Related Experiment Video
Updated: Jul 28, 2026
A Mobile Outside-in Technique of Transforaminal Lumbar Endoscopy for Lumbar Disc Herniations
Published on: August 7, 2018
Self-reported remission, difficulty, and satisfaction with nonsurgical therapy used to treat anterior disc
H Minakuchi1, T Kuboki, K Maekawa
1Department of Oral and Maxillofacial Rehabilitation, Graduate School of Medicine and Dentistry, Okayama University, Okayama, Japan.
Objective:
The purpose of this study was to identify the appropriate treatment element for initial anterior disc displacement without reduction subjects.
Study Design:
Sixty-nine consecutive patients with temporomandibular joint disc displacement without reduction confirmed on magnetic resonance images were randomly divided into 3 experimental treatment groups. The treatment of group 1 consisted of short-term nonsteroidal anti-inflammatory drugs and self-care instructions (palliative care group); group 2, nonsteroidal anti-inflammatory drugs, self-care instructions, and occlusal appliance and mobilization therapy (physical medicine group); and group 3, no treatment (control group). Outcomes were assessed by means of a 5-item questionnaire that evaluated (1) symptom improvement, (2) difficulty of treatment, and (3) satisfaction with treatment during the 8-week observation period.
Results:
Improvement scores in the palliative care group were significantly better than those in the physical medicine group or the no-treatment group. Satisfaction scores showed no significant difference among the 3 groups. Difficulty from treatment for the physical medicine group was significantly greater than that for other 2 groups.
Conclusion:
These data suggest that palliative care would be more appropriate as the initial therapy to treat painful anterior disc displacement without reduction.
