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Comparison of clinical & psychologic features of fibromyalgia (FM) & masticatory myofascial pain

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By Cimino R, Michelotti A, Stradi R, Farinaro C • www.ProHealth.com • December 2, 1998


The aim of this study was to investigate common symptoms and
divergent features in fibromyalgia (FS) and masticatory
myofascial pain (MFP) in patients affected by craniomandibular
disorders. Twenty-three women with MFP and 23 women with FS
were studied. All patients were examined by a dentist and by a
rheumatologist. Craniomandibular disorders were assessed with
a subjective symptoms questionnaire, detailed history
interview, joint function examination, and manual palpation of
masticatory and cervical muscles. The Middlesex Hospital
Questionnaire was used to obtain personality profiles of the
patients. The craniomandibular disorders questionnaire
revealed various similarities in the two groups, the most
striking of which were pain during mandibular function,
articular noises, and headache. Both groups had muscle pain
upon palpation; the mean scores (on a 0 to 4 scale) did not
differ significantly between the two groups and ranged between
1.39 (SD 1.2) and 2.86 (SD 0.75). The mean value of active
mouth opening was 40.9 mm (SD 9.1) in MFP patients and 44.6 mm
(SD 7.2) in FS patients, while the mean value of passive
opening was 49.6 mm (SD 6.0) in MFP patients and 49.8 mm (SD
3.5) in FS patients. These values did not differ significantly
between the two groups, but did differ from the normal
population, similar to the trend of the psychologic profile.
The authors conclude that the physician should be alert to the
need to conduct interdisciplinary evaluations in the diagnosis
and management of FS and of MFP.




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