{"id":7562,"date":"2026-11-09T14:58:36","date_gmt":"2026-11-09T14:58:36","guid":{"rendered":"https:\/\/integrativa.pt\/?p=7562"},"modified":"2026-11-09T15:00:27","modified_gmt":"2026-11-09T15:00:27","slug":"dtm-headaches-and-orofacial-pain-are-a-relationship-that-goes-far-beyond-the-bite","status":"publish","type":"post","link":"https:\/\/integrativa.pt\/en\/dtm-cefaleias-e-dor-orofacial-uma-relacao-que-vai-muito-alem-da-mordida\/","title":{"rendered":"DTM, headaches and orofacial pain: a relationship that goes far beyond the bite"},"content":{"rendered":"<div class=\"wpb-content-wrapper\" id=\"wpb-content-root\"><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>A articula\u00e7\u00e3o temporomandibular (ATM) participa em gestos t\u00e3o essenciais como mastigar, falar, engolir ou bocejar. Quando esta articula\u00e7\u00e3o ou os m\u00fasculos que a rodeiam n\u00e3o funcionam de forma equilibrada, podem surgir sintomas como dor na mand\u00edbula ou na face, estalidos, limita\u00e7\u00e3o na abertura da boca, dor cervical e, com muita frequ\u00eancia, dores de cabe\u00e7a. Em conjunto, estas queixas podem ter um impacto significativo na qualidade de vida.<\/p>\n<p>Durante muitos anos, a mordida (oclus\u00e3o dent\u00e1ria) foi considerada a principal causa destes problemas. Hoje, a investiga\u00e7\u00e3o mostra que a realidade \u00e9 mais complexa.<\/p>\n<h4>O que \u00e9 a disfun\u00e7\u00e3o temporomandibular (DTM)?<\/h4>\n<p>A disfun\u00e7\u00e3o temporomandibular \u00e9 um termo que engloba um conjunto de altera\u00e7\u00f5es que afetam a ATM, os m\u00fasculos da mastiga\u00e7\u00e3o e as estruturas associadas. Pode manifestar-se atrav\u00e9s de dor muscular, dor articular, ru\u00eddos ao abrir ou fechar a boca, limita\u00e7\u00e3o do movimento da mand\u00edbula ou sensa\u00e7\u00e3o de bloqueio.<\/p>\n<p>As DTM s\u00e3o muito frequentes. Uma meta-an\u00e1lise estimou que a preval\u00eancia global \u00e9 de aproximadamente 31% nos adultos e idosos e de 11% nas crian\u00e7as e adolescentes. Afetam mais as mulheres: uma revis\u00e3o mais recente encontrou uma preval\u00eancia de 36,7% nas mulheres face a 26,7% nos homens, o que corresponde a uma probabilidade cerca de 1,75 vezes superior. Os sinais e sintomas mais relatados s\u00e3o a dor muscular, os estalidos ou ru\u00eddos articulares e a dor na articula\u00e7\u00e3o, sendo a limita\u00e7\u00e3o da abertura ou o bloqueio da boca os menos frequentes.<\/p>\n<h4>A mordida \u00e9 a causa da DTM?<\/h4>\n<p>Raramente \u00e9 a \u00fanica. Durante d\u00e9cadas, acreditou-se que um contacto incorreto entre os dentes estava na origem da maioria das DTM. No entanto, as revis\u00f5es cient\u00edficas mais recentes mostram que a associa\u00e7\u00e3o entre oclus\u00e3o e DTM \u00e9 fraca e que a mordida, por si s\u00f3, n\u00e3o explica a maioria dos casos (Manfredini et al., 2017).<\/p>\n<p>Atualmente, a DTM \u00e9 compreendida segundo um modelo biopsicossocial, em que v\u00e1rios fatores se combinam e influenciam mutuamente:<\/p>\n<ul>\n<li><strong>Fatores mec\u00e2nicos e musculares:<\/strong> sobrecarga dos m\u00fasculos da mastiga\u00e7\u00e3o, h\u00e1bitos como apertar os dentes, roer as unhas ou mastigar pastilha el\u00e1stica, e traumatismos<\/li>\n<li><strong>Bruxismo:<\/strong> apertar ou ranger os dentes, durante o dia ou durante o sono<\/li>\n<li><strong>Coluna cervical e postura:<\/strong> a rela\u00e7\u00e3o pr\u00f3xima entre a mand\u00edbula, o pesco\u00e7o e a cabe\u00e7a<\/li>\n<li><strong>Stress e fatores emocionais:<\/strong> o stress e a ansiedade aumentam a tens\u00e3o muscular e a sensibilidade \u00e0 dor<\/li>\n<li><strong>I am<\/strong> um sono insuficiente ou fragmentado aumenta a sensibilidade do sistema nervoso \u00e0 dor<\/li>\n<li><strong>Sensibiliza\u00e7\u00e3o do sistema nervoso:<\/strong> em quadros persistentes, o sistema nervoso pode tornar-se mais sens\u00edvel e amplificar a dor<\/li>\n<\/ul>\n<p>A oclus\u00e3o continua a ser avaliada, mas como um fator entre v\u00e1rios, e n\u00e3o como a explica\u00e7\u00e3o principal.<\/p>\n<h4>Porque \u00e9 que a DTM e as dores de cabe\u00e7a est\u00e3o t\u00e3o ligadas?<\/h4>\n<p>A rela\u00e7\u00e3o entre a ATM, a coluna cervical e a cabe\u00e7a tem uma base neurol\u00f3gica. A informa\u00e7\u00e3o sensitiva da face, da mand\u00edbula e dos m\u00fasculos da mastiga\u00e7\u00e3o \u00e9 transmitida pelo nervo trig\u00e9mio, que converge, no tronco cerebral, com a informa\u00e7\u00e3o proveniente da parte superior da coluna cervical. Esta zona de converg\u00eancia, conhecida como complexo trig\u00e9mino-cervical, ajuda a explicar porque \u00e9 que a dor na mand\u00edbula, no pesco\u00e7o e na cabe\u00e7a surge tantas vezes em conjunto, e porque \u00e9 que uma dor com origem numa destas regi\u00f5es pode ser sentida noutra.<\/p>\n<p>A Classifica\u00e7\u00e3o Internacional das Cefaleias reconhece mesmo um tipo espec\u00edfico de dor de cabe\u00e7a, a cefaleia atribu\u00edda a disfun\u00e7\u00e3o temporomandibular, habitualmente localizada na regi\u00e3o das t\u00eamporas e agravada pelos movimentos da mand\u00edbula (Headache Classification Committee of the International Headache Society, 2018). A investiga\u00e7\u00e3o mostra tamb\u00e9m que as dores de cabe\u00e7a s\u00e3o frequentes tanto nas DTM de origem muscular como nas de origem articular (Ahmed et al., 2021).<\/p>\n<p>A rela\u00e7\u00e3o \u00e9, al\u00e9m disso, bidirecional. As pessoas com DTM t\u00eam mais frequentemente enxaqueca e cefaleia de tens\u00e3o e, por outro lado, as pessoas com enxaqueca apresentam mais frequentemente sinais de DTM. Quando as duas condi\u00e7\u00f5es coexistem, tendem a influenciar-se mutuamente, tornando as crises mais frequentes ou mais intensas.<\/p>\n<h4>Que sinais podem indicar uma DTM?<\/h4>\n<ul>\n<li>Dor na mand\u00edbula, na face, nas t\u00eamporas ou junto ao ouvido<\/li>\n<li>Dores de cabe\u00e7a frequentes, sobretudo ao acordar ou ap\u00f3s mastigar<\/li>\n<li>Clicking or popping sounds when opening or closing your mouth<\/li>\n<li>Dificuldade em abrir a boca ou sensa\u00e7\u00e3o de bloqueio<\/li>\n<li>Cansa\u00e7o ou tens\u00e3o nos m\u00fasculos da mastiga\u00e7\u00e3o<\/li>\n<li>Dor cervical ou nos ombros associada<\/li>\n<li>Sensa\u00e7\u00e3o de ouvido &#8220;tapado&#8221; ou zumbidos, depois de exclu\u00eddas outras causas<\/li>\n<\/ul>\n<h4>Como \u00e9 feito o tratamento?<\/h4>\n<p>O tratamento das DTM deve ser conservador, individualizado e, sempre que poss\u00edvel, multidisciplinar. O objetivo n\u00e3o \u00e9 &#8220;corrigir&#8221; uma \u00fanica estrutura, mas reduzir a dor, recuperar a fun\u00e7\u00e3o e atuar sobre os v\u00e1rios fatores que contribuem para o problema.<\/p>\n<h5>Educa\u00e7\u00e3o e autogest\u00e3o<\/h5>\n<p>Compreender a condi\u00e7\u00e3o e identificar os h\u00e1bitos que a agravam \u00e9 o primeiro passo. Isto inclui aprender a manter a mand\u00edbula relaxada em repouso, reconhecer os momentos de aperto dos dentes durante o dia e ajustar h\u00e1bitos como a mastiga\u00e7\u00e3o de alimentos muito duros ou de pastilha el\u00e1stica.<\/p>\n<h5>Terapia manual e exerc\u00edcio<\/h5>\n<p>A combina\u00e7\u00e3o de terapia manual com exerc\u00edcio terap\u00eautico \u00e9 uma das abordagens com melhor suporte cient\u00edfico na DTM, contribuindo para reduzir a dor e melhorar a abertura da boca (Armijo-Olivo et al., 2016). O tratamento inclui habitualmente a mand\u00edbula, os m\u00fasculos da mastiga\u00e7\u00e3o e a coluna cervical.<\/p>\n<h5>Abordagem da cefaleia associada<\/h5>\n<p>Quando existe enxaqueca ou cefaleia de tens\u00e3o associada, a interven\u00e7\u00e3o pode incluir terapia manual cervical, que alguns estudos sugerem poder contribuir para reduzir a dor e a incapacidade associadas \u00e0 enxaqueca (Rist et al., 2019), e exerc\u00edcio aer\u00f3bio regular, que demonstrou benef\u00edcios em pessoas com enxaqueca, cefaleia de tens\u00e3o e dor cervical (Kroll et al., 2018).<\/p>\n<h5>Goteira<\/h5>\n<p>Nos casos de bruxismo, a goteira indicada pelo m\u00e9dico dentista pode proteger os dentes e a articula\u00e7\u00e3o durante a noite. Deve ser vista como um complemento, e n\u00e3o como tratamento \u00fanico.<\/p>\n<h5>Management <em>stress<\/em> e do sono<\/h5>\n<p>Tendo em conta o papel do stress e do sono na DTM e nas dores de cabe\u00e7a, estas dimens\u00f5es fazem parte do acompanhamento e, quando necess\u00e1rio, podem ser trabalhadas com o apoio da Psicologia.<\/p>\n<p>Pelo contr\u00e1rio, tratamentos irrevers\u00edveis que alteram a mordida, como desgastes dent\u00e1rios, n\u00e3o s\u00e3o recomendados como primeira abordagem para tratar a DTM.<\/p>\n<h4>Quando procurar ajuda?<\/h4>\n<p>Sempre que a dor na mand\u00edbula, os estalidos ou as dores de cabe\u00e7a sejam persistentes, recorrentes ou interfiram com a alimenta\u00e7\u00e3o, o sono ou o trabalho. Epis\u00f3dios em que a boca fica presa, sem conseguir abrir ou fechar, devem ser avaliados rapidamente.<\/p>\n<p>Algumas situa\u00e7\u00f5es exigem avalia\u00e7\u00e3o m\u00e9dica urgente: uma dor de cabe\u00e7a s\u00fabita e muito intensa, diferente do habitual, dor de cabe\u00e7a acompanhada de febre, altera\u00e7\u00f5es da vis\u00e3o ou da fala, perda de for\u00e7a, ou dor na t\u00eampora com dor ao mastigar em pessoas com mais de 50 anos.<\/p>\n<h4>The approach in Integrative Medicine<\/h4>\n<p>Na Integrativa, a DTM e as dores de cabe\u00e7a associadas s\u00e3o acompanhadas de forma integrada. A Fisioterapia especializada na ATM atua sobre a fun\u00e7\u00e3o, o movimento e os h\u00e1bitos; a Osteopatia, incluindo a Osteopatia Craniana, avalia e trata as estruturas envolvidas e a sua rela\u00e7\u00e3o com a coluna cervical e o sistema nervoso. Esta avalia\u00e7\u00e3o \u00e9 complementada por princ\u00edpios da Psiconeuroimunologia Cl\u00ednica, que considera o stress, o sono, a alimenta\u00e7\u00e3o e o contexto emocional. Sempre que necess\u00e1rio, o acompanhamento \u00e9 articulado com o m\u00e9dico dentista e com outras especialidades da cl\u00ednica, como a Psicologia.<\/p>\n<p>Dores de cabe\u00e7a frequentes, tens\u00e3o na mand\u00edbula ou estalidos ao abrir a boca, embora comuns, n\u00e3o devem ser ignorados. Se se identifica com estes sintomas, uma avalia\u00e7\u00e3o individualizada permite compreender os fatores envolvidos no seu caso e definir um plano ajustado \u00e0s suas necessidades.<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p data-start=\"0\" data-end=\"576\">At Integrativa, specialised consultations for the TMJ and orofacial pain are part of a global clinical evaluation, where the body is analysed in an integrative manner through Physiotherapy and Osteopathy, considering the interactions between the musculoskeletal (Structural Osteopathy), visceral (Visceral Osteopathy), and cranial (Cranial Osteopathy) systems. A comprehensive and personalised clinical evaluation allows each situation to be framed in detail and for strategies tailored to individual needs to be defined.<\/p>\n<p data-start=\"578\" data-end=\"777\" data-is-last-node=\"\" data-is-only-node=\"\">The assessment consultation with a specialised Physiotherapist \u2013 Osteopath allows for a careful and individualized understanding of how this integrative approach can be beneficial for your case.<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h4><\/h4>\n<h4>Bibliography references<\/h4>\n<p>Ahmed, J., Jacob, A. S., Sujir, N., Shenoy, N., &amp; Binnal, A. (2021). Association of headache with myogenous and arthrogenous type of temporomandibular joint disorders. <em>Journal of International Dental and Medical Research<\/em>, 14(2), 742\u2013745.<\/p>\n<p>Armijo-Olivo, S., Pitance, L., Singh, V., Neto, F., Thie, N., &amp; Michelotti, A. (2016). Effectiveness of manual therapy and therapeutic exercise for temporomandibular disorders: Systematic review and meta-analysis. <em>Physical Therapy<\/em>, 96(1), 9\u201325. <a href=\"https:\/\/doi.org\/10.2522\/ptj.20140548\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.2522\/ptj.20140548<\/a><\/p>\n<p>Headache Classification Committee of the International Headache Society (IHS). (2018). The International Classification of Headache Disorders, 3rd edition. <em>Cephalalgia<\/em>, 38(1), 1\u2013211. <a href=\"https:\/\/doi.org\/10.1177\/0333102417738202\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1177\/0333102417738202<\/a><\/p>\n<p>Kroll, L. S., Hammarlund, C. S., Linde, M., Gard, G., &amp; Jensen, R. H. (2018). The effects of aerobic exercise for persons with migraine and co-existing tension-type headache and neck pain: A randomized, controlled, clinical trial. <em>Cephalalgia<\/em>, 38(12), 1805\u20131816. <a href=\"https:\/\/doi.org\/10.1177\/0333102417752119\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1177\/0333102417752119<\/a><\/p>\n<p>Manfredini, D., Lombardo, L., &amp; Siciliani, G. (2017). Temporomandibular disorders and dental occlusion: A systematic review of association studies: End of an era? <em>Journal of Oral Rehabilitation<\/em>, 44(11), 908\u2013923. <a href=\"https:\/\/doi.org\/10.1111\/joor.12531\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1111\/joor.12531<\/a><\/p>\n<p>Rist, P. M., Hernandez, A., Bernstein, C., Kowalski, M., Osypiuk, K., Vining, R., Long, C. R., Goertz, C., Song, R., &amp; Wayne, P. M. (2019). The impact of spinal manipulation on migraine pain and disability: A systematic review and meta-analysis. <em>Headache<\/em>, 59(4), 532\u2013542. <a href=\"https:\/\/doi.org\/10.1111\/head.13501\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1111\/head.13501<\/a><\/p>\n<p>Valesan, L. F., Da-Cas, C. D., R\u00e9us, J. C., Denardin, A. C. S., Garanhani, R. R., Bonotto, D., Januzzi, E., &amp; de Souza, B. D. M. (2021). Prevalence of temporomandibular joint disorders: A systematic review and meta-analysis. <em>Clinical Oral Investigations<\/em>, 25(2), 441\u2013453. <a href=\"https:\/\/doi.org\/10.1007\/s00784-020-03710-w\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1007\/s00784-020-03710-w<\/a><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid vc_custom_1680169461443\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element  vc_custom_1769906076264\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p style=\"text-align: right;\"><a title=\"Osteopath - Physiotherapist David Brand\u00e3o\" href=\"https:\/\/integrativa.pt\/en\/osteopata-fisioterapeuta-david-brandao\/\"><strong>David Brand\u00e3o<\/strong> <\/a>| Osteopath and Physiotherapist<\/p>\n<p style=\"text-align: right;\">Specialising in Cranial Osteopathy for TMJ, Orofacial Pain and Headaches<\/p>\n<h6 style=\"text-align: right;\">Physiotherapist Card: 3652 | Order of Physiotherapists \/\/ Osteopath Card: C-0031697 | ACSS<\/h6>\n\n\t\t<\/div>\n\t<\/div>\n<style type=\"text\/css\" data-type=\"the7_shortcodes-inline-css\">.dt-shortcode-soc-icons.soc-icons-d45686d09a63baba6497efe6c6ad3c1e a {\n  margin-right: 4px;\n}\n.dt-shortcode-soc-icons a.soc-icons-d45686d09a63baba6497efe6c6ad3c1e {\n  margin-right: 4px;\n}\n.dt-shortcode-soc-icons a.soc-icons-d45686d09a63baba6497efe6c6ad3c1e:last-child {\n  margin-right: 0;\n}\n.dt-shortcode-soc-icons a.soc-icons-d45686d09a63baba6497efe6c6ad3c1e:before,\n.dt-shortcode-soc-icons a.soc-icons-d45686d09a63baba6497efe6c6ad3c1e:after {\n  padding: inherit;\n}\n.dt-shortcode-soc-icons a.soc-icons-d45686d09a63baba6497efe6c6ad3c1e.dt-icon-border-on:before {\n  border:  solid ;\n}\n.dt-shortcode-soc-icons a.soc-icons-d45686d09a63baba6497efe6c6ad3c1e.dt-icon-hover-border-on:after {\n  border:  solid ;\n}<\/style><div class=\"dt-shortcode-soc-icons  soc-icons-d45686d09a63baba6497efe6c6ad3c1e soc-icons-right\" ><style type=\"text\/css\" data-type=\"the7_shortcodes-inline-css\">.dt-shortcode-soc-icons a.single-soc-icon-4e4f278c408213ddb82c8b416bc69fdc {\n  min-width: 26px;\n  min-height: 26px;\n  font-size: 16px;\n  border-radius: 100px;\n}\n.dt-shortcode-soc-icons a.single-soc-icon-4e4f278c408213ddb82c8b416bc69fdc:last-child {\n  margin-right: 0;\n}\n.dt-shortcode-soc-icons a.single-soc-icon-4e4f278c408213ddb82c8b416bc69fdc:before,\n.dt-shortcode-soc-icons a.single-soc-icon-4e4f278c408213ddb82c8b416bc69fdc:after {\n  min-width: 26px;\n  min-height: 26px;\n  padding: inherit;\n}\n.dt-shortcode-soc-icons a.single-soc-icon-4e4f278c408213ddb82c8b416bc69fdc.dt-icon-border-on:before {\n  border: 0px solid ;\n}\n.dt-shortcode-soc-icons a.single-soc-icon-4e4f278c408213ddb82c8b416bc69fdc.dt-icon-hover-border-on:after {\n  border: 0px solid ;\n}\n.dt-shortcode-soc-icons a.single-soc-icon-4e4f278c408213ddb82c8b416bc69fdc:hover {\n  font-size: 16px;\n}\n#page .dt-shortcode-soc-icons a.single-soc-icon-4e4f278c408213ddb82c8b416bc69fdc:hover .soc-font-icon,\n#phantom .dt-shortcode-soc-icons a.single-soc-icon-4e4f278c408213ddb82c8b416bc69fdc:hover .soc-font-icon,\n#page .dt-shortcode-soc-icons a.single-soc-icon-4e4f278c408213ddb82c8b416bc69fdc:hover .soc-icon,\n#phantom .dt-shortcode-soc-icons a.single-soc-icon-4e4f278c408213ddb82c8b416bc69fdc:hover .soc-icon {\n  color: rgba(255,255,255,0.75);\n  background: none;\n}\n#page .dt-shortcode-soc-icons a.single-soc-icon-4e4f278c408213ddb82c8b416bc69fdc:not(:hover) .soc-font-icon,\n#phantom .dt-shortcode-soc-icons a.single-soc-icon-4e4f278c408213ddb82c8b416bc69fdc:not(:hover) .soc-font-icon,\n#page .dt-shortcode-soc-icons a.single-soc-icon-4e4f278c408213ddb82c8b416bc69fdc:not(:hover) .soc-icon,\n#phantom .dt-shortcode-soc-icons a.single-soc-icon-4e4f278c408213ddb82c8b416bc69fdc:not(:hover) .soc-icon {\n  color: #ffffff;\n  background: none;\n}\n.dt-shortcode-soc-icons a.single-soc-icon-4e4f278c408213ddb82c8b416bc69fdc .soc-font-icon,\n.dt-shortcode-soc-icons a.single-soc-icon-4e4f278c408213ddb82c8b416bc69fdc .soc-icon {\n  font-size: 16px;\n}<\/style><a title=\"Instagram\" href=\"https:\/\/www.instagram.com\/davidosteopata\/\" class=\"instagram single-soc-icon-4e4f278c408213ddb82c8b416bc69fdc dt-icon-bg-on dt-icon-border-on dt-icon-hover-border-on dt-icon-hover-bg-on\" target=\"_blank\" rel=\"noopener\"><i class=\"soc-icon soc-font-icon dt-icon-instagram\"><\/i><span class=\"screen-reader-text\">Instagram<\/span><\/a><\/div><\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element  vc_custom_1770147074499\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><strong>Reference articles<br \/>\n<\/strong><\/p>\n<ul>\n<li>Castien, R. F., &amp; De Hertogh, W. (2019). A neuroscience perspective of physical treatment of headache and neck pain. Frontiers in Neurology, 10, 276. https:\/\/doi.org\/10.3389\/fneur.2019.00276<\/li>\n<li>Bogduk, N. (2003). The anatomy and pathophysiology of neck pain. Physical Medicine and Rehabilitation Clinics of North America, 14(3), 455\u2013472. https:\/\/doi.org\/10.1016\/S1047-9651(03)00041-1<\/li>\n<li>Bartsch, T., &amp; Goadsby, P. J. (2003). The trigeminocervical complex and migraine: Current concepts and synthesis. Current Pain and Headache Reports, 7(5), 371\u2013376. https:\/\/doi.org\/10.1007\/s11916-003-0032-4<\/li>\n<li>Biondi, D. M. (2005). Cervicogenic headache: A review of diagnostic and treatment strategies. The Journal of the American Osteopathic Association, 105(4 Suppl 2), 16S-22S.<\/li>\n<li>Fern\u00e1ndez-de-Las-Pe\u00f1as, C., &amp; Cuadrado, M. L. (2014). Physical therapy for headaches. Cephalalgia, 34(9), 748-756. https:\/\/doi.org\/10.1177\/0333102414530526<\/li>\n<\/ul>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid vc_custom_1680169461443\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element  vc_custom_1680169468507\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><a title=\"Home\" href=\"https:\/\/integrativa.pt\/en\/\"><strong>Integrativa<\/strong><\/a> | Health and well-being as a lifestyle<\/p>\n\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"wpb_text_column wpb_content_element  vc_custom_1689951960351\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h6>This website and its content are for information purposes only and are not a substitute for medical or health professional advice. Each person's treatment should be individualised and guided by health professionals. Do not make any changes to your treatment without contacting the doctor or health professional accompanying you.<\/h6>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner vc_custom_1678987635945\"><div class=\"wpb_wrapper\"><div class=\"vc_separator wpb_content_element vc_separator_align_center vc_sep_border_width_1 vc_sep_pos_align_center wpb_content_element vc_separator-has-text\"   style=\"width: 100%;\"><span class=\"vc_sep_holder vc_sep_holder_l\"><span style=\"border-top-color:#1b9193;\" class=\"vc_sep_line\"><\/span><\/span><h4>Related articles<\/h4><span class=\"vc_sep_holder vc_sep_holder_r\"><span style=\"border-top-color:#1b9193;\" class=\"vc_sep_line\"><\/span><\/span>\n<\/div><style type=\"text\/css\" 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color: #ffffff;\n  background: none;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e.owl-carousel .owl-nav div:hover i,\n.blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e.owl-carousel .owl-nav div:hover i:before {\n  color: rgba(255,255,255,0.75);\n  background: none;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e .owl-dots {\n  top: calc(100% + 20px);\n  left: 50%;\n  transform: translateX(calc(-50% + 0px));\n}\n@media all and (-ms-high-contrast: none) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e .owl-dots {\n    transform: translateX(-50%);\n    margin-left: 0px;\n  }\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e .owl-dot {\n  width: 10px;\n  height: 10px;\n  margin: 0 8px;\n}\n@media screen and (max-width: 778px) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e.hide-arrows .owl-nav a {\n    display: none;\n  }\n}\n@media screen and (max-width: 778px) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e.reposition-arrows .owl-nav div.owl-prev {\n    top: 50%;\n    transform: translateY(calc(-50% + 0px));\n    left: 10px;\n  }\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e.reposition-arrows .owl-nav div.owl-next {\n    top: 50%;\n    transform: translateY(calc(-50% + 0px));\n    right: 10px;\n  }\n}\n@media screen and (max-width: 778px) and all and (-ms-high-contrast: none) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e.reposition-arrows .owl-nav div.owl-prev {\n    transform: translateY(-50%);\n    margin-top: 0px;\n  }\n}\n@media screen and (max-width: 778px) and all and (-ms-high-contrast: none) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e.reposition-arrows .owl-nav div.owl-next {\n    transform: translateY(-50%);\n    margin-top: 0px;\n  }\n}<\/style><div class=\"owl-carousel blog-carousel-shortcode dt-owl-carousel-call blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e classic-layout-list scale-img dt-icon-bg-off dt-arrow-border-on dt-arrow-hover-border-on meta-info-off bullets-small-dot-stroke reposition-arrows arrows-bg-on disable-arrows-hover-bg arrows-hover-bg-on\" data-scroll-mode=\"1\" data-col-num=\"3\" data-wide-col-num=\"4\" data-laptop-col=\"3\" data-h-tablet-columns-num=\"3\" data-v-tablet-columns-num=\"2\" data-phone-columns-num=\"1\" data-auto-height=\"true\" data-col-gap=\"30\" data-stage-padding=\"0\" data-speed=\"600\" data-autoplay=\"false\" data-autoplay_speed=\"6000\" data-arrows=\"true\" data-bullet=\"false\" data-next-icon=\"icon-ar-017-r\" data-prev-icon=\"icon-ar-017-l\"><article class=\"post post-4926 type-post status-publish format-standard has-post-thumbnail hentry category-nervo-vago category-osteopata-david-brandao category-osteopatia-craniana category-osteopatia-integrativa category-osteopatia-integrativa-osteopatia tag-fisioterapia tag-osteopatia tag-pilates-clinico category-58 category-33 category-42 category-32 category-34 description-off\" data-name=\"Inflama\u00e7\u00e3o, dor e Nervo Vago: a vis\u00e3o da Osteopatia Integrativa\" data-date=\"2025-10-16T13:46:35+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/inflamacao-dor-e-nervo-vago-a-visao-da-osteopatia-integrativa\/\" class=\"post-thumbnail-rollover layzr-bg\"><img fetchpriority=\"high\" decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/ATM-Fisioterapia-Osteopatia-Bruxismo-Osteopatia-768x512.jpg\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/ATM-Fisioterapia-Osteopatia-Bruxismo-Osteopatia-768x512.jpg 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/ATM-Fisioterapia-Osteopatia-Bruxismo-Osteopatia-1152x768.jpg 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"TMJ Physiotherapy Osteopathy Bruxism Osteopathy\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/inflamacao-dor-e-nervo-vago-a-visao-da-osteopatia-integrativa\/\" title=\"Inflammation, pain and the vagus nerve: the Integrative Osteopathic view\" rel=\"bookmark\">Inflammation, pain and the vagus nerve: the Integrative Osteopathic view<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/inflamacao-dor-e-nervo-vago-a-visao-da-osteopatia-integrativa\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Inflammation, Pain, and the Vagus Nerve: An Integrative Osteopathy Perspective\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-1728 type-post status-publish format-standard has-post-thumbnail hentry category-osteopatia category-atm category-dores-de-cabeca category-osteopata-david-brandao category-osteopatia-craniana category-osteopatia-integrativa tag-fisioterapia tag-osteopatia tag-pilates-clinico category-17 category-41 category-52 category-33 category-42 category-32 description-off\" data-name=\"Dores de cabe\u00e7a e enxaqueca: abordagem integrativa com Osteopatia Craniana\" data-date=\"2023-01-21T15:07:19+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/dores-de-cabeca-e-enxaqueca-abordagem-integrativa-com-osteopatia-craniana\/\" class=\"post-thumbnail-rollover layzr-bg\"><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Dor-de-cabeca-Enxaqueca-Integrativa-Fisioterapia-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Dor-de-cabeca-Enxaqueca-Integrativa-Fisioterapia-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Dor-de-cabeca-Enxaqueca-Integrativa-Fisioterapia-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Headache Migraine Integrative Physiotherapy\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/dores-de-cabeca-e-enxaqueca-abordagem-integrativa-com-osteopatia-craniana\/\" title=\"Headaches and migraines: an integrative approach with Cranial Osteopathy\" rel=\"bookmark\">Headaches and migraines: an integrative approach with Cranial Osteopathy<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/dores-de-cabeca-e-enxaqueca-abordagem-integrativa-com-osteopatia-craniana\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Headaches and migraines: an integrative approach with Cranial Osteopathy\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-3043 type-post status-publish format-standard has-post-thumbnail hentry category-atm category-dores-de-cabeca category-fisioterapia category-osteopata-david-brandao category-osteopatia-craniana tag-fisioterapia tag-osteopatia tag-pilates-clinico category-41 category-52 category-6 category-33 category-42 description-off\" data-name=\"Disfun\u00e7\u00e3o Temporomandibular (ATM): h\u00e1bitos saud\u00e1veis que complementam o tratamento em Fisioterapia\" data-date=\"2024-02-12T15:14:30+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/disfuncao-temporomandibular-habitos-saudaveis-que-complementam-o-tratamento-em-fisioterapia\/\" class=\"post-thumbnail-rollover layzr-bg\"><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/ATM-Integrativa-Fisioterapia-Osteopatia-3-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/ATM-Integrativa-Fisioterapia-Osteopatia-3-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/ATM-Integrativa-Fisioterapia-Osteopatia-3-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Integrative ATM Physiotherapy Osteopathy\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/disfuncao-temporomandibular-habitos-saudaveis-que-complementam-o-tratamento-em-fisioterapia\/\" title=\"Temporomandibular dysfunction (TMJ): healthy habits that complement physiotherapy treatment\" rel=\"bookmark\">Temporomandibular dysfunction (TMJ): healthy habits that complement physiotherapy treatment<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/disfuncao-temporomandibular-habitos-saudaveis-que-complementam-o-tratamento-em-fisioterapia\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Temporomandibular dysfunction (TMJ): healthy habits that complement physiotherapy treatment\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-1745 type-post status-publish format-standard has-post-thumbnail hentry category-osteopatia category-dores-de-cabeca category-osteopata-david-brandao category-osteopatia-craniana category-osteopatia-integrativa tag-fisioterapia tag-osteopatia tag-pilates-clinico category-17 category-52 category-33 category-42 category-32 description-off\" data-name=\"Osteopatia Craniana para al\u00edvio de dores de cabe\u00e7a e enxaqueca: mecanismos e evid\u00eancias\" data-date=\"2023-01-21T15:50:48+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/osteopatia-craniana-para-alivio-de-dores-de-cabeca-e-enxaqueca-mecanismos-e-evidencias\/\" class=\"post-thumbnail-rollover layzr-bg\"><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/ATM-Fisioterapia-Osteopatia-Bruxismo-Osteopatia-Craniana-1-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/ATM-Fisioterapia-Osteopatia-Bruxismo-Osteopatia-Craniana-1-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/ATM-Fisioterapia-Osteopatia-Bruxismo-Osteopatia-Craniana-1-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"TMJ Physiotherapy Osteopathy Bruxism Cranial Osteopathy\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/osteopatia-craniana-para-alivio-de-dores-de-cabeca-e-enxaqueca-mecanismos-e-evidencias\/\" title=\"Cranial osteopathy for headache and migraine relief: mechanisms and evidence\" rel=\"bookmark\">Cranial osteopathy for headache and migraine relief: mechanisms and evidence<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/osteopatia-craniana-para-alivio-de-dores-de-cabeca-e-enxaqueca-mecanismos-e-evidencias\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Cranial Osteopathy for headache and migraine relief: mechanisms and evidence\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-1802 type-post status-publish format-standard has-post-thumbnail hentry category-osteopatia category-osteopata-david-brandao category-osteopatia-craniana category-osteopatia-integrativa tag-fisioterapia tag-osteopatia tag-pilates-clinico category-17 category-33 category-42 category-32 description-off\" data-name=\"Osteopatia Craniana no tratamento da sinusite cr\u00f3nica: uma abordagem complementar\" data-date=\"2023-01-29T19:26:48+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/osteopatia-craniana-no-tratamento-da-sinusite-cronica-uma-abordagem-complementar\/\" class=\"post-thumbnail-rollover layzr-bg\"><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2023\/01\/ATM-Fisioterapia-Osteopatia-Bruxismo-Osteopatia-Craniana-Sinusite-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2023\/01\/ATM-Fisioterapia-Osteopatia-Bruxismo-Osteopatia-Craniana-Sinusite-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2023\/01\/ATM-Fisioterapia-Osteopatia-Bruxismo-Osteopatia-Craniana-Sinusite-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"TMJ Physiotherapy Osteopathy Bruxism Cranial Osteopathy Sinusitis\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/osteopatia-craniana-no-tratamento-da-sinusite-cronica-uma-abordagem-complementar\/\" title=\"Cranial osteopathy in the treatment of chronic sinusitis: a complementary approach\" rel=\"bookmark\">Cranial osteopathy in the treatment of chronic sinusitis: a complementary approach<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/osteopatia-craniana-no-tratamento-da-sinusite-cronica-uma-abordagem-complementar\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Cranial Osteopathy in the treatment of chronic sinusitis: a complementary approach\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-7562 type-post status-publish format-standard has-post-thumbnail hentry category-osteopatia category-atm category-bruxismo category-dores-de-cabeca category-osteopata-david-brandao category-osteopatia-craniana category-osteopatia-integrativa category-osteopatia-integrativa-osteopatia tag-fisioterapia tag-osteopatia tag-pilates-clinico category-17 category-41 category-135 category-52 category-33 category-42 category-32 category-34 description-off\" data-name=\"DTM, cefaleias e dor orofacial: uma rela\u00e7\u00e3o que vai muito al\u00e9m da mordida\" data-date=\"2026-11-09T14:58:36+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/dtm-cefaleias-e-dor-orofacial-uma-relacao-que-vai-muito-alem-da-mordida\/\" class=\"post-thumbnail-rollover layzr-bg\"><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Dor-de-cabeca-Enxaqueca-Integrativa-Fisioterapia-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Dor-de-cabeca-Enxaqueca-Integrativa-Fisioterapia-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Dor-de-cabeca-Enxaqueca-Integrativa-Fisioterapia-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Headache Migraine Integrative Physiotherapy\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/dtm-cefaleias-e-dor-orofacial-uma-relacao-que-vai-muito-alem-da-mordida\/\" title=\"DTM, headaches and orofacial pain: a relationship that goes far beyond the bite\" rel=\"bookmark\">DTM, headaches and orofacial pain: a relationship that goes far beyond the bite<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/dtm-cefaleias-e-dor-orofacial-uma-relacao-que-vai-muito-alem-da-mordida\/\" class=\"post-details details-type-link\" aria-label=\"Read more about DTM, cefaleias e dor orofacial: uma rela\u00e7\u00e3o que vai muito al\u00e9m da mordida\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><\/div><\/div><\/div><\/div><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>A articula\u00e7\u00e3o temporomandibular (ATM) participa em gestos t\u00e3o essenciais como mastigar, falar, engolir ou bocejar. Quando esta articula\u00e7\u00e3o ou os m\u00fasculos que a rodeiam n\u00e3o funcionam de forma equilibrada, podem surgir sintomas como dor na mand\u00edbula ou na face, estalidos, limita\u00e7\u00e3o na abertura da boca, dor cervical e, com muita frequ\u00eancia, dores de cabe\u00e7a. Em&hellip;<\/p>","protected":false},"author":1,"featured_media":4597,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[17,41,135,52,33,42,32,34],"tags":[4,27,8],"class_list":["post-7562","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-osteopatia","category-atm","category-bruxismo","category-dores-de-cabeca","category-osteopata-david-brandao","category-osteopatia-craniana","category-osteopatia-integrativa","category-osteopatia-integrativa-osteopatia","tag-fisioterapia","tag-osteopatia","tag-pilates-clinico","category-17","category-41","category-135","category-52","category-33","category-42","category-32","category-34","description-off"],"_links":{"self":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/posts\/7562","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/comments?post=7562"}],"version-history":[{"count":4,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/posts\/7562\/revisions"}],"predecessor-version":[{"id":7566,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/posts\/7562\/revisions\/7566"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/media\/4597"}],"wp:attachment":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/media?parent=7562"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/categories?post=7562"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/tags?post=7562"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}