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Management of chronic pain associated with temporomandibular disorders: a clinical practice guideline

Clinical question What is the comparative effectiveness of available therapies for chronic pain associated with temporomandibular disorders (TMD)?

Current practice TMD are the second most common musculoskeletal chronic pain disorder after low back pain, affecting 6-9% of adults globally. TMD are associated with pain affecting the jaw and associated structures and may present with headaches, earache, clicking, popping, or crackling sounds in the temporomandibular joint, and impaired mandibular function. Current clinical practice guidelines are largely consensus-based and provide inconsistent recommendations.

Recommendations For patients living with chronic pain (≥3 months) associated with TMD, and compared with placebo or sham procedures, the guideline panel issued: (1) strong recommendations in favour of cognitive behavioural therapy (CBT) with or without biofeedback or relaxation therapy, therapist-assisted mobilisation, manual trigger point therapy, supervised postura ....

Chronic Pain Centre Of Excellence , Canadian Institutes Of Health Research Canada , Evidence Ecosystem Foundation , Ecosystem Foundation , Chronic Pain Centre , Canadian Institutes , Health Research Canada Chair ,

Management of chronic pain secondary to temporomandibular disorders: a systematic review and network meta-analysis of randomised trials

Objective We explored the comparative effectiveness of available therapies for chronic pain associated with temporomandibular disorders (TMD).

Design Systematic review and network meta-analysis of randomised clinical trials (RCTs).

Data sources MEDLINE, EMBASE, CINAHL, CENTRAL, and SCOPUS were searched to May 2021, and again in January 2023.

Study selection Interventional RCTs that enrolled patients presenting with chronic pain associated with TMD.

Data extraction and synthesis Pairs of reviewers independently identified eligible studies, extracted data, and assessed risk of bias. We captured all reported patient-important outcomes, including pain relief, physical functioning, emotional functioning, role functioning, social functioning, sleep quality, and adverse events. We conducted frequentist network meta-analyses to summarise the evidence and used the GRADE approach to rate the certainty of evidence and categorise interventions from most to least benefic ....

United States , Rodrigo Casassus , Alonso Carrasco , Zijun Li , Matteo Coen , Mina Ma , Naz Torabi , Joannam Zakrzewska , Caroline Samer , Carolyn Palmer , Justin Durham , Labra University Of North Carolina , Chronic Pain Centre Of Excellence , Health Literature , Carolyn Palmer Veterans Affairs Canada , Lanzhou University , David Mock University Of Toronto , Canadian Institutes Of Health Research Canada , Unity Health Toronto , World Bank , Initiative On Methods , Christine Goertz Duke University , Short Form Survey , Randi Mccabe Mcmaster University , Preferred Reporting Items , Cumulative Index ,

'We did it together': Kingston military veteran recaps rewarding hike

Two Kingston women and 10 other military veterans living with chronic pain were given the opportunity to hike in the Canadian Rockies. ....

United Kingdom , Sophie Renaud , Tom Hoppe , Bombardier Synika Gee , Synika Gee , Canadian Army , Centre Of Excellence Advisory Council Veterans , Chronic Pain Centre Of Excellence , Canadian Rockies , Military Veterans Alpine Challenge , Canadian Rocky Mountains , Chronic Pain Centre , Canadian Veterans , British Columbia , Excellence Advisory Council ,

Military veterans complete 'incredible' hike to bring awareness, education to chronic pain

With the smell of smoke in the air, 10 military veterans living with chronic pain from across Canada completed the second annual Military Veterans Alpine Challenge on Saturday, in Whistler, B.C. ....

Paul Roos , Tom Hoppe , Lauren Ogrady , Chronic Pain Centre Of Excellence , Military Veterans Alpine Challenge , Chronic Pain Centre , Canadian Veterans , New Brunswick , Alpine Challenge , Laureno Grady ,

'We did it together': Kingston military veteran recaps rewarding hike

Two Kingston women and 10 other military veterans living with chronic pain were given the opportunity to hike in the Canadian Rockies. ....

United Kingdom , Synika Gee , Bombardier Synika Gee , Sophie Renaud , Tom Hoppe , Chronic Pain Centre Of Excellence , Canadian Army , Centre Of Excellence Advisory Council Veterans , Canadian Rockies , Military Veterans Alpine Challenge , Canadian Rocky Mountains , Chronic Pain Centre , Canadian Veterans , British Columbia , Excellence Advisory Council ,