pain duration, pain severity, or mood did not predict CAM use, users were significantly more likely to report work or social disability associated with their facial pain and were more likely to report onset associated with an accident. CAM users were more likely than non-users to employ multiple pain reduction strategies over the 2-week daily diary report, including prescription medication use. Conclusion: A sizeable minority of women with myofascial TMD report CAM treatment for their pain, even prior to an initial treatment with an intraoral splint. Since empirical reports have not adequately demonstrated their safety or efficacy, there is a need for controlled clinical trials evaluating the utility of CAM treatments for TMD.",
keywords = "Care-seeking, Complementary and alternative medicine, Myofascial pain, Temporomandibular disorders",
author = "Karen Raphael and Klausner, {Jack J.} and Sangeetha Nayak and Marbach, {Joseph J.}",
year = "2003",
language = "English (US)",
volume = "17",
pages = "36--41",
journal = "Journal of Orofacial Pain",
issn = "1064-6655",
publisher = "Quintessence Publishing Company",
number = "1",

}

TY - JOUR

T1 - Complementary and alternative therapy use by patients with myofascial temporomandibular disorders

AU - Raphael, Karen

AU - Klausner, Jack J.

AU - Nayak, Sangeetha

AU - Marbach, Joseph J.

PY - 2003

Y1 - 2003

N2 - Aims: To examine the prevalence and predictors of complementary and alternative medicine (CAM) use among patients with temporomandibular disorders (TMD), prior to their first treatment with an intraoral splint. Methods: Sixty-three women with a diagnosis of myofascial TMD, and who had never been prescribed an intraoral appliance, reported on their use of CAM and other treatments for their facial pain. In addition to providing a comprehensive symptom history, participants completed a 2-week daily diary in which they described the nature of daily efforts to reduce their facial pain. Results: Although more than half of all participants had not sought any prior treatment for their facial pain, 22.2% had received CAM treatment. The only single type of treatment more commonly used than CAM treatment was medication (28.6%). The most common type of CAM treatment was relaxation therapy (12.7%), followed by chiropractic treatment (9.5%). Although pain duration, pain severity, or mood did not predict CAM use, users were significantly more likely to report work or social disability associated with their facial pain and were more likely to report onset associated with an accident. CAM users were more likely than non-users to employ multiple pain reduction strategies over the 2-week daily diary report, including prescription medication use. Conclusion: A sizeable minority of women with myofascial TMD report CAM treatment for their pain, even prior to an initial treatment with an intraoral splint. Since empirical reports have not adequately demonstrated their safety or efficacy, there is a need for controlled clinical trials evaluating the utility of CAM treatments for TMD.

AB - Aims: To examine the prevalence and predictors of complementary and alternative medicine (CAM) use among patients with temporomandibular disorders (TMD), prior to their first treatment with an intraoral splint. Methods: Sixty-three women with a diagnosis of myofascial TMD, and who had never been prescribed an intraoral appliance, reported on their use of CAM and other treatments for their facial pain. In addition to providing a comprehensive symptom history, participants completed a 2-week daily diary in which they described the nature of daily efforts to reduce their facial pain. Results: Although more than half of all participants had not sought any prior treatment for their facial pain, 22.2% had received CAM treatment. The only single type of treatment more commonly used than CAM treatment was medication (28.6%). The most common type of CAM treatment was relaxation therapy (12.7%), followed by chiropractic treatment (9.5%). Although pain duration, pain severity, or mood did not predict CAM use, users were significantly more likely to report work or social disability associated with their facial pain and were more likely to report onset associated with an accident. CAM users were more likely than non-users to employ multiple pain reduction strategies over the 2-week daily diary report, including prescription medication use. Conclusion: A sizeable minority of women with myofascial TMD report CAM treatment for their pain, even prior to an initial treatment with an intraoral splint. Since empirical reports have not adequately demonstrated their safety or efficacy, there is a need for controlled clinical trials evaluating the utility of CAM treatments for TMD.

KW - Care-seeking

KW - Complementary and alternative medicine

KW - Myofascial pain

KW - Temporomandibular disorders

UR - http://www.scopus.com/inward/record.url?scp=0141452287&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0141452287&partnerID=8YFLogxK

M3 - Article

VL - 17

SP - 36

EP - 41

JO - Journal of Orofacial Pain

JF - Journal of Orofacial Pain

SN - 1064-6655

IS - 1

ER -