Diagnosis of temporomandibular joint pain in patients seen at a pain clinic.
A retrospective survey of a pain clinic population found 43 patients (2.6% of the total population) who had pain in the temporomandibular joint region. The clinical presentation of these patients did not differ greatly from that observed with typical responsive temporomandibular joint pain; however, important discriminating factors were duration of the pain, a strong history of pain elsewhere in the body, and major psychiatric disturbance. The diagnosis was atypical facial pain in 39 (90%) of the cases; other diagnoses included glossopharyngeal neuralgia and perineural invasion by adenocystic carcinoma. Although the various treatment strategies employed resulted in an improvement of pain in 63% of cases, there was often a subsequent development of pain elsewhere in the body or other disturbances.
D000328:Adult; D000929:Antidepressive Agents, Tricyclic / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005145:Face; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010148:Intractable Pain / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology / Q000523:psychology; D011602:Psychophysiologic Disorders / Q000175:diagnosis; D012189:Retrospective Studies; D012803:Sick Role; D013706:Temporomandibular Joint Dysfunction Syndrome / Q000175:diagnosis* / Q000523:psychology
D000929:Antidepressive Agents, Tricyclic