Chronic Facial Pain & Tension Headaches
In the event that conventional appliance therapy is not sufficient to relieve muscle pain from Temporomandibular joint disorder, intramuscular injections may help temporarily relieve the symptoms.

Botox® and Trigger Point Injections
Botox® is a purified protein that can be prepared for intramuscular injection.  It works by shutting down the mechanism that allows the muscles to contract.  It is used to reduce the intensity of clenching one’s teeth together.  It can also reduce or eliminate tension headaches.  A beneficial side-effect can be the smoothing of facial wrinkles.

A trigger point is a sensitive or painful area in the muscle or fascia.  Injection of a local anesthetic like Lidocaine or Bupivicaine into the trigger point may help relieve the symptoms and help the muscle relax.