Temporomandibular disorders
Conditions
Interventions
Blade and Needle Group:bladed needle therapy
Joint mobilization group:Joint mobilization
combined group:bladed needle therapy+Joint mobilization
Sponsors
Hangzhou Hospital of Traditional Chinese Medicine
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: (1) According to the DC /TMD diagnostic criteria, it was consistent with an irreducible anterior displacement of the articular disc in TMD, and the main symptoms were limited mouth opening (MMO = 2 points); (2) MRI showed an irreducible anterior displacement of the TMJ disc on the symptomatic side; (3) Patients aged 18-70 years old, without psychiatric disorders, coagulation disorders, hepatic or renal insufficiency, severe fracture sparing, and able to cooperate with treatment and examination; (4)Not receiving any TMD treatment (including pain medication, joint type manipulation, acupuncture treatment, etc.) within 3 months; (5) Patients voluntarily participate in this clinical trial, insist on completing the whole treatment process, and sign the informed consent form.
Exclusion criteria
Exclusion criteria: (1) A history of trauma or surgery to the temporomandibular joint; (2) Having temporomandibular tumor, osteoarticular tuberculosis, autoimmune osteoarticular system diseases; (3) Patients with serious underlying diseases (e.g., those with dysfunction of the heart, liver, spleen, lungs, kidneys, etc.), or serious life-threatening conditions; (4) Patients taking specific medications (e.g., anti-anxiety depressants or anti-psychotic drugs, non-steroidal anti-inflammatory drugs, muscarinic drugs, etc.); (5) Special populations (e.g. pregnant women, people with congenital coagulation disorders, people with extreme fear of needles and pain, etc.); (6) Other diseases and factors that cannot cooperate with the treatment.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Visual Analogue Scale, VAS;Maximum active Mouth Opening, MMO; | — |
Secondary
| Measure | Time frame |
|---|---|
| Pressure Pain Threshold, PPT;craniomandibular index, CMI;shear wavevelocity, SWV; | — |
Countries
China
Contacts
Public ContactYuan Jianhui
Hangzhou Hospital of Traditional Chinese Medicine
Outcome results
None listed