NEWS

Healthcare News Provided by Minnesota Head and Neck Pain Clinic

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December 31, 2024 Pain ReliefTMJ

The Basics of TMD Podcast - Learn from Minnesota Head & Neck Pain Clinic's Guide to Conservatitive Temporomandibular Disorder Treatment. The good news is that most TMD cases respond really well to conservative non-invasive approaches.


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August 29, 2024 Pain Relief

What is a Pain Clinic?

A pain clinic, also known as a pain management clinic, is a medical facility that specializes in diagnosing and treating chronic pain. A pain clinic aims to help patients reduce the amount of pain that affects their lives. They can help patients reduce or eliminate chronic pain, improve their quality of life, learn how to manage chronic pain independently, improve functionality, and identify goals to return to their previous daily routines.

The Need for Advancements in Health Equity in Pain Management

Pain clinics often support vital research to address health disparities in pain management and access to care. These disparities affect many populations, including racial and ethnic minorities, underserved rural populations, and sexual and gender minorities. There is a need for more specialty pain clinics across the United States to serve all populations and needs.

Pain Clinics Offering Collaboratory Management

Effective and collaborative pain management is a core responsibility of all clinicians. It is a growing priority at the National Institute of Health, pain clinics across the United States, among clinicians, patients, and regulators. The main objective is to provide a framework for comprehensive pain evaluation and individualized multimodal treatment. Improve patient quality of life and function in individuals who are experiencing pain, while reducing the morbidity and mortality associated with pain treatments, particularly opioid analgesics.

Patients are often confused about what physician type to see for primary and secondary health needs. This collaborative pain management focus aids pain management research. Pain is a significant public health concern for varied populations, and it often coexists with other medical and mental health issues.

Our Minnesota pain clinics focus on helping people who suffer from head, neck, and/or jaw pain. The primary goal is to provide pain relief.

We typically provide a multidisciplinary approach to care that offers evidence-based healthcare treatment plans. We partner with various healthcare professionals to address your complex healthcare needs in pain management. Given there are multiple types of pain and pain severity levels, how we serve patients is customized to your unique needs.

A pain clinic that practices innovative healthcare concepts in preventing chronic pain may offer training to large numbers of patients and healthcare providers about the challenges of chronic pain. In this way, successful pain clinics have a broad impact on patient care and the communities they live in.

Here are the Core Functions of a Pain Clinic

1. Comprehensive Diagnosis and Individual Evaluation

  • Medical History & Physical Exam: Detailed questioning about pain characteristics, location, triggers, duration, levels, and past treatments, along with a thorough physical examination to assess range of motion, jaw muscle tension, and neurological function.
  • Conducting Tests & Imaging Studies: May include X-rays, CT scans, or MRIs to identify structural abnormalities, inflammation, or nerve compression. For example, how the Trigeminal nerve associates with TMJ pain. A patient with teeth clenching issues may need a Bruxism Risk Assessment.
  • Facial/Cranial Muscle and Neurological Evaluation: Assesses the function of the nervous system, including cranial nerves, to rule out neurological causes of pain, for example, neck pain issues brought on by TMJ.
  • Facial Pain Evaluation: Examines the facial region, including teeth, bite alignment, and jaw joint health to identify any contributing factors. Understanding the causes of facial pain is a complex task.

2. Pain Management Treatment Plan

  • Medication management: Pain relievers (over-the-counter and prescription), anti-inflammatory drugs, muscle relaxants, and antidepressants may be used to control pain.
  • Physical Therapy: Exercises, stretches, and manual therapy to improve posture, muscle strength, and flexibility.
  • Injections: Corticosteroid or botox injections into trigger points, joints, or nerve roots to reduce inflammation and pain.
  • Sleep Therapies: Individuals suffering from sleep apnea-related pain often report lower pain tolerance levels. People with sleep apnea are more likely to experience chronic pain conditions like headaches, TMJfibromyalgia, and back pain.
  • Lifestyle Modifications: Stress management techniques, ergonomic adjustments, and proper sleep habits.
  • Cognitive Behavioral Therapy (CBT): Helps patients manage pain-related thoughts and behaviors to improve coping skills and reduce distress.

3. Specialized Pain Expertise

  • Pain Management Specialists: Physicians specializing in pain medicine with expertise in diagnosing and treating head, neck, and jaw pain. This includes shoulder pain treatment as it often relates to head and neck pain.
  • Physical Therapists: Focus on musculoskeletal pain, providing treatment plans tailored to head, neck, and jaw pain.
  • Working with Neurologists: Assess neurological conditions and support neurologists through patient referrals when headache and facial pain specialists are needed.
  • Working with Dentists: Address post-dental visit issues when having your mouth open for prolonged times contributes to jaw pain, such as temporomandibular joint disorder (TMJ).
  • Psychologists: Provide psychological support, coping strategies, and address pain-related anxiety and depression.

4. Interdisciplinary Approach

This means an experienced, interdisciplinary group of faculty from areas of medicine, dentistry, basic science, nursing, public health, and physical therapy work together to provide different perspectives on preventing chronic pain.

  • Collaboration: The pain clinic may need to request a medical history from other healthcare providers. It will foster necessary communication and collaboration among all healthcare providers involved in the patient’s care.
  • Personalized Treatment Plans: A multidisciplinary team develops an individualized plan based on the patient’s specific needs and goals. For example, our Twin Cities Pain Clinics provide tailored pain treatment plans for individual needs.
  • Regular Follow-ups: Pain is seldom eliminated in one office visit. Pain may be temporarily alleviated or reduced by trigger point injection or dry needling. However, ongoing monitoring and adjustments to the treatment plan ensure optimal pain management and positive outcomes.
  • Implementing a transformative care model: This integrates robust self-management training with evidence-based pain treatments through an interdisciplinary team approach to improve quality of care and patient outcomes. Simultaneously, it reduces dependency on the healthcare system and healthcare costs.

“Chronic pain conditions are the top reason patients seek care, the most common reason for disability and addiction, and the biggest driver of healthcare costs; their treatment costs more than cancer, heart disease, dementia, and diabetes care. The personal impact in terms of suffering, disability, depression, suicide, and other problems is incalculable.” – Preventing Chronic Pain: A Human Systems Approach by James Friction DDS MS

5. Pain Education and Ongoing Support

Listening in order to understand what a patient believes about the causes or consequences of pain assists clinicians in creating a pain management plan. For example, someone diagnosed with arthritis may be unaware of how an Orofacial Pain Specialist can help manage arthritis TMJ pain. Pain education is a critical way to better inform the patient and correct any assumptions or false beliefs.

  • Patient education: Provides patients with information about their condition, treatment options, and self-management strategies. This may include education on what is a pain disorder or how you can partner in your myofacial pain integrated care.
  • Virtual healthcare appointments: When it may be challenging to travel to your pain management appointment, telehealth virtual appointments are a vital aspect of support.
  • A Pain Support Coach: Pain clinics offering pain health coaching give patients opportunities to connect with one-on-one help. Managing pain is not easy for individuals who are suffering from it. Gaining personal coping mechanisms and skills can make the needed difference to sustain lowered pain levels.
  • Video traing:  Many people learn to exercise correctly by following video tutorials. Watching videos that introduce a pain provider also helps patients be more comfortable when coming to a pain clinic for the first time.
  • Information leaflets and downloadable PDFs: Pain clinics often provide handouts to take home when a patient leaves an office appointment. This is an ideal way to gain support for a new pain condition.

How to Manage Patient Expections when Visiting a Pain Clinic?

Here are some ways pain clinics manage patient expectations before visiting:

  • Communicate before the appointment: A quick phone intake can help align patient expectations.
    Send patients an information document in the weeks before their appointment to help them prepare and ask questions. You can also communicate about the pain clinic’s standard practices, such as the likelihood of further investigations or medication changes.
  • Build positive provider-patient relationships: Affective communication can help patients form more accurate expectations and increase their satisfaction with their visit. Often, they need to see a smile and feel like the pain clinic sees them as a person. This opens the door to understanding their real pain management needs.
  • Answer questions: New pain patients are often unsure what to expect, so by inviting them to ask questions, you can best prepare them and meet them where they are at.
  • Scheduling: Schedule patient appointments when you can relax. Try to schedule patient appointments when pain providers have sufficient time to focus on the consultation. Offer in-office visits and telehealth options, proving what works best for the patient.

Experience and enjoy life with less pain. Our team of pain experts will help relieve and lessen your pain so you can get back to living your best life.

Call our office at (763) 577-2484, or Request Your Consultation Online


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August 22, 2024 Pain Relief

Arthritis, affects TMJ by causing inflammation of the joints,. It can affect the temporomandibular joint, which connects the jaw to the skull. Arthritis, a condition that causes inflammation of the joints, is often associated with aging. Untreated TMJ disorders, e. g. , jaw locks, and long-term jaw clicking with clenching habits can lead to a person developing arthritis prematurely because clenching or grinding your teeth can cause the TMJ disc to deteriorate over time, causing contact between bones.


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Dry Needling, Trigger Point Injections and Botox By Preetanjali Thakur, BDS, MS Dry Needling, Trigger Point Injections and Botox: A Helpful Comparison An overview of dry needling, trigger point injections with local anesthetics and botox therapy as treatment choices for myofascial pain, headaches and oromandibular dystonia. Botox is considered the treatment of choice, providing significant relief from involuntary muscle contractions and improving the quality of life for most patients in oromandibular dystonia.


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June 30, 2024 Pain ReliefTMJ

Understanding Facial Pain: Diagnosis and Treatment Early and effective treatment of unremitting facial pain can help patients avoid severe and debilitating TMD facial pain. The July 2018 Overview and Statistics on Facial Pain article states, that "TMJDs are the second most commonly occurring musculoskeletal conditions resulting in pain and disability (after chronic low back pain), affecting approximately 5 to 12% of the population. "


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May 31, 2024 Pain Relief

Pain Management and Treatment for Central Sensitization in Temporomandibular Disorders Central sensitization (CSS) and referred pain can be characteristics of temporomandibular disorder (TMD), which can make diagnosis more challenging. Scientific literature demonstrates that the central sensitization may have a role not only in the pathophysiology of TMD but also in other several chronic pain conditions, including: fibromyalgia, migraine, tension-type headache, and chronic fatigue syndrome.


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March 31, 2024 Pain Relief

Progress in Evidence-Based TMD Treatments: efficient early intervention helps deter TMD's development; and today, new studies support a comprehensive TMD pain management approach involving evidence-based treatment. Eric Schiffman, DDS MS, a Minnesota Head & Neck Pain Provider, was the main author of Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: recommendations of the International RDC/TMD Consortium Network and Orofacial Pain Special Interest Group.


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TMJ Neck Pain: Causes, Treatment, and Prevention: Pain and tender points in the neck are common in individuals suffering from temporomandibular disorders (TMD). Treatment of jaw, neck, and orofacial pain remains a significant challenge for many healthcare providers. Clinicians must distinguish the type of pain and the probable cause of the pain to offer patients a comprehensive pain treatment plan. This article will look at how TMJ can be associated with neck pain and how to treat it.


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February 8, 2024 Pain ReliefTMJ

The severity of temporomandibular joint (TMJ) disorder impacts a patient’s level of pain experience and which TMJ treatment plan is recommended. The pain clinician’s skill lies in identifying the type of jaw dysfunction, probable cause, and the most conservative, effective treatment to reduce pain levels. Often, when a person is diagnosed with TMJ pain, some of the first questions are around how severe the TMJ pain may become, how quickly we can help lower their pain levels, and if this pain can be completely overcome. None of us like feeling “pain,” so we regard these as important questions to answer.


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December 31, 2023 Pain ReliefTMJ

How to treat TMJ-related jaw locking up issues. Jaw locking is a common symptom of a TMJ problem, although a locked jaw sensation does not always accompany TMJ disorders or TMD. As well it can be a symptom of tetanus. This can cause confusion for people suffering from jaw pain. Patients often describe it as feeling like limited or restricted mouth opening, "jaw locking" or "jaw tension."


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October 31, 2023 Pain ReliefTMJ

Non-surgical TMJ Treatments are the New Standard. The first treatment of choice for temporomandibular joint (TMJ) problems should avoid irreversible surgical treatments. Arthrocentesis occurs in three steps: forcing apart the joint constituents, washing away inflammation and degradable products, and eliminating intra-articular effusion to decrease intra-articular pressure, control pain, and improve function.


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September 30, 2023 Pain ReliefSleepTMJ

What is the Link Between TMJ Pain and Sleep Apnea? TMJ pain that impacts your ability to sleep well may lead to poor sleep quality. So, what exactly is the “link”? How does TMJ affect OSA? Sleep apnea can also lead to poor sleep quality, which can affect TMJ pain and other chronic pain conditions. Your overall health can be impacted by either TMJ or OSA; however, having both can greatly impact your daily lifestyle. Using a combination of treatments, the MN Head & Neck Pain Clinics can align the jaw to clear obstructions and strengthen jaw muscles to boost your long-term comfort.


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August 31, 2023 Pain Relief

Do you need Myofascial Release Treatment for TMJ Pain? The myofascial system contains the nervous, vascular tissue, and the lymphatic system, which is why it can influence your level of TMJ pain and overall well-being. This helps explain why myofascial release can be so beneficial.


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May 26, 2023 Pain Relief

Can bruxism cause headaches and neck pain? Helping your jaw move into its optimal position may alleviate most TMJ headache problems. Correcting your temporomandibular joint and helping your jaw move into its optimal position may alleviate most headache problems related to TMJ, muscle, nerve, and joint disorders.


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How SSRIs can Trigger Teeth Grinding and Bruxism - Research surfaces the surprising link between using antidepressants and teeth grinding. Bruxism is a common jaw movement disorder characterized by repetitive clenching of the jaw and grinding of the teeth. Sleep bruxism is typically associated with lateral teeth grinding and significant wear on the teeth. Patients often complain of jaw pain, headaches, and tightness of the jaw when awakening, and are unaware that they are grinding and jaw clenching during their sleep. Bruxism can also occur while awake during the day.


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Trigger Point Injections effectively treat the common cause of persistent pain in the jaw, neck, shoulder, back, and other areas of the body. A trigger point injection (TPI) is used as effective primary or supplemental therapy aimed at decreasing persistent pain and tightness in the musculoskeletal system. Additionally, they may be used to relieve chronic headaches associated with TMJ, migraine, and other head and neck pain conditions. But what exactly are they, and how do you know if you’d benefit from this treatment? This article will answer your questions.


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January 23, 2023 Pain ReliefSleepTMJ

Patients with Painful TMD often experience a decline in their sleep quality. A sleep evaluation is an important part of comprehensive treatment for TMD. Patients with chronic pain experience poorer sleep than healthy individuals. Sleep latency, sleep efficiency, trouble breathing during sleep, and awakenings after sleep onset can all contribute to worsening pain levels. A sustained lack of quality sleep is known to trigger higher pain levels in TMD patients.


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December 21, 2022 Pain Relief

What is a pain health coach? A pain health coach assists in preventive care for pain issues and avoiding possible addiction during pain treatment. They are compassionate and relatable professionally trained individuals in personal wellness coaching. It takes courage and a strategic plan to defeat chronic pain. Our professional staff and healthcare coaches understand the trenches of chronic pain. A pain health coach empathizes with people suffering from pain and is passionate about helping them thrive despite the pain and lessen its impact. We will walk beside you as you discover your own courage and path to recovery.


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October 31, 2022 Pain Relief

Neck pain is commonly associated with repetitive strain and head and neck postural impairments. It is one the most frequent type of chronic pain complaints and is a costly public health issue that is a best addressed early in its onset. While multiple factors may trigger this condition, often its cause comes down to forward head poor posture and tensing the neck and shoulders. Let’s answer the question upfront about if poor posture causes neck pain.


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June 15, 2022 Pain ReliefTMJ0

Is Heat or Ice Better for Jaw Pain? Whether heat or cold will help you more may depend on the source of your jaw pain. TMD symptoms can be challenging to manage. If you struggle with finding jaw pain solutions, you should know the risks if left undiagnosed and treated. Many try to manage pain by using a home remedy. This may be a place to start but when more relief is needed in the long run - be quick to seek professional help. People with a temporomandibular joint disorder, or TMJ for short, are all too familiar with jaw pain. If you don't have a diagnosis yet and you’re at home or at work needing your jaw to stop hurting, you may reduce temporary jaw discomfort with the simple home remedy of applying hot or cold compresses. Let’s answer common question about if and how hot and cold packs work to provide relief from jaw pain.


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April 27, 2022 AddictionPain Relief0

Chronic Pain Providers’ Help Curb the Opioid Epidemic During the pandemic, both the number of people experiencing chronic pain and the opioid epidemic have escalated. The guidance reinforces the agency’s commitment to confront opioid misuse, abuse, and addiction by taking steps to help those with acute pain get access to improved non-opioid treatment alternatives.


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March 4, 2022 Pain Relief0

Trauma-triggered pain management & how to move to full recovery. The best defense from progressive trauma-triggered pain disorders to healing. The practice of integrative pain recovery into the routine care of pain patients. To fully assist a patient’s chronic pain recovery, a multidisciplinary approach established by our medical and dental pain specialists may include physical therapy and behavioral health services. To address the root causes of pain, an integrative treatment is typically best.


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August 24, 2021 Pain Relief0

What is a Pain Disorder? Or What is a Pain Syndrome? This disorder or syndrome is chronic pain experienced by a patient in one or more areas. Risk factors play a significant role in just about all chronic illnesses and particularly chronic pain; so why not train the patient at the same time as you treat the patient. The health professional’s role then becomes one of transformation, one of helping a person really change their entire lives, or whatever factors may be contributing to health and wellness, according to James R. Fricton DDS MS.


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May 18, 2021 Pain ReliefTMJ0

Increasing numbers of people with “Long-Hauler” COVID-19 now suffer from chronic pain, fatigue, and functional decline post-COVID treatment. This has increased the need for more pain management help. If you are wondering what ongoing pain conditions COVID-19 patients are facing, read this article.


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December 29, 2020 Pain ReliefSleepTMJ0

Learn how to shift from anger to forgiveness. Negative emotions of anger and frustration and positive emotions of gratitude and forgiveness are personal expressions of internal feelings that people have. A person’s pain, anger, and frustration can be generated as a form of personal protection. This occurs when an individual senses that they are in a situation that poses a potential threat to their well-being.


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September 30, 2020 Pain Relief0

Professional jaw pain treatment integrated with self-care is the best approach. A pain relief specialist can oversee your jaw pain diagnosis & ongoing care. Tolerating persisting jaw pain without seeing a jaw pain specialist puts you at risk of progressive arthritic changes inside the jaw joints. Early treatment is highly recommended.


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Orofacial Pain Speciality Announcement by the MN Head & Neck Pain Clinic. Orofacial pain specialist clinical guidelines for providing care for facial pain. The orofacial pain specialist brings together a patient-centered pain management program to both treat the conditions and address the many contributing factors that drive chronic pain, addiction, disability, and ongoing dependency on the healthcare system.


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March 20, 2020 Pain Relief0

For nearly 30 years, the Minnesota Head and Neck Pain Clinic has followed the core values of providing high quality safe care to our patients. Thus, the safety of our patients and staff is of the utmost importance as we face these challenging times with concerns to prevent COVID-19 infection with the coronavirus. We are closely monitoring the World Health Organization (WHO), the Centers for Disease Control and Prevention (CDC) and state and local health agencies for the latest updates and information. Here is a brief summary of how to prevent the spread of Coronavirus.


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Suicide prevention and awareness assistance can be provided by pain management teams. More chronic pain providers are now better trained in managing the opioid crisis and cognitive behavioral therapy for suicide prevention. The Minnesota Head and Neck Pain Clinics provides multiple resources that assist pain clinicians and communities with information about the opioid crisis, addiction as a chronic disease, and evidence-based treatments.


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Our mission is to provide high-quality, effective patient care for head and neck disorders through a multispecialty, interdisciplinary approach designed to reduce pain and improve function for all our patients.

3475 Plymouth Blvd # 200, Minneapolis, MN 55447

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Plymouth: (763) 577-2484
Fax: (763) 577-1375

St. Paul: (651) 332-7474
Fax: (651) 332-7475

Burnsville: (952) 892-6222
Fax: (952) 892-6477

St. Cloud: (763) 233-7252
Fax: (952) 892-6477

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