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颞下颌关节紊乱病10步治疗计划
$43.75
本书的相关内容经过几十年实践检验,是有充分研究支持的,是基于目前可用的证据所编写的。本书提供的建议是保守的,遵循这些指导原则可以帮助到患者而不会伤害他们。通过改善日常不良习惯,实践简单方便的练习,告别颞下颌关节紊乱病,畅快大口吃饭、开怀大笑、自由歌唱!
本书由拥有50多年颞下颌关节紊乱病治疗经验的物理治疗师编写,国内颞下颌关节病头部专家、网红医生、方仲毅(上海九院康复科治疗师长)、蔡斌(上海九院康复科主任)翻译,是美国亚马逊颞下颌关节图书NO.1,4.5星高评,众多专业学会、专家推荐的一本颞下颌关节紊乱病自助图书。它详细介绍颞下颌关节是什么,基本的解剖学和生理学基础,颞下颌关节紊乱病与什么行为习惯有关系;之后介绍经过患者检验的容易实施的10步治疗计划,可行性强,难度小,帮助读者告别颞下颌关节疼痛,拥抱自由。
辛西娅•彼得森,美国物理治疗师,作业治疗师,口腔肌功能治疗师,擅长以运动疗法和保守治疗为主进行颞下颌关节紊乱疾病的诊断和治疗。
方仲毅上海交通大学医学院附属第九人民医院康复医学科总治疗师长,擅长颈腰痛、运动损伤、关节术后功能障碍、颞下颌关节紊乱病等疾病的康复治疗,特别在运用神经松动术及多种治疗技术改善由脊柱原因引起的复杂性四肢疼痛等方面有比较丰富的临床经验。连续多年被“好大夫在线”网站评选为“优秀好大夫”,累计为1万多位患者提供关于颞下颌关节紊乱病的在线问诊。主译《颞下颌关节紊乱病:手法、运动与针刺治疗》,参编《关节松动术》颞下颌关节章节。
引 言1什么是颞下颌关节? 1谁应该读这本书? 2你如何知道自己是否患有颞下颌关节紊乱病? 3如何使用这本书? 41.纠正有害习惯 7从有害到健康 710 个步骤. 92.重要的解剖 10颞下颌关节 10PoTSB TLC . 18总结 193.步:停止过度使用和滥用你的下颌 20当你的关节发生损伤 20你能做些什么以减缓关节磨损 25总结 294.第二步:姿势的力量 31为何你需要良好的姿势? 31如何评估你的姿势 35因姿势问题寻求专业帮助 38将完美的姿势付诸实践:如何站立 43将完美的姿势付诸实践:如何坐 50将完美的姿势付诸实践:如何睡觉 59总结 705.第三步:TLC . 72牙齿接触的危害 72肌肉紧绷、咬牙和磨牙 73如何缓解肌肉紧绷、咬牙和磨牙 75TLC 再训练:牙齿分开,嘴唇闭合,让肌肉和精神恢复平静 82总结 876.第四步:训练你的舌头,用心地吞咽 90下颌骨的休息位 91舌头贴上腭 91正确吞咽 102还有问题吗? 112总结 1137.第五步:呼吸更顺畅 115燃料耗尽 115胸式呼吸是上下颠倒的呼吸 117影响呼吸的因素 118评估你是如何呼吸的 121怎样才能顺畅地呼吸? 124寻求专业的帮助 130总结 1308.第六步:照护好你的肌肉 132肌筋膜疼痛 133恢复并维持全范围活动度 143纤维肌痛 178总结 1809.第七步:照护你的关节盘和韧带结构 182关节盘 183关节、韧带和关节过度活动 192总结 196第八步:缓解头痛和颈痛 198头痛 199颈痛 204需要紧急处理时 206总结 21010.第九步:减轻压力并开始锻炼 212“战斗或逃跑”与“休息和消化” 212如何减轻压力 215定期锻炼:成功的循环 219开始你的锻炼计划 224总结 234
序言可能没有其他临床疾病像颞下颌关节紊乱病和相关疼痛那样容易被误解、误诊和误治。因为这些问题而寻求帮助的患者很容易被引导从而相信他们的问题是由特定原因造成的,但事实可能并非如此。无论患者是通过互联网、书籍还是通过咨询医生来寻求帮助,都可能发生这种情况。声称了解这些问题的人通常有偏向性或隐秘意图。遵循这样的建议可能会导致不必要的和费用昂贵的治疗。患有颞下颌关节紊乱病的患者一般都看过几位不同的医生,并且大多数医生的意见不同,在经历了各种失败的治疗后,患者仍在寻求缓解病痛的方法。通常,朋友和家人不理解患者所承受的痛苦,因为他们看起来是“正常”的。许多有这些问题的患者被医生视为“只是因为压力过大”。公平地说,颞下颌关节紊乱病的诊断和管理非常具有挑战性。这在一定程度上是千真万确的,因为两个不同的患者可能有着相似的主诉,但他们有完全不同的潜在问题。尝试将相同的治疗方案应用于两名患者,可能会导致至少一名患者无法获得明显的治疗效果。除非确定了原因(通常是多种原因的组合),否则无法制订具有可预测结果的治疗计划。虽然对于这些问题可能没有“简单”的答案,但还是有诊断原则可依循的。这本书在提供这些答案方面走了很长的路,但它并不提倡“一刀切”或“菜单式”的治疗方法。它所做的是提供大量有关颞下颌关节紊乱病病因的信息,比如多种有害习惯或不良生活方式可能会导致头部、下颌和颈部出现一系列的症状。因此,患者可以确定其特定病情的潜在原因,然后选择合理的治疗。对患有颞下颌关节紊乱病的患者来说,这本书是困惑、错误信息和营销炒作的沙漠中的绿洲。本书的相关内容是有充分研究支持的,是基于目前可用的证据所编写的。本书提供的建议是保守的,遵循这些指导原则可以帮助到患者而不会伤害他们。然而,正如作者所指出的,如果你的症状持续存在,这本书不能替代专业临床医生的全面评估。显然,这一领域存在某些患者无法自我评估或治疗的问题(如下颌骨关节炎)。保守治疗的方案总是好的,应使用良好的临床判断和循证医学资源对潜在的问题进行考虑并对颞下颌关节紊乱病进行专业治疗。这本书适用于那些寻求自助方法的人,以及那些目前正在接受临床治疗的患者。这是一本非常好的关于下颌骨及其相关结构的解剖学和功能的教育读物。遵循本书中的指导原则也有助于防止今后再次出现下颌问题。多年来,物理治疗师辛西娅•彼得森为我的患者提供了大量的帮助,她教授他们关于颞下颌关节紊乱病的优秀课程。她将自己的职业生涯奉献给了教育患者和让患者获得主动权的事业。有了如此优秀的参考书,更多的人可以学习她的专业知识。本书将为患者提供有价值的指导,并为临床医生治疗颞下颌关节紊乱病提供有效的工具。书中提供了大量有文献记载的缓解下颌症状的技术。我真诚地希望本书中清晰、简明的信息能够为那些患有下颌及附近区域慢性疼痛的患者提供解决方案。作者真正了解颞下颌关节紊乱病的特性和复杂性,也真正理解该疾病对患者的生活质量会产生何种巨大的影响。—— James L. Guinn,DMD院士,美国口面部疼痛委员会成员
“这是有史以来有用的一本书,所有颞下颌关节紊乱病患者、治疗颞下颌关节紊乱病的牙医和可能接诊颞下颌关节紊乱病患者的 医生都应该阅读。我一定会让美国加州大学洛杉矶分校的口面部疼 痛科住院医生阅读这本书,并在我的办公室备上几本。若能给予适当的专业照护,使用本书来消除有害习惯并实施适当的家庭护理的患者将有好的机会快速而彻底地恢复颞下颌关节的正常功能。”— Joseph R. Cohen,DDS,FACD美国口面部疼痛委员会主席,美国加州大学洛杉矶分校口面部疼痛、颞下颌关节紊乱病和睡眠呼吸暂停住院医师培训项目助理教授“这本书包含了大量可以帮助患者自助缓解疼痛的信息。辛西娅•彼得森将一生的经验编入指南,不仅可以帮助颞下颌关节紊乱 病患者,还可以帮助有其他常见的疼痛困扰的人。如果你有面部疼 痛,这本书可提供有关缓解疼痛的办法。”— Jeffrey P. Okeson,DMD美国肯塔基大学牙科学院教务长兼特聘教授、口腔健康科学系教授兼主席、口面部疼痛项目主任 “我几乎已经阅读了现存的每一篇非专业文章,这本书无疑是好的。彼得森创造了一个系统,任何人都可以遵循这个系统来治疗颞下颌关节紊乱病,恢复正常生活。这是供临床医生和普通人阅读的杰作。”— Will Shannon N. D澳大利亚免费药品协会主席“这是有史以来关于颞下颌关节问题好的书。我做了35 年的牙科保健师、31 年的口腔肌功能治疗师,这本书说明了一切!对于患有下颌疾病的人,这本书一定能帮助到他们!”— Joy Moeller,BS,RDH口腔肌功能治疗师“我在美国、加拿大和世界各地为数千名正畸医生授课,我们都有一个共同的需求,那就是出版一本向患者介绍相关知识的书。美国和加拿大有很大比例的人患有不同程度的颞下颌关节紊乱病。这本书阐述了这种疾病的各个方面(包括预防),我非常希望与我 的患者分享。”— Randall K. Bennett,DDS,MS“辛西娅:我饶有兴趣地阅读了你的书,我觉得它为颞下颌关节紊乱病患者提供了一个极好的自我管理方案。通常,颞下颌关节紊乱病患者不知道他们可以做些什么来减轻疼痛,也不明白他们一直在做的哪些事可能影响了疼痛的发展。我会毫不犹豫地向那些遭受痛苦的人推荐这本书。我期待着它的出版。”— Robert L. Merrill,DDS,MS美国加州大学洛杉矶分校牙科学院口面部疼痛和牙科睡眠医学中心副教授、主任
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