Musculoskeletal Pain Myofascial Disorders

This is a common presentation of pain in the orofacial region. Patients may present with diffuse aching pain affecting several muscle groups. Trigger points or tender points may be elicited and pain may radiate (e.g., masseter to the ear, temporalis to the frontal area). This type of pain presentation may be seen in patients with fibromyalgia and other systemic illnesses such as lupus erythematosus.

Table 26.8 Sources of head pain.

Musculoskeletal

Myofascial disorders Temporomandibular muscle disorders Temporomandibular joint disorders Cervical facet pain (C2-3) Neuropathic pain syndromes associated with the trigeminal nerve Trigeminal neuralgia Acute herpes zoster Post-herpetic neuralgias Dental pain

Eyes, ears, nose, sinuses Head and neck cancer

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