This study will determine whether selected complementary approaches to temporomandibular
joint (TMJ) pain management-acupuncture are as effective as usual care.
Temporomandibular disorders are characterized by pain and tenderness in the muscles of
mastication and/or the (TMJ), limitations of jaw opening often accompanied by deviations in
mandibular path, and clicking, popping or grating TMJ sounds. This study will compare the
effectiveness of the complementary therapies chiropractic therapy and bodywork therapy to
the standard of care for TMJ pain. If these complementary interventions are shown to be
effective, the goal is to design and implement a Phase III clinical trial to further
evaluate the health consequences and cost of these therapies.
Participants will be evaluated at baseline, and 6 and 12 months post-intervention. Clinical
examinations, saliva samples to assess salivary cortisol levels, and a series of
questionnaires to assess pain and grade of dysfunctional pain, psychological functioning,
and other physical symptoms will be used to assess outcomes. The investigators will
passively monitor health care utilization within KPNW using clinical, research, and
- Psychologically functional TMD patients