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United-arab-emiratesEcosystem-foundationClinical 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 postural exercise,
CanadaCanadianChronic-pain-centre-of-excellenceCanadian-institutes-of-health-research-canadaEvidence-ecosystem-foundationEcosystem-foundationChronic-pain-centreCanadian-institutesHealth-research-canada-chair