• J Orofac Pain · Jan 2013

    The influence of myofascial temporomandibular disorder pain on the pressure pain threshold of women during a migraine attack.

    • Lívia Maria Sales Pinto Fiamengui, João José Freitas de Carvalho, Carolina Ortigosa Cunha, Leonardo Rigoldi Bonjardim, Jorge Francisco Fiamengui Filho, and Paulo César Rodrigues Conti.
    • J Orofac Pain. 2013 Jan 1;27(4):343-9.

    AimsTo assess the influence of myofascial temporomandibular disorder (TMD) pain on the pressure pain threshold (PPT) of masticatory muscles in women during a migraine attack.MethodsThe sample comprised 34 women, 18 to 60 years of age, with a diagnosis of episodic migraine previously confirmed by a neurologist. All subjects were evaluated using the Research Diagnostic Criteria for TMD (RDC/TMD) to determine the presence of myofascial pain. They were divided into two groups: group 1 (n = 18) included women with migraine; group 2 (n = 16) included women with migraine and myofascial TMD pain. Participants were evaluated by measuring PPT values of the masseter and anterior temporalis muscles and Achilles tendon with a pressure algometer at two moments: pain free and during a migraine attack. A three-way analysis of variance with a 5% significance level was used for statistical purposes.ResultsSignificantly lower PPT values were found during the migraine attack, especially for women with concomitant myofascial pain, regardless of the side of the reported pain.ConclusionMigraine attack is associated with a significant reduction in PPT values of masticatory muscles, which appears to be influenced by the presence of myofascial TMD pain.

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