AKT1-096

Mrs Willis is a 37 year old female who is well known to you with Irritable Bowel Syndrome, Migraines and Fibromyalgia. She has noticed pain around her jaw (more on the left side) that radiates around her ear. The pain is made worse when singing, talking and eating hard foods. The pain has been occuring on and off for the last four months but she has come to see you today as she has also noticed an intermittent clicking noise. On examination there is no obvious swelling or deformity, cranial nerves are intact and there is tenderness to palpation over the temporomandibular joint.

You explain to Mrs Willis that she likely has a diagnosis of temporomandibular joint(TMJ) dysfunction. Which one of the following options are not recommended for management?

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