Symptom relief after treatment of temporomandibular and cervical spine disorders in patients with Meniere's disease: a three-year follow-up.
This study describes the coordinated treatment of temporomandibular disorders (TMD) and cervical spine disorders in patients diagnosed with Meniere's disease. The aim was to follow up treatment outcomes for three years with regular follow-up examinations every six months. Of the 31 patients with Meniere's disease who participated in a controlled comparative study on the signs and symptoms of TMD, 24 participated in a subsequent controlled comparative study on the signs and symptoms of cervical spine disorders (CSD). These 24 Meniere's disease patients (ten males and 14 females) agreed to participate in this longitudinal study. At each follow-up, their symptoms were evaluated using self-administered questionnaires and visual analog scales (VAS). The results of the coordinated treatment showed simultaneous decreases in the intensities of vertigo, nonwhirling dizziness, tinnitus, feeling of fullness in the ear, pain in the face and jaws, pain in the neck and shoulders, and headache that were both longitudinal and highly significant. Significant longitudinal reductions in the frequencies of vertigo, nonwhirling dizziness, and headache were also reported by the patients as well as a complete disappearance of pain located in the vertex area. A significant relief of TMD symptoms and a decrease in nervousness was also achieved. The results showed that a coordinated treatment of TMD and CSD in patients with Meniere's disease is an effective therapy for symptoms of this disease. The results also suggested that Meniere's disease has a clear association with TMD and CSD and that these three ailments appeared to be caused by the same stress, nervousness, and muscular tension.
Bjorne
Assar
A
Vertigo Tinnitus, and Pain Unit, Ystad Hospital, Public Dental Service, County of Skåne, Sweden. assar.bjorne@swipnet.se
Agerberg
Göran
G
D000328:Adult; D000368:Aged; D001007:Anxiety / Q000517:prevention & control; D002574:Cervical Vertebrae / Q000473:pathology*; D016009:Chi-Square Distribution; D004244:Dizziness / Q000517:prevention & control; D004433:Earache / Q000517:prevention & control; D005157:Facial Pain / Q000517:prevention & control; D005260:Female; D005500:Follow-Up Studies; D006261:Headache / Q000517:prevention & control; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008575:Meniere Disease / Q000628:therapy*; D008875:Middle Aged; D019547:Neck Pain / Q000517:prevention & control; D019558:Occlusal Adjustment; D017090:Occlusal Splints; D010147:Pain Measurement; D026741:Physical Therapy Modalities; D013122:Spinal Diseases / Q000628:therapy*; D013223:Statistics as Topic; D013705:Temporomandibular Joint Disorders / Q000628:therapy*; D014012:Tinnitus / Q000517:prevention & control; D016896:Treatment Outcome; D014717:Vertigo / Q000517:prevention & control