Multifactorial facial pain--differential diagnosis: a case report.
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.
Donlon
W C
WC
Facial Pain Research Center, University of the Pacific, San Francisco 94115.
Kaplan
H
H
Javid
B
B
Harness
M
M
Shultz
P
P
Rome
H
H
Hwang
R
R
Santucci
E
E
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