title: Multifactorial facial pain--differential diagnosis: a case report.
abstract: A multidisciplinary algology team was formed to facilitate the diagnosis and treatment of complex head and neck pain disorders. The standard patient evaluation includes a history and physical, surface electromyography, Minnesota Multi-phasic Personality Inventory (MMPI), brief psychiatric interview, dental/occlusal analysis, a postural/musculoskeletal examination; and necessary diagnostic imaging. Clinicians meet in conference after each clinic session. Organic and psychiatric findings are compiled and a differential diagnosis is made. Treatment recommendations are outlined and a review of the evaluation and the therapeutic plan are forwarded to the referring doctor. A typical conference discussion is presented here.
authors.affiliation: Facial Pain Research Center, University of the Pacific, San Francisco 94115.
authors.forename: W C
authors.initials: WC
authors.lastname: Donlon
authors.forename: H
authors.initials: H
authors.lastname: Kaplan
authors.forename: B
authors.initials: B
authors.lastname: Javid
authors.forename: M
authors.initials: M
authors.lastname: Harness
authors.forename: P
authors.initials: P
authors.lastname: Shultz
authors.forename: H
authors.initials: H
authors.lastname: Rome
authors.forename: R
authors.initials: R
authors.lastname: Hwang
authors.forename: E
authors.initials: E
authors.lastname: Santucci
mesh_terms: D000328:Adult; D003863:Depression / Q000150:complications; D003937:Diagnosis, Differential; D005157:Facial Pain / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D005356:Fibromyalgia; D006801:Humans; D008311:Malocclusion, Angle Class I / Q000150:complications; D008410:Masticatory Muscles / Q000503:physiopathology; D009334:Neck Muscles / Q000503:physiopathology; D010348:Patient Care Team