Lexington Headache Clinic
a non-narcotic, multi-disciplined approach to the management of headache
  Welcome Letter
  Locate your Pain
  The Source of Pain
  What is Myofascial Pain?
  Treating Myofascial Pain
  4 and Under Pain Relief Recipe
  Rebound Pain: When Medicine Makes Headaches Worse
  Botox for Pain
  Sleep Disorders
  Why Physical Therapy Works (or Doesn't)
  Head and Neck Pain Videos
  Patient Testimonials
  Glossary
  Doctors and Specialists
  Insurance Coverage
  Our Location
  Contact Us

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Glossary
Active Trigger Point
A trigger point which is currently causing pain
Acute
Recent
Alpha/Delta Sleep
A type of sleep disturbance when stage 1 sleep shows up in stage 4 sleep. This is recorded when you have an overnight sleep study.
Bruxism
Grinding of teeth
Centric Occlusion
Teeth together
Centric Relation
Joints in the socket
Cervical
Neck
Chronic
Long-standing, meaning weeks, months, or years, but does not mean incurable
Clench
Holding teeth tightly together
Condyle
The head of a bone which fits into a socket to make a joint
Fossa
Joint socket
Latent Trigger Point
A trigger point which is not causing pain but which is still tender to push on
Ligament
Restricts the movement of a joint
Malocclusion
A bite which causes problems with either muscles, joints, teeth, gums, or bones
Management
Watching and guiding for the sake of proper control
Mandible
Lower jaw
Masticatory
Chewing
Maxilla
Upper jaw
Myofascial Pain
See extended definition.
Muscle Spasm
A muscle which has increased tension due to nonvoluntary nerve action
Neurotransmitters
Chemicals made in the nerves that allow the nerves to "talk" to one another.
Non-restorative sleep
When you wake from sleep but don't feel rested... or when you go to bed tired and wake tired.
Occlusion
Bite - the way your teeth fit together
Primary Muscle Pain
The source of the muscle pain
Range of Motion
How far you can turn a joint, usually expressed in degrees
Referred Pain
Pain felt at a site distant from the source
Refined Carbohydrate
Sugar
REM Sleep
Rapid Eye Movement - a stage of sleep where the brain is active, and the muscles are paralyzed. During this stage of sleep the muscles are actually paralyzed, The exception to this is the jaw muscles are not paralyzed. REM sleep is also the lightest stage of sleep and one that we are very likely to awaken from because of the increased brain activity. When awakening occurs, we do not go back into REM but start all over again in either stage 1 or stage 2.
Sleep Stages
The different cycles of sleep that we travel through during the night. In the normal person these are the approximate percentages of each stage during the course of a night of uninterrupted sleep:
Stage 1 5% light stage of sleep, high brain activity , high muscle activity
Stage 2 50% a little deeper stage with less brain activity but high muscle activity
Stage 3 10% the beginning of deep sleep with less brain activity high muscle activity.
Stage 4 10% this is deep sleep with very low brain activity but continued high muscle activity.
REM 25% this is when the reverse of stage 4 occurs, and we have high brain activity and paralyzed muscles except for the jaw muscles
Sleep Stage I
high brain activity, high muscle activity
Sleep Stage II
Lower brain activity, somewhat lower muscle activity
Sleep Stage III
Lower brain activity, somewhat lower muscle activity
Sleep Stage IV
Deep sleep, lowest brain activity, considerably lower muscle activity
Splint
A plastic oral appliance designed to give a near perfect bite when it is worn. NOTE: A splint will not change your bite; it will only allow you to have a good bite when it is in your mouth.
Stage transition
In a healthy sleep pattern, stage transition occurs when we sleep and do not awaken the entire night. We cycle through sleep stages 1, 2, 3, 4 and REM four to five times per night.
TMD
Temporomandibular disorder is a collection of symptoms which is called a syndrome. Some of these symptoms may be headache, neck and shoulder pain, and frequent awakenings.
TMJ
Temporomandibular joint, which is the joint in front of your ear
Trigger Point
A point of irritable muscle tissue, which is especially tender to squeezing or pressure, and usually causes referred pain