Case report: Treatment of temporomandibular joint disorder pain with <scp>V3</scp> nerve block procedure

A 38-year-old woman with temporomandibular joint dysfunction (TMJD) and chronic migraine presented with refractory TMJD-related pain. Conservative treatments and prior injections provided only short-term relief. To achieve longer lasting pain reduction, an ultrasound-guided V3 nerve block was performed, targeting the mandibular nerve with a 4-mL injection of 1% lidocaine. The patient experienced immediate pain relief and sustained improvement. Encouraged by results on the right side, she underwent the same procedure on the left, achieving identical relief. Despite unchanged migraine frequency, TMJD pain resolution significantly enhanced her quality of life, demonstrating the efficacy of ultrasound-guided V3 nerve blocks.

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Publication Details

Journal
Headache The Journal of Head and Face Pain
Published
2025-12-04
DOI
https://doi.org/10.1111/head.70013
Primary Topic
Temporomandibular Joint Disorders
Type
article
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article

Case report: Treatment of temporomandibular joint disorder pain with V3 nerve block procedure

Itay Goor‐Aryeh, Gabriel Ricardo Lichtenstein, Dean Zeldich
Headache The Journal of Head and Face Pain
Temporomandibular Joint Disorders
article

Case report: Treatment of temporomandibular joint disorder pain with V3 nerve block procedure

Itay Goor‐Aryeh, Gabriel Ricardo Lichtenstein, Dean Zeldich
article en

Abstract

A 38-year-old woman with temporomandibular joint dysfunction (TMJD) and chronic migraine presented with refractory TMJD-related pain. Conservative treatments and prior injections provided only short-term relief. To achieve longer lasting pain reduction, an ultrasound-guided V3 nerve block was performed, targeting the mandibular nerve with a 4-mL injection of 1% lidocaine. The patient experienced immediate pain relief and sustained improvement. Encouraged by results on the right side, she underwent the same procedure on the left, achieving identical relief. Despite unchanged migraine frequency, TMJD pain resolution significantly enhanced her quality of life, demonstrating the efficacy of ultrasound-guided V3 nerve blocks.

Headache The Journal of Head and Face PainVol. 66(1)
Thomas Jefferson University Hospital (US), Sheba Medical Center (IL)
Openalex Percentile: Top 53%
Temporomandibular Joint Disorders
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