优化对偏头痛和部疾病 (TMDs) 的联合治疗
Marcela Romero-Reyes1,2, Simon Akerman2, Alan M Rapoport3
1Department of Pain and Neural Sciences, University of Maryland, School of Dentistry, Baltimore, MD, USA.
Cephalalgia : an international journal of headache
|September 12, 2025
概括
关节疾病 (TMD) 和偏头痛往往同时存在. 综合,多学科的管理对于优化这些重叠的疼痛病症患者的治疗结果至关重要.
科学领域:
- 神经科学是一个神经科学.
- 疼痛医学 医学 疼痛医学
- 牙科 牙科是指牙科的专业.
背景情况:
- 关节疾病 (TMD) 和偏头痛是普遍存在的,重叠的疼痛条件.
- 这两种情况都涉及三系统,并且由于面和椎相互连接,它们都有可能相互恶化.
研究的目的:
- 探索合并性偏头痛和TMD的优化管理策略.
- 突出综合,多学科方法和进一步研究的需要.
主要方法:
- 关于共发性偏头痛和TMDs的病理生理学和管理的当前文献的综述.
- 识别导致敏感性的因素和综合治疗方案的潜力.
主要成果:
- 目前,对于并发性偏头痛和TMDs没有确立的双重治疗方案.
- 包括药理学和非药理学方法在内的多学科管理得到了当前证据的支持.
- 在TMD中素基因相关 (CGRP) 的参与表明有针对性的治疗的潜力.
结论:
- 多学科团队的综合管理对于改善伴随性偏头痛和TMD患者的治疗结果至关重要.
- 解决诸如功能障碍行为和椎问题等促成因素至关重要.
- 需要进一步的研究来开发基于证据的综合方案,CGRP向疗法显示未来的希望.
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