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Chronic orofacial muscle pain: a new approach to diagnosis & management

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By Klineberg I, McGregor N, Butt H, Dunstan H, Roberts T, Zerbes M • www.ProHealth.com • July 5, 1998


The initial data from this study indicate that there are clearly
identifiable chronic muscle pain conditions in the form of
localized pain; myofascial pain or regional pain conditions;
and fibromyalgia or generalized pain conditions. A clear
difference exists between the prevalence of these conditions
in male and female patients, with a higher percentage of
female patients suffering generalized pain problems and
temporomandibular problems. Generalized or localized pain
appears to be an individual variant of a similar problem and
pain patients may have a genetically determined vulnerability
associated with bacterial toxins, particularly within the
genitourinary tract. It appears that in fibromyalgia there is
an underlying genetic factor that causes abnormalities in the
muscle metabolic cycle, and preliminary data suggest that
lipid anomalies predispose to fibromyalgia and possibly
chronic fatigue syndrome. Patients report infectious events
at/or around onset in more than 60 percent of cases. Seventy
percent of fibromyalgic cases report orofacial pain.




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