Comparative Efficacy of Therapeutic Ultrasound and Nirgundi Oil Phonophoresis on Temporomandibular Joint Disorders: An Observational Study

Background Temporomandibular disorder (TMD) is one of the most chronic common musculoskeletal disorders causing pain and disability. Nirgundi oil, an herbal medicine with anti-inflammatory properties has proved its role in alleviating pain and various health disorders. Phonophoresis (PH) by conventi...

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Main Authors: Nishanthi Raja, Anuradha Ganesan, C. L. Krithika, Yesoda K Aniyan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-10-01
Series:Journal of Nature and Science of Medicine
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Online Access:https://journals.lww.com/10.4103/jnsm.jnsm_27_24
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author Nishanthi Raja
Anuradha Ganesan
C. L. Krithika
Yesoda K Aniyan
author_facet Nishanthi Raja
Anuradha Ganesan
C. L. Krithika
Yesoda K Aniyan
author_sort Nishanthi Raja
collection DOAJ
description Background Temporomandibular disorder (TMD) is one of the most chronic common musculoskeletal disorders causing pain and disability. Nirgundi oil, an herbal medicine with anti-inflammatory properties has proved its role in alleviating pain and various health disorders. Phonophoresis (PH) by conventional pharmacological management in persistent conditions can lead to side effects, and hence, for this reason, alternative medicine is gaining importance. Objective This study aims to compare the effectiveness of therapeutic ultrasound with PH using nirgundi oil in TMD. Subject and Methods Thirty patients with mild-to-severe TMD who were part of the research study were assigned at random to one of two groups. Group 1 (n = 15) received therapeutic ultrasound treatment using ultrasound gel without any therapeutic component, while Group 2 (n = 15) received therapeutic ultrasound using herbal nirgundi oil. A visual analog scale was used to measure the amount of discomfort before and after treatment. Necessary statistical analysis using Normality tests, Kolmogorov–Smirnov, and Shapiro–Wilks’s test was performed. Results PH with nirgundi oil resulted in a statistically significant higher reduction in pain (P < 0.005) and increased mouth opening (P < 0.005). Conclusion PH using nirgundi oil can be an effective therapy for persistent pain in TMDs.
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spelling doaj-art-a57ab80af866456dbb0816786d49129f2025-08-20T02:12:33ZengWolters Kluwer Medknow PublicationsJournal of Nature and Science of Medicine2589-627X2589-62882024-10-017427227510.4103/jnsm.jnsm_27_24Comparative Efficacy of Therapeutic Ultrasound and Nirgundi Oil Phonophoresis on Temporomandibular Joint Disorders: An Observational StudyNishanthi RajaAnuradha GanesanC. L. KrithikaYesoda K AniyanBackground Temporomandibular disorder (TMD) is one of the most chronic common musculoskeletal disorders causing pain and disability. Nirgundi oil, an herbal medicine with anti-inflammatory properties has proved its role in alleviating pain and various health disorders. Phonophoresis (PH) by conventional pharmacological management in persistent conditions can lead to side effects, and hence, for this reason, alternative medicine is gaining importance. Objective This study aims to compare the effectiveness of therapeutic ultrasound with PH using nirgundi oil in TMD. Subject and Methods Thirty patients with mild-to-severe TMD who were part of the research study were assigned at random to one of two groups. Group 1 (n = 15) received therapeutic ultrasound treatment using ultrasound gel without any therapeutic component, while Group 2 (n = 15) received therapeutic ultrasound using herbal nirgundi oil. A visual analog scale was used to measure the amount of discomfort before and after treatment. Necessary statistical analysis using Normality tests, Kolmogorov–Smirnov, and Shapiro–Wilks’s test was performed. Results PH with nirgundi oil resulted in a statistically significant higher reduction in pain (P < 0.005) and increased mouth opening (P < 0.005). Conclusion PH using nirgundi oil can be an effective therapy for persistent pain in TMDs.https://journals.lww.com/10.4103/jnsm.jnsm_27_24herbalnirgundi oilphonophoresistemporomandibular disorders
spellingShingle Nishanthi Raja
Anuradha Ganesan
C. L. Krithika
Yesoda K Aniyan
Comparative Efficacy of Therapeutic Ultrasound and Nirgundi Oil Phonophoresis on Temporomandibular Joint Disorders: An Observational Study
Journal of Nature and Science of Medicine
herbal
nirgundi oil
phonophoresis
temporomandibular disorders
title Comparative Efficacy of Therapeutic Ultrasound and Nirgundi Oil Phonophoresis on Temporomandibular Joint Disorders: An Observational Study
title_full Comparative Efficacy of Therapeutic Ultrasound and Nirgundi Oil Phonophoresis on Temporomandibular Joint Disorders: An Observational Study
title_fullStr Comparative Efficacy of Therapeutic Ultrasound and Nirgundi Oil Phonophoresis on Temporomandibular Joint Disorders: An Observational Study
title_full_unstemmed Comparative Efficacy of Therapeutic Ultrasound and Nirgundi Oil Phonophoresis on Temporomandibular Joint Disorders: An Observational Study
title_short Comparative Efficacy of Therapeutic Ultrasound and Nirgundi Oil Phonophoresis on Temporomandibular Joint Disorders: An Observational Study
title_sort comparative efficacy of therapeutic ultrasound and nirgundi oil phonophoresis on temporomandibular joint disorders an observational study
topic herbal
nirgundi oil
phonophoresis
temporomandibular disorders
url https://journals.lww.com/10.4103/jnsm.jnsm_27_24
work_keys_str_mv AT nishanthiraja comparativeefficacyoftherapeuticultrasoundandnirgundioilphonophoresisontemporomandibularjointdisordersanobservationalstudy
AT anuradhaganesan comparativeefficacyoftherapeuticultrasoundandnirgundioilphonophoresisontemporomandibularjointdisordersanobservationalstudy
AT clkrithika comparativeefficacyoftherapeuticultrasoundandnirgundioilphonophoresisontemporomandibularjointdisordersanobservationalstudy
AT yesodakaniyan comparativeefficacyoftherapeuticultrasoundandnirgundioilphonophoresisontemporomandibularjointdisordersanobservationalstudy