In 2017, Jagdhari, et. al., conducted a groundbreaking prospective study which has shed light on the therapeutic correlation between cervical dysfunction and myofascial pain dysfunction syndrome (MPDS). The study, conducted by a team of researchers led by Smriti Jagdhari, B, aimed to investigate the relationship between cervical pain and MPDS, while evaluating the efficacy of different treatment modalities.

The study comprised a total of 46 patients, divided into two groups: Group I consisted of 23 patients with MPDS and cervical pain, while Group II included 23 patients with MPDS but without cervical pain. Detailed history-taking and examinations were performed, focusing on factors such as pain and tenderness of muscles in the mastication and neck regions, maximum comfortable mouth opening, and cervical range of motion.

All patients were randomly assigned to receive one of three treatment modalities: physical exercises, light amplification by stimulated emission of radiation (LASER) therapy, or a combination of both exercise and LASER. The researchers assessed the patients for the relief of myofascial pain and cervical pain symptoms after treatment, with subsequent follow-ups conducted monthly for two months.

Surprisingly, both groups exhibited similar responses to the different treatment modalities. In Group I, where patients had both MPDS and cervical pain, the treatment primarily targeted MPDS, yet resulted in relief for cervical pain as well. Notably, patients from both groups who received LASER therapy, either alone or in combination with exercise, demonstrated superior outcomes. These patients experienced a reduction in visual analog scale scores, a decrease in the number of tender muscles, and an increase in maximum comfortable mouth opening after treatment, which persisted during the follow-up period. In comparison, patients who were solely advised to perform exercises exhibited a lesser response.

The findings of this study suggest a positive interrelationship between MPDS and cervical pain, with MPDS potentially acting as a catalyst for precipitating cervical pain. Moreover, the study underscores the clinical significance of physiotherapy in treating cervical pain associated with MPDS. The most effective modalities identified were LASER therapy and a combination of exercise and LASER treatment.

These novel insights have important implications for the management of patients with MPDS and cervical pain. By targeting both conditions simultaneously, healthcare professionals can provide comprehensive relief and enhance the overall well-being of patients suffering from this debilitating syndrome.

As further research in this field continues, it is hoped that these findings will contribute to the development of more targeted and effective treatment strategies, ultimately improving the quality of life for individuals affected by MPDS and associated cervical pain.

Reference: Jagdhari, B. S., Mukta, M., Saket, A. G., & Golhar, A. V. (2017). Therapeutic Evaluation of Cervical Dysfunction in Patients with Myofascial Pain Dysfunction Syndrome: A Prospective Study. The Journal of Contemporary Dental Practice, 18(7), 601-606.