Orofacial pain and fibromyalgia pain: Being aware of comorbid conditions

Table 1 Diagnostic criteria for temporomandibular disorders[27,28]

Temporomandibular joint disorders

Joint pain

Joint disorders

Joint diseases

Fractures

Congenital/developmental disorders

Masticatory muscle disorders

Muscle pain

Myalgia

Local myalgia

Myofascial pain

Myofascial pain with referral

Tendonitis

Myositis

Spasm

Contracture

Hypertrophy

Neoplasm

Movement disorders

Masticatory muscle pain attributed to systemic/central pain disorders

Fibromyalgia/widespread pain

Headache

Headache attributed to TMD

Associated structures

Coronoid hyperplasia

TMD: Temporomandibular disorders.

Table 2 American College of Rheumatology criteria for diagnosis of fibromyalgia[30]

WPI > 7 and a symptom SS > 5 or WPI 3-6 and SS > 9

Symptoms have been present at a similar level for at least 3 mo

The patient does not have a disorder that would otherwise explain the pain

WPI: Widespread Pain Index; SS: Severity scale.