Comorbid bodily pain and increased painful sites in the head and neck
regions found in patients with the chronic headache associated with temporomandibular
disorders.
TMDH found to have a significant relationship with elevated TMD pain intensity, increased number of self‐reported bodily pain conditions and the greater number of painful sites in the neck and head zones according to research published in the Journal of head and face pain. The International Classification of Headache Disorders 3rd edition (ICHD-3) designated TMDH as a secondary headache.
The analysis
involved medical reports of the patients who inquired the treatment from 2013
to 2014 at the University of North Carolina Orofacial Pain Clinic. Diagnosis of
arthralgia and myalgia as per Research Diagnostic Criteria for
Temporomandibular Disorders was considered as the inclusion criterion. Data on
the appearance and the number of self-reported bodily pain situations (such as
fibromyalgia and low back pain), TMD pain onset number of painful sites in the
head and neck upon palpation, and pain intensity were examined.
A total of 295
reports were analyzed. Thirty-four and Eighty-two patients completed the
inclusion criteria for cases (TMD+TMDH) and controls (TMD-TMDH). Cases
exhibited a higher number of bodily pain conditions as compared to controls.
The number of cases to show at least two comorbid pain conditions was higher
than controls. The cases also exhibited higher TMD pain intensity and the
number of painful sites upon palpation in the neck and the head region as
compared to controls. These results explain that patients with TMDH were
associated with higher comorbid bodily pain.
Headache
Headache Attributed to TMD Is Associated With the Presence of Comorbid Bodily Pain: A Case-Control Study.
Vivaldi D et al.
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