PMID: 8969871Dec 1, 1996Paper

Pain sensitivity in patients with temporomandibular disorders: relationship to clinical and psychosocial factors

The Clinical Journal of Pain
R B FillingimM B Harris

Abstract

We have previously reported that patients with temporomandibular disorders (TMD) exhibit enhanced sensitivity to experimentally evoked pain (1); however, the clinical relevance of this increased pain sensitivity remains unclear. The purpose of this study was to investigate the relationship of experimental pain sensitivity to clinical and psychosocial variables among patients with TMD. Thirty-six TMD patients were studied, half of whom were pain sensitive (PS) and the other half pain tolerant (PT), based on their ability to tolerate an ischemic pain task. Responses to painful thermal and nonpainful visual stimuli as well as clinical/diagnostic symptoms and psychosocial variables were compared for the two groups (i.e., PS vs. PT). Results indicated that, compared with PT patients, the PS group exhibited greater sensitivity to thermal pain and rated innocuous visual stimuli as more intense. PS patients also reported greater clinical pain, but in general the groups did not differ on diagnostic and psychosocial measures. The results suggest that ischemic pain tolerance is a clinically relevant marker of pain sensitivity in TMD patients. These findings are consistent with the hypothesis that impairments in CNS inhibitory pathways may...Continue Reading

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Citations

Dec 14, 1999·Neuroscience and Biobehavioral Reviews·S BruehlR N Harden
Jun 7, 2011·Nature Reviews. Gastroenterology & Hepatology·QiQi Zhou, G Nicholas Verne
Aug 24, 2004·The Clinical Journal of Pain·Stephen BruehlBenjamin Johnson
Mar 1, 2012·The Clinical Journal of Pain·Kimberly T SibilleRoger B Fillingim
Oct 28, 2005·International Journal of Behavioral Medicine·S BruehlJ A McCubbin
Feb 6, 2007·Journal of Periodontology·Areej K Al-KhabbazKhalaf F Al-Shammari
Jul 15, 2009·World Journal of Gastroenterology : WJG·Qiqi ZhouG Nicholas Verne
Nov 1, 2012·Indian Journal of Pharmacology·K Sunil Kumar ReddyT Ramesh Kumar Rao
Oct 30, 2010·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Qiqi ZhouG Nicholas Verne
Nov 15, 2013·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Marie-Eva PickeringBruno Pereira
Sep 17, 2003·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Carmen R GreenApril H Vallerand
Dec 7, 2011·The Journal of Pain : Official Journal of the American Pain Society·William MaixnerGary D Slade
Jan 13, 2015·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Chun-Feng LeeChia-Hung Kao
Jul 30, 2008·Seminars in Orthodontics·Gary D SladeWilliam Maixner
Dec 23, 2006·Dental Clinics of North America·René M Shinal, Roger B Fillingim
May 13, 2011·European Journal of Pain : EJP·Lauren N RowellSusan S Girdler
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Apr 15, 2014·Arthritis & Rheumatology·Yenisel Cruz-AlmeidaRoger B Fillingim
Dec 29, 2004·Pain·Claudia M CampbellRoger B Fillingim

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