Facial Pain Syndromes and TMJ from a Neurologist’s Perspective. Practical Guide to Effective Therapy
Facial Pain Syndromes and TMJ from a Neurologist’s Perspective. Practical Guide to Effective Therapy
Course overview
This course is your guide to the complex world of facial and oral pain syndromes.
The training covers in detail modern concepts of postherpetic neuropathy, trigeminal neuralgia, myofascial pain syndrome, and TMJ dysfunctions. Special attention is given to distinguishing odontogenic from neurogenic pain, as well as migraine from other types of headache. Therapeutic strategies that effectively control symptoms and improve patients’ quality of life are also discussed.
During the course you will learn:
Modern methods for diagnosis and assessment of facial and oral pain syndromes
Botulinum therapy protocols for postherpetic neuropathy, trigeminal neuralgia, and myofascial pain syndrome
Techniques for differential diagnosis of odontogenic, neurogenic, myofascial, and vascular pains
Approaches to conservative and pharmacological treatment of TMJ dysfunctions and headache, including migraine
Practical recommendations for managing patients with pain syndromes to improve their quality of life.
Course lessons
Lesson 1. General overview of herpetic involvement of the nervous system
Disease prevalence, clinical significance of the problem and impact on patients’ quality of life
Postherpetic neuralgia: features and pathogenesis
Modern approaches to the treatment of postherpetic neuropathy and neuralgia:
Pharmacological and non-pharmacological therapy methods, their efficacy and limitations.
Botulinum therapy for postherpetic neuropathy and neuralgia
Mechanism of action of BoNT-A, indications, injection protocols and clinical outcomes of its use.
Lesson 2. Trigeminal neuralgia: use of botulinum toxin type A (BoNT-A)
Definition of trigeminal neuralgia (TN)
Relevance of the problem, disease prevalence and its clinical significance
Features and pathogenesis of TN
Mechanisms of disease development, main clinical manifestations and characteristics of the pain syndrome
Rationale for the use of botulinum toxin type A in TN
Mechanism of action of BoNT-A, indications for use and clinical research data
BoNT-A administration technique
Anatomical landmarks, selection of injection points, dosages and administration protocols
Procedure conduct:
Patient preparation
Injection technique and post-procedure recommendations.
Possible complications and measures for their prevention
Potential adverse effects, prevention of complications and management strategies.
Lesson 3. Myofascial pain syndrome of the face
Definition of myofascial pain syndrome (MPS). Anatomy and physiology
What is myofascial pain syndrome
Pathogenesis of myofascial pain syndrome (MPS)
Clinical presentation of myofascial pain syndrome (MPS)
Diagnosis of myofascial pain syndrome (MPS)
Differential diagnosis (from infectious and neurological causes)
Treatment of facial myofascial pain syndrome (MPS)
Prevention of myofascial pain syndrome (MPS).
Lesson 4. Diagnosis of masticatory muscle hyperfunction and BoNT-A administration technique
Anatomy of the masticatory region
Causes of masticatory muscle hyperfunction
Diagnosis of masticatory muscle hyperfunction
Principles of therapy for masticatory muscle hyperfunction using BoNT-A
Detailed review of the procedure:
Anatomical landmarks
BoNT-A injection technique
Post-procedure recommendations.
Lesson 5. TMJ dysfunction: key aspects and relevance for the neurologist
Anatomy and physiology of the TMJ
Structure and functions of the temporomandibular joint
Muscles responsible for movements
Nervous structures: the trigeminal nerve and other cranial nerves
Clinical manifestations of TMJ dysfunction
Diagnosis from a neurologist’s perspective
Mechanisms of pain in TMJ dysfunction
Muscle spasm and hypertonicity
Neurological components: involvement of the trigeminal nerve
Psychogenic aspects and the stress component
Neurologist’s approach to treating TMJ dysfunction
Conservative treatment methods: pharmacological therapy
Perspectives and interdisciplinary approach.
Lesson 6. Pain phenomena in the face and oral cavity: odontogenic and neurogenic pains
General concepts of pain phenomena in the face and oral cavity
Odontogenic pains:
Clinical manifestations
Diagnosis
Treatment.
Neurogenic pains:
Definition and main characteristics
Etiology and mechanisms of development
Modern approaches to treatment.
Differential diagnosis of odontogenic and neurogenic pains
Practical recommendations for diagnosis and patient management
Lesson 7. Migraine: contemporary concepts, diagnosis and treatment
Definition of migraine according to the International Classification of Headache Disorders
Disease epidemiology and social significance
Etiology and pathogenesis of migraine
Classification of migraine (per ICHD)
Clinical picture and main symptoms
Diagnosis of migraine
Modern approaches to migraine treatment.
