María González, physiotherapist and osteopath, presents the case of Eduardo Chapa, a patient who came to consultation due to persistent jaw pain that had not been able to be resolved after several previous dental assessments and treatments. As she relates, the pain was located in the area of the third branch of the trigeminal and was accompanied by a clear feeling of tension, limitation in jaw opening, difficulty in laterality and loss of biting strength, in addition to cramps and intense discomfort that affected his rest and daily life.
After a more complete assessment, the team identified an alteration of the temporomandibular joint (TMJ) with a significant component of nighttime hyperactivity, since the patient reported the feeling of constantly clenching his jaw during the night. After initially working with manual therapy, radiofrequency and other physiotherapy techniques, it was decided to incorporate NESA to address the neuromodulatory part of the condition.
As Eduardo explains, one of the most striking changes appeared in the first sessions, with a very significant reduction in nighttime jaw pressure and clear improvement in tension, rest and discomfort when biting. In approximately a month and a half, the pain that had been conditioning him for some time practically completely disappeared. The case highlights how an integrative approach can be especially useful in complex TMJ conditions, where pain, nighttime bruxism and muscle tension feed back on each other.
