Muscle and Joint Pain

TEMPOROMANDIBULAR DISORDERS

Temporomandibular joint disorders are those disorders arising from the jaw joints and related structures. Pain can be localised or referred into the muscles of mastication. It may be related to chronic bite abnormalities and is often co-managed by dental practitioners.


Chiropractors treat TMJ disorders using a package of care that may include manual therapies, acupuncture, electrotherapy and onward referral where indicated.

There is research evidence to support this approach to care:

Latouche R, Fernandez-De Las Penas C, Fernandez-Carnero J, Escalante K, Angelo-Diaz-Parreno S, Paris-Alemanya A, Kleland JA. The effects of manual therapy and exercise directed at the cervical spine on pain and pressure pain sensitivity in patients with myofascial temporomandibular disorders. J Oral Rehabilitation 2009 Sep; 36(9):
644-52

Shen YF, Younger J, Goddard G, Mackey S. The randomised clinical trial of acupuncture for myofascial pain of the jaw muscles. J Orofac Pain. 2009 Fall; 23(4):353-9

Shen YF, Goddard G. The short term effects of acupuncture on myofascial pain patients after clenching. Pain Prac. 2007 Sep; 7(3): 256-64.ments for chronic/recurrent headache (review). Cochrane Database of Systematic Reviews 2004 issue 3.

SHOULDER PAIN

Shoulder pain presents as soreness, tension, and/or stiffness in the shoulder and shoulder girdle region. It can also be related to cervical spine dysfunction and can be secondary to a range of multiple conditions including, which might include, rotator cuff disease and adhesive capsulitis.


Chiropractors treat shoulder pain using a package of care that may include manual therapies, exercise, therapeutic advice and postural advice.

There is evidence to support this approach to patient care:

Vermeulen HM, Rozing PM, Obermann WR, LeCessie S, Vliet Vieland TP. Comparison of high grade and low grade mobilisation techniques in the management

of adhesive capsulitis of the shoulder randomised controlled trial Phys Ther 2006 Mar; 86(3): 355-68


Van den Dolder PA, Roberts DL. A trial into the effectiveness of soft tissue massage in the treatment of shoulder pain. Austr J Physiotherapy 2003; 49(3): 183-8

HIP & GROIN PAIN

Hip pain is pain arising from the anatomical region of the hip. It can arise primarily from the joint or periarticular soft tissue or as a secondary site of pain when referred from the spine. Commonly hip pain may refer into the groin or into the thigh and knee.

Chiropractors treat hip pain using a package of care that may include manual
therapies, acupuncture, exercise prescription and onward referral when indicated.

There is evidence to support this approach to patient care:

National Institute for Health and Clinical Excellence. Osteoarthritis: national clinical
guideline for care and management in adults. Clinical guideline 59. February 2008

FIBROMYALGIA

Fibromyalgia is a poorly defined condition characterised by widespread soft tissue pain and disability. Patients become sensitised to pain and experience long term symptoms of fatigue and tenderness.

Chiropractors treat fibromyalgia using a package of care that may include manual therapies (primarily massage), acupuncture, electrotherapy, exercise prescription, lifestyle advice and onward referral where appropriate.

There is evidence to support this approach to patient care:

Schneider M, Vernon H, Ko G, Lawson G, Carrera J. Chiropractic management of fibromyalgia syndrome: a systematic review of the literature. J Manipulative Physiol Ther. 2009 Jan; 32(1): 25-40

Richards KC, Gibson R, Overton-McCoy A. Effects of massage in acute and critical care. AACN Clin Issues 2000; 11: 77-96