TMD: Masquerading As Cervical Afferents?
The recognition of the trigemino cervical nucleus has revealed an intimate, perhaps complex, relationship, between the cranio-cervical and cranio-mandibular regions. In clinical practice, many headache patients present with signs and symptoms common to both regions. As clinicians, at least from the subjective presentation, this is challenging – are we dealing with cranio-cervical or cranio-mandibular? As a headache practitioner, it is therefore important to be able to identify the primary source of symptoms. In this presentation, Fernando will explain the relevant subjective features of the cranio-mandibular region that may mask or be confused with the cranio-cervical region in the headache patient.
Mr Fernanado Ruiz is a specialist in Myofascial Pain Syndrome and Invasive Therapy (Dry Needling) consulting from his private practice for over 15 years. Fernando graduated from the Autonomous University of Barcelona in 2006 and then completed the Manual Therapy in Neuro-orthopedics in 2008.
In 2011 he completed a specialisation Castilla-La Mancha university in Chronic Pain and Fibromyalgia.
Mr Ruiz has completed numerous postgraduate courses pursuing his interests in temporomandibular dysfunction, vestibular disorders, cervical pain and headache. Fernando also teaches related manual therapy courses to physiotherapists in Spain and Italy. He has also published in Annals de Medicina.