06/11/2024
A client with frequent nosebleeds works with a massage therapist on TMJ pain, and something unexpected happens: she goes from 3-4 bleeds a week, to about one. The therapist has referred her to get more information about her sinus health, which is a good idea. But is there anything else they can be doing?
Resources:
Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app
Association of Hypertension With the Risk and Severity of Epistaxis | Bleeding and Transfusion | JAMA Otolaryngology–Head & Neck Surgery | JAMA Network (no date). Available at: https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2770570 (Accessed: 28 May 2024).
Durham, J. and Wassell, R. (2011) ‘Recent Advancements in Temporomandibular Disorders (TMDs)’, Reviews in Pain, 5(1), pp. 18–25. Available at: https://doi.org/10.1177/204946371100500104.
Epistaxis and Hypertension: Reviewing a Complex Relationship (no date) Medscape. Available at: https://www.medscape.com/viewarticle/epistaxis-and-hypertension-reviewing-complex-relationship-2023a1000i7t (Accessed: 28 May 2024).
‘Epistaxis: Practice Essentials, Anatomy, Pathophysiology’ (2024). Available at: https://emedicine.medscape.com/article/863220-overview?&icd=login_success_email_match_fpf (Accessed: 28 May 2024).
Karegeannes, M. (2018) Red Flags, Treating TMJ. Available at: https://www.treatingtmj.com/symptoms/red-flags/ (Accessed: 28 May 2024).
Nose Bleeds at Night: 5 Causes (2017) Healthline. Available at: https://www.healthline.com/health/nose-bleeds-at-night (Accessed: 28 May 2024).
Nosebleeds (Epistaxis): Causes, Treatment & Prevention (no date) Cleveland Clinic. Available at: https://my.clevelandclinic.org/health/diseases/13464-nosebleed-epistaxis (Accessed: 29 May 2024).
Nosebleeds: When It’s Time to Get Medical Attention (2021) Columbia University Irving Medical Center. Available at: https://www.cuimc.columbia.edu/news/nosebleeds-when-its-time-get-medical-attention (Accessed: 28 May 2024).
Image of Kiesselbach Plexus
Credit: FirstAdmiral, CC-SA-3.0
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