T Shock wave therapy of trigger points in the masticatory muscles

In the treatment of temporomandibular joint disorder (TMD), the application of shock waves to trigger points is a new therapy method with a precise effect. Especially focused shock waves enable reliable trigger point diagnosis by the induction of referred pain. These are the findings of Dr Danilo Jankovic, Head of the DGS Regional Pain Centre in Hürth/Cologne, Germany. line about one finger width above the zygomatic arch. Symptoms include temporal headache and toothache in the maxillary teeth [19]. Associated trigger points: TrPs in the temporalis muscle may be linked with TrPs in the ipsilateral masseter (deep portion) and with the contralateral temporalis muscle (less frequently with the lateral and medial pterygoid muscles). Satellite trigger points: sternocleidomastoid and trapezius muscles [19].