Face pain

[cadenz2]

I am currently treating a lady who gets intermittent stabbing pain towards her left lower jaw. She gets her pain when eating and intermittently and spontaneously throughout the day. She has seen a neurologist, dentist, physio and chiro and no one has diagnosed her condition. She has had some success with physio with her episodes decreasing in frequency and also with a night splint to stop her grinding her teeth. I have been unable to reproduce her pain when checking both her TMJ and cervical area. The only way her pain is reproduced in the clinic is by her sliding her tongue over the back of her teeth (?tmj movement).

Any ideas?

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[yelufem]

U made a nice point there Sherly.However, the first post revealed that the pt had been seen by the dentist and i think, was referred to PT to manage.u see, gliding the tougue on the frontal surface of cannine would put the maticatory muscles in sustained contraction eccentrically and this could result in approximation of the TMJ and tension on already inflamed surrounding paraarticular tissues and pain as eventual result.A more detailed assessment might lead u to the diagnosis and the therapy required..merry xmas guys.yelufem.