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Increased pain sensitivity of the upper extremities of TMD patients with myalgia to experimentally-evoked noxious stimulation - fibromyalgia research

  [ 40 votes ]   [ Discuss This Article ]
www.ProHealth.com • October 10, 1999


The purpose of this study was to examine whether or not
temporomandibular disorder (TMD) patients with chronic
masticatory myalgia have increased pain sensitivity at remote
sites outside of the head and neck region, and to evaluate
whether the endogenous pain inhibitory systems triggered
ischemic pain functions favorably in those patients. Twenty
female TMD patients with chronic myalgia and 20 controls
participated in this study. Ischemic pain was produced to
activate endogenous opioids. The pain threshold time, pain
tolerance time, pain intensity and pain unpleasantness were
compared between the TMD patients and controls. The pressure
pain thresholds in the hand were also compared before,
between, and immediately after the ischemic pain. The TMD
patients showed higher severe pain intensity and
unpleasantness values and had lower pressure pain thresholds
in the hand.

Although both groups showed an increase in the
pressure pain threshold, there was less of an increase in the
pressure pain threshold in the TMD patients than in the
controls. These findings indicate that TMD patients have
increased pain sensitivity at remote sites, and also indicate
additional evidence that the endogenous opioid systems may
become impaired in TMD patients with chronic masticatory
myalgia.

Kashima K, Rahman OI, Sakoda S, Shiba R




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