If We Don’t Measure, We Guess: Signal Integrity and Injection Guidance Modalities in Orofacial Intervention

  A Comprehensive Review of Manual, Electromyographic, Electrical Stimulation, Ultrasound, and Multimodal Approaches Across Therapeutic and Cosmetic Applications Abstract Orofacial intervention spans therapeutic and cosmetic domains that share a common neuromuscular substrate: the facial nerve and its innervated musculature. Despite increasing anatomical variability and documented inaccuracy in deep or high-risk targets, manual landmark-based injection remains…

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Neurophysiology in Orofacial Intervention: Mechanisms, Modulation, and Clinical Implications

Introduction: Why Neurophysiology in Orofacial Intervention Matters Neurophysiology in orofacial intervention is foundational to understanding persistent pain, functional adaptation, and therapeutic response. Although many dental and orofacial treatments focus on structural or mechanical factors, the trigeminal system functions as a dynamic and plastic neural network. Orofacial pain neurophysiology involves: Peripheral and central sensitization Neuron–glia interactions…

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Low-Impact Non-pharmacologic Interventions in Chronic Pain: Clinical Outcomes, Mechanistic Integration, and Practical Implementation

I-Engage Pain Academy Blog Post; Authoured by: Dr. Evan Friedman Abstract Background: Chronic pain is sustained by interacting biological, psychological, and social processes, and clinically relevant outcomes extend beyond pain intensity to include function, disability, and participation. Objective: To synthesize evidence on low-impact, non-pharmacologic interventions—exercise therapy, cognitive behavioural therapy (CBT), mindfulness-based approaches, acupuncture, massage, and…

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Why injectors should care about SMAS vs dermis attachment

Injectors don’t just treat muscles—they treat tissue planes. The superficial musculoaponeurotic system (SMAS) is a continuous fibromuscular layer that transmits force and, importantly, influences how injectate disperses across regions. Understanding which muscles are functionally integrated with the SMAS versus those that insert directly into the dermis helps you predict spread, select depth, reduce unwanted weakness,…

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Training with Ultrasound Phantoms: Advancing Realistic Simulation Toward Clinical Excellence — A Follow-up!

Training with ultrasound phantoms allows clinicians to safely develop procedural skills through lifelike simulation. Our ongoing work focuses on advancing gel-based, anatomically layered models that replicate human muscle and skin, providing realistic palpation, ultrasound imaging, and needle feedback—bringing learners closer to authentic clinical experience.

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Empowering Patients Through Education: How the I-Engage Pain Academy Supports Better Pain Management

For patients living with chronic pain, the path to relief often stretches well beyond the clinic walls. Between appointments, many find it challenging to stay consistent with exercise, cognitive strategies, nutrition, and self-care routines that are vital for effective pain management. That’s where the I-Engage Pain Academy steps in. This FREE  evidence-based online resource offers…

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The Power of Digital Learning: Empowering Medical Professionals and Patients in Neuromuscular Healt

In today’s rapidly changing healthcare environment, ongoing learning is not just advantageous—it’s crucial. The speed of advances in diagnostics, therapeutics, and digital health demands that both healthcare providers and patients stay informed and engaged. For healthcare professionals, this means keeping up-to-date to deliver safer, evidence-based care. For patients, it involves building the confidence and knowledge…

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The Growing Scope of Aesthetic Medicine: Embracing Opportunities with Advanced Anatomical Training

The field of aesthetic medicine is no longer a niche market; it is a global phenomenon experiencing rapid growth. What was once exclusive to Hollywood’s elite is now a mainstream part of personal wellness and self-care for millions. For healthcare professionals, this paradigm shift presents a significant opportunity to diversify their skills and broaden their…

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Therapeutic Botulinum Neurotoxin in Parkinson’s Disease: Evidence-Based Applications and Injection Guidance

Therapeutic Botulinum Neurotoxin in Parkinson’s Disease: Evidence-Based Applications and Injection Guidance Intronix Technologies Clinical Education Series — The Myoguide Academy – Dr. Evan Friedman Why this matters   Parkinson’s disease (PD) is among the most common neurological disorders, affecting approximately 1% of adults over 60, with progression that current therapies can slow but not stop…

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Neurofeedback for Chronic Pain Management: Discussing the Latest Research

Chronic pain remains one of the most pressing challenges in modern healthcare, affecting nearly 20% of adults worldwide and imposing profound physical, psychological, and economic burdens. Traditional treatment strategies—often relying heavily on pharmacological interventions—are associated with limited efficacy, side effects, and risks of dependency. Against this backdrop, neurofeedback (EEG biofeedback) has emerged as a promising…

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