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Relief of Post-COVD-19 Burning Mouth Syndrome (BMS) with OMM- A case study

Journal: The AAO Journal Date: 2022/06, 32(2):Pages: 18. doi: Subito , type of study: case report

Free full text   (https://meridian.allenpress.com/aaoj/article/32/2/15/482674/LBORC-NUFA-Poster-Abstracts-2022-Students)

Keywords:

burning mouth syndrome [1]
case report [514]
OMT [2951]
osteopathic manipulative treatment [2973]

Abstract:

Background: Burning Mouth Syndrome (BMS) is a rare condition consisting of a burning sensation of the oral mucosa of unknown etiology without physical examination findings. Patients may have other symptoms including difficulty speaking, headache (HA), temporomandibular disorder (TMD), and muscular weakness of the jaw.1 Treatment methods include benzodiazepines and antidepressants.2 Although there is no documentation of Osteopathic Manipulative Treatment (OMT) being utilized to treat BMS, OMT has been shown to be effective in treating TMD and HA.3,4 Case: 71-year-old male presented with a burning sensation of the left side of his tongue for the past two weeks. Previously, the patient experienced the sensation for over one year after being diagnosed with COVID-19 in March 2020. Patient reported 2/10 pain at time of visit, and 8/10 pain at its worst. He used Mylanta four times/ day to alleviate pain. Physical examination and vital signs were within normal limits. Osteopathic structural examination revealed somatic dysfunctions (SD) of the cranium, jaw, spine, ribcage, and pelvis. OMT including cranial osteopathic manipulative medicine, myofascial technique, ganglion release, muscle energy and counterstrain were utilized. Results: At one week follow up, patient self-reported no burning for 4 days following treatment. He reported an 80% overall decrease in discomfort and ceased use of Mylanta for 4 days. He recently resumed Mylanta and has been using it 1-2 times/day and rates the pain 2/10 at its worst. Conclusion: This case demonstrated improvement of post-COVID-19 BMS symptoms. Limitations of this study include subjective measurements of improvement and a small sample size. More research needs to be conducted to observe the effect of OMT on BMS and its associated etiology.


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