{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T16:10:01Z","timestamp":1751559001867,"version":"3.41.0"},"reference-count":0,"publisher":"Pakistan Medical Association","issue":"07","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Pak Med Assoc"],"abstract":"<jats:p>This case report describes the unusual presentation of chronic temporomandibular joint (TMJ) dysfunction in a young girl and highlights the effectiveness of a multidisciplinary approach in managing her condition. A 15-year-old female presented to the dental clinics at the Aga Khan University Hospital with a one-year history of restricted mouth opening, severe bilateral preauricular pain, and audible TMJ clicking. The pain, initially dull had progressed to spontaneous, sharp, and radiating discomfort unresponsive to conventional analgesics. A significant psychosocial stressor was identified as the precipitating factor. Clinical examination revealed marked tenderness across multiple craniofacial and cervical muscles, with features consistent of myofascial pain syndrome. A comprehensive management plan was implemented, involving pharmacologic therapy (anti-inflammatories and muscle relaxants), non-pharmacologic strategies (TENS, moist heat, cervical manipulation), and psychological support. A bilaminar occlusal splint was fabricated and adjusted periodically. Over 15 sessions, her VAS pain score improved from 8\/10 to 5\/10, followed by complete resolution of symptoms and improved mouth opening to 45 mm within six weeks.\nKeywords: Myofascial pain syndrome, Trigger points, Referred pain, Temporomandibular disorders.<\/jats:p>","DOI":"10.47391\/jpma.11560","type":"journal-article","created":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T15:46:33Z","timestamp":1751471193000},"page":"1118-1121","source":"Crossref","is-referenced-by-count":0,"title":["Myofascial pain syndrome\u2014a diagnostic challenge for dental practitioners"],"prefix":"10.47391","volume":"75","author":[{"given":"Robia","family":"Ghafoor","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Nighat Naved","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"26547","published-online":{"date-parts":[[2025,7,1]]},"container-title":["Journal of the Pakistan Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/jpma.org.pk\/index.php\/public_html\/article\/download\/11560\/4199","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/jpma.org.pk\/index.php\/public_html\/article\/download\/11560\/4199","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T15:46:29Z","timestamp":1751557589000},"score":1,"resource":{"primary":{"URL":"https:\/\/jpma.org.pk\/index.php\/public_html\/article\/view\/11560"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,1]]},"references-count":0,"journal-issue":{"issue":"07","published-online":{"date-parts":[[2025,7,1]]}},"URL":"https:\/\/doi.org\/10.47391\/jpma.11560","relation":{},"ISSN":["0030-9982","0030-9982"],"issn-type":[{"type":"electronic","value":"0030-9982"},{"type":"print","value":"0030-9982"}],"subject":[],"published":{"date-parts":[[2025,7,1]]}}}