How to fix Jaw & Migraine Headache Pain with Dry Needling

How to fix Jaw & Migraine Headache Pain with Dry Needling: Electrical Trigeminal Nerve Stimulation to Elevate Parasympathetic Autonomic Activity, Depress Sympathetic Autonomic Activity, & Induce Autonomic Nervous System Homeostasis: The Key to Health

The trigeminal nerve, cranial nerve V, is an awesome nerve to target with electrical dry needling with the goal of improving autonomic nervous system (ANS) homeostasis. The 3rd branch of the trigeminal nerve, the mandibular branch, and the structures it innervates, are my favorite targets. The 3rd branch of the trigeminal is often referred to as the most parasympathetic-dominant branch.

Specifically, I like to needle through the opening just anterior to the TMJ, through the masseters, into the two heads of the lateral pterygoid and the tensor veli palatini. A major trigeminal ganglion, the Otic Ganglion, off which the mandibular branch runs, sits in this space and is an excellent treatment target (not the nerve tissue itself, just close to it).

An odd thing about the trigeminal nerve is it does not seem to have significant efferent autonomic fibers. However, trigeminal afferent fibers travel to the brain stem and project information to extra-trigeminal circuitry in the forebrain, somatosensory cortex, dorsal raphe nucleus, locus coeruleus, hippocampus, and amygdala.

Electrical auricular vagus nerve stimulation also regulates these structures. These brain areas have all been demonstrated to play vital roles in regulating the autonomic nervous system toward homeostasis. These connections are thought to be primary mechanisms by which trigeminal nerve stimulation regulates the autonomic nervous system toward homeostasis.

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