Insights

Stay up-to-date with the latest news and ideas in the fields of Orofacial Pain and Oral Medicine, Geriatric Dentistry, Oral Pathology and Radiology, Pain Medicine and Pain Science, and Community Oral Health.

Post-Amputation Pain Management: New Research & Treatments

Post-Amputation Pain Management: New Research & Treatments

This article was originally published on Confronting Chronic Pain by Dr. Steven Richeimer, Director Pain Medicine Master and Certificate. According to the Amputee Coalition, there are nearly 2 million people in the U.S. who are living with limb loss.  What many people...

How to Perform a TMJ Injection

How to Perform a TMJ Injection

TMJ injections are performed with corticosteroid and anesthetic to produce a two-fold effect: one reduce inflammation with the corticosteroid (triamcinolone acetonide) and two produce anesthesia or pain relief using lidocaine 2% without epinephrine. ...

How Does Chronic Pain Impact Adolescents in School?

How Does Chronic Pain Impact Adolescents in School?

This article was originally published on Confronting Chronic Pain by Dr. Steven Richeimer, Director Pain Medicine Master and Certificate. Millions of people around the U.S. suffer from chronic pain.  Adults have more control over their pain management regarding...

How to Measure Orofacial Pain With a Muscle Tenderness Exam

How to Measure Orofacial Pain With a Muscle Tenderness Exam

In this article, we review ways to assess muscle tenderness and pain.  Common abnormalities of the masticatory muscle include injection induced myositis, myofascial taut band, trigger point, hypertrophy, spasms, etc. Note: Prior to each procedure, introduce...

Does Emotional Approach Coping Ease Chronic Pain?

Does Emotional Approach Coping Ease Chronic Pain?

This article was originally published on Confronting Chronic Pain by Dr. Steven Richeimer, Director Pain Medicine Master and Certificate. It’s widely understood that those who experience chronic pain have a higher rate of depression. The pain can overtake your life...

How to Perform an Agar Slant Culture Test for Fungal Infections

How to Perform an Agar Slant Culture Test for Fungal Infections

The Sabouraud Agar Slant Culture test is used when fungal overgrowth of the oral tissues is suspected, and is used to confirm the diagnosis of a fungal infection.  Other adjunctive methods for the diagnosis of oral candidiasis include exfoliative cytology using...

Treating Chronic Low Back Pain with Functional Restoration Programs

Treating Chronic Low Back Pain with Functional Restoration Programs

This article was originally published on Confronting Chronic Pain by Dr. Steven Richeimer, Director Pain Medicine Master and Certificate. Chronic low back pain is one of the most common pain conditions that keep people from working. Those who suffer from this type of...

Does Manual Therapy Massage Help Women with Fibromyalgia?

Does Manual Therapy Massage Help Women with Fibromyalgia?

This article was originally published on Confronting Chronic Pain by Dr. Steven Richeimer, Director Pain Medicine Master and Certificate. According to the National Fibromyalgia & Chronic Pain Association, there are 10 million people in America who have...

How to Conduct a Cranial Nerve Examination

How to Conduct a Cranial Nerve Examination

The following equipment is required for a Cranial Nerve Examination: Cotton ball Safety pin Pen torch (source of light) Tongue blade Tuning fork (512 Hz) 1.)  Olfactory Nerve (I) The olfactory is a sensory nerve, and damage in the nasal epithelium or the basal...

Pain Researchers Help Understand COVID-19 Treatment

Pain Researchers Help Understand COVID-19 Treatment

This article was originally published on Confronting Chronic Pain by Dr. Steven Richeimer, Director Pain Medicine Master and Certificate. As COVID-19 continues to make its way around the world, causing death along its destructive path, there are many researchers...

Closed Lock Mobilization: TMJ Exercises & Stretches

Closed Lock Mobilization: TMJ Exercises & Stretches

In this article, we'll provice step-by-step TMJ exercises and treatments for Dentists and self-mobilization stretches for patients. The main reason why a jaw locks closed is due to a derangement of the TM joint (disk displacement without reduction or DDNR).  It is...

Pain Education May Help Patients Manage Chronic Back Pain

Pain Education May Help Patients Manage Chronic Back Pain

This article was originally published on Confronting Chronic Pain by Dr. Steven Richeimer, Director Pain Medicine Master and Certificate. Millions of people with chronic low back pain understand how it prevents them from enjoying their lives. Many people seek help...

How to Perform an Occlusal Analysis

How to Perform an Occlusal Analysis

Occlusion, simply defined, is how teeth meet when the lower and upper jaw come together.  Proper occlusion is necessary for eating, aesthetics, and disease prevention.  However, many factors can cause malocclusion including trauma and genetics. Before we...

Relieving Chronic Abdominal Pain with Spinal Cord Stimulation

Relieving Chronic Abdominal Pain with Spinal Cord Stimulation

This article was originally published on Confronting Chronic Pain by Dr. Steven Richeimer, Director Pain Medicine Master and Certificate. Millions of people around the country suffer from chronic abdominal pain -- discomfort that has lasted for a period of at least...

TMJ Assessment: Jaw Range of Motion, Noise, and Tenderness

TMJ Assessment: Jaw Range of Motion, Noise, and Tenderness

X-ray image showing articular fossa and condyle.For TMJ mobilization procedures read: Closed Lock Mobilization: TMJ Exercises & Stretches. Jaw Range of Motion Assessment Prior to the procedure, introduce yourself to the patient, explain the purpose of the...

Does Self-Compassion Help with Chronic Pain Management?

Does Self-Compassion Help with Chronic Pain Management?

This article was originally published on Confronting Chronic Pain by Dr. Steven Richeimer, Director Pain Medicine Master and Certificate. Most people know that having compassion for others is a good thing. But how many people, especially those with chronic pain, have...

How to Perform a Salivary Gland and Salivary Flow Exam

How to Perform a Salivary Gland and Salivary Flow Exam

In previous articles, Dr. Roseann Mulligan explored Xerostomia, Salivary Gland Hypofunction, the role of saliva in older adults, and the causes of dry mouth including xerogenic medications and systemic diseases.  In this article, we'll cover a few practical methods to...

Managing Chronic Pain with a Mind-Body Physical Activity Program

Managing Chronic Pain with a Mind-Body Physical Activity Program

This article was originally published on Confronting Chronic Pain by Dr. Steven Richeimer, Director Pain Medicine Master and Certificate. Many people around the country suffer from chronic pain.  The good news is that there are also many different ways that people can...

How to Perform a Lymph Node Examination

How to Perform a Lymph Node Examination

Lymph Node Examination A lymph node evaluation should be included in all new patients as part of the oral cancer triage.  Below is a video showing the proper technique and a written explanation of what is expected from dentists when performing a lymph node and...

New Injection Techniques for Treating Chronic Foot Pain

New Injection Techniques for Treating Chronic Foot Pain

This article was originally published on Confronting Chronic Pain by Dr. Steven Richeimer, Director Pain Medicine Master and Certificate. There is a good chance that everyone knows someone who suffers from ongoing foot pain.  Millions of people have chronic foot pain,...

How to Plan and Implement a Community Health Program

How to Plan and Implement a Community Health Program

This is an adapted presentation by Professor Linda Brookman, RDHAP, BSDH, MS for the Community Health Program Planning and Implementation course as part of USC Ostrow’s Community Oral Health program. What is the public health pyramid? The public health pyramid is a...

Noninvasive, Non-Pharmacological Treatments for Chronic Pain

Noninvasive, Non-Pharmacological Treatments for Chronic Pain

This article was originally published on Confronting Chronic Pain by Dr. Steven Richeimer, Director Pain Medicine Master and Certificate. There are millions of people who suffer from chronic pain.  While many people turn to pharmacological or invasive treatments to...

Health Equity and Social Determinants of Health

Health Equity and Social Determinants of Health

This is an adapted presentation by Professor Linda Brookman, RDHAP, BSDH, MS for the Community Health Program Planning and Implementation course as part of USC Ostrow's Community Oral Health program. What is health equity? According to the World Health Organization...

Proposed Mechanism and Treatment of Palatal Myoclonus

Proposed Mechanism and Treatment of Palatal Myoclonus

Myoclonus is a frequently observed hyperkinetic movement disorder, which is often classified according to its anatomical origin. [1] Palatal myoclonus is characterized by involuntary palatal contractions, causing clicking tinnitus due to the action of soft palate...

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