Metropolitan Area Craniofacial Pain Center, P.C.
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Our Services
Physical Medicine Modalities
To see explanations of these modalities click on a word below:

Alpha Stim Microcurrent Therapy
Cervical Spine x-ray
Computerized Axial Tomography
Craniomandibular Scans
Cryostim Therapy
Cold Laser Therapy
Doppler
Electrogalvanic Stimulation
Electromyography (EMG)
Head and Neck Radiography
Infrared Anodyne
Iontophoresis
Joint Vibration Analysis
Moist Heat Therapy
Alpha Stim Microcurrent Therapy
Motion Tomography
Myomonitor
Neurostimulation
Panorex and Lateral Cephalometrics
Paranasal Tomography
Pharyngometry 
Portable Muscle Scans
TENS
Trigger Point Injections

Should you need more information regarding specific services, you may either call our office or schedule a consultation appointment.

Alpha Stim Therapy
An electronic stimulation device that induces a comfortable condition called Alpha relaxation. Alpha relaxation affects the part of the brain stem which controls the wake/sleep cycle. Therefore, it induces the Alpha state, a condition of being more relaxed and more aware. One treatment generally lasts 12-24 hours. Alpha relaxation helps the musculo-skeletal system to return to normal faster than it could without its use.

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Computerized Axial Tomography
Reveals the opened, closed, and rest position of the condyles in the glennoid fossa; identifies the presence or lack of disc space; identifies condylar morphology and symmetry.

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Craniomandibular Scans
Demonstrates the opening and closing trajectory of the mandible, evaluates the velocity, smoothness and extent of mandibular opening and closing; evaluates the degree of muscle relaxation at rest as well as lateral deviations and the amount of freeway space; evaluates muscle activity during clenching. It is an invaluable tool in diagnosis and treatment of temporomandibular disorders.

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Cryostim Therapy
Cold therapy is used for cooling body tissues which causes a decrease in metabolism and a decrease in nerve conduction velocity. It also causes an immediate constriction of the superficial vessels which leads to a decrease in bleeding and in the inflammatory response. This diverts the blood to deeper vessels, thereby, increasing the blood supply to the underlying tissues.

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Cold Laser Therapy
 
Is a form of concentrated light which has been used in the field of physical medicine for over 30 years for joint pain, trigger point activity, and decreased circulation.  It is FDA approved for all of the mentioned conditions, and we have had great success with its use.

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Doppler
Sonography used to determine the pathophysiology and progression of an internal derangement of the temporomandibular joint. It is also used to detect the reduction of blood flow in the superficial temporal artery due to compression of the TM joint.

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Electrogalvanic Stimulation (EGS)
High voltage electrical stimulation using positive and/or negative polarity for the treatment of muscle spasms, edema, trigger points, pain, and to increase blood flow to tissues with impaired circulation.

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Electromyography (EMG)
Monitors the level of the source of spastic muscle activity; assists in differential diagnoses. It also provides confirmation that the muscles are relaxed in preparation for a jaw position myocentric bite registration. It is an invaluable tool to verify the physiologic status of the stomatognathic system.

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Infrared Anodyne Therapy
Infrared Anodyne Therapy is a safe, FDA-approved, drug free, non-invasive device that uses near-infrared light emitting diodes to safely increase local circulation and reduce pain. Anodyne Therapy may be used on any patient unless they are pregnant or have active cancer. It can even be used safely over pins, implants, screws, pacemakers and defibrillators.

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Iontophoresis
Offers a means to help control pain and inflammation in symptomatic patients. Ions in solution are passed through the intact skin by passage of DC electrical current between two electrodes. Negative ions are transmitted at the positive electrode (cathode). This treatment is for capsular tightness, acute muscle disorders, synovitis, and inflammatory arthritis.  Medications are delivered directly to the involved tissues and structures.

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Joint Vibration Analysis
Doppler Sonography is used to determine the frequency and magnitude of temporomandibular joint sounds. This information is used along with electromyography and craniomandibular scans to diagnosis the condition of the TM joint.

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Moist Heat Therapy
Moist heat therapy is used to help relieve chronic muscle pain and to prepare for other procedures. It increases blood flow to reduce inflammation and to remove built-up waste products.

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Myomonitor
A small instrument, which uses a flashlight battery and electrodes to deliver electronic stimulation (pulses) to the proper facial muscles to facilitate their relaxiation and relieve spasms, and also orient the jaw to its most relaxed position.  It is used to diagnose and treat painful muscle spasms and malpositions of the craniofacial structures due to Myofacial Pain Syndrome and Temporomandibular Joint Syndrome.

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Neurostimulation
Uses surfaces of transcutaneous electrodes to deliver electronic stimulation (pulses) to the proper facial muscles by stimulation of cranial nerves V and VII to facilitate their relaxation, relieve spasms, and also to orient the jaw in its most relaxed position, and to reduce the pressure in the retrodiscal tissues. It is used to diagnose and treat painful muscle spasms and mal-positions of the craniofacial structures. The neurostimulator stimulates the natural exercising of the facial muscles to bring full contraction, full relaxation with increased heat and blood circulation through muscle tissue, as well as lymphatic drainage thus bringing oxygen to the muscle and removing the spasm.  It also stimulates the release of endorphans (natural pain relievers).

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Paranasal Tomography
An X-Ray used to evaluate the morphology of the inferior, middle, and superior nasal concha. The nasal turbinates and their relationship to the right and left airway paths are viewed.

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Pharyngometry
Computerized measurement of the volume of the oropharyngeal junction to assess airway patency in patients diagnosed with sleep apnea and/or snoring. It is used as a screening device in the evaluation of patients considering the use of an airway dilator for the reduction of sleep apnea and/or snoring. It is used to titrate the airway dilator to achieve maximum efficacy.

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Portable Muscle Scans
Used to reveal the source of spastic muscle activity; assist in differential diagnoses of muscle activity. It also provides confirmation that the muscles are relaxed in preparation for a jaw myocentric bite registration or adjustment of an appliance.
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Spray and Stretch
The use of fluori-methane (vapocoolant) sprays to act as a counter-irritant in the treatment of Myofascial Pain caused by trigger points or muscle spasms. When the spray hits the skin, it gives touch-cold sensation which breaks the pain cycle and permits a comfortable stretch of the muscle and blocks pain impulses.

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TENS
Transcutaneous electrical nerve stimulation uses surface transcutaneous electrodes to deliver electronic stimulation (pulses) to the muscles to bring full contraction, full relaxation, increased heat and blood circulation through muscle tissue, and lymphatic drainage thus bringing oxygen to the muscle and removing spasm, thereby, eliminating lactic acid and CO2. It is used to diagnose and treat painful muscle spasms and mal-positions of the craniofacial structures.

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Trigger Point Injections
Injection of Citanest and/or lidocaine and/or solumedrol into trigger points to disburse trigger points and relieve inflammation and pain.

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