title: Is migraine a complicating factor for evidence-based therapy for masticatory myofascial pain? A case-control study.
abstract: OBJECTIVE
  This study aimed to assess the response to conservative treatment of pain in patients diagnosed with masticatory myofascial pain (MMP) with or without migraine.
  
  
  METHODS
  A total of 61 patients were evaluated and divided into 2 groups: Group 1 (G1), patients with MMP (n = 34); Group 2 (G2), patients with MMP and migraine (n = 27). Pain was assessed subjectively by visual analog scale (VAS) and objectively through masticatory muscle palpation at baseline and after 3 treatment visits. Treatment included occlusal appliances, medication, and self-care exercises.
  
  
  RESULTS
  G2 reported greater discomfort subjectively and objectively at all evaluation visits; however, significant difference between groups was noted objectively only at baseline (P = .0052). Regardless of group, pain levels decreased significantly over time as measured by VAS analyses (G1 P = .0033; G2 P = .0031) and muscle palpation (G1 P < .0001; G2 P < .0001).
  
  
  CONCLUSIONS
  Evidence-based therapy improved pain scores over time in MMP patients regardless of the presence of migraine.
authors.affiliation: Department of Prosthodontics and Periodontology, Piracicaba Dental School, State University of Campinas, Piracicaba, São Paulo, Brazil. Electronic address: paulabavia@gmail.com.
authors.forename: Paula Furlan
authors.initials: PF
authors.lastname: Bavia
authors.forename: Cynthia Vanessa
authors.initials: CV
authors.lastname: Müller
authors.forename: Lis
authors.initials: L
authors.lastname: Meirelles
authors.forename: Larissa Soares Reis
authors.initials: LS
authors.lastname: Vilanova
authors.forename: Rafael dos Santos
authors.initials: Rdos S
authors.lastname: Silva
mesh_terms: D000328:Adult; D016022:Case-Control Studies; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D008297:Male; D008410:Masticatory Muscles; D008881:Migraine Disorders / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*; D010147:Pain Measurement; D010173:Palpation; D013706:Temporomandibular Joint Dysfunction Syndrome / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*; D016896:Treatment Outcome