Back and neck pain: A comparison between acute and chronic pain–related Temporomandibular Disorders
Background Temporomandibular disorders (TMDs) are common and cause persistent pain. Comorbidities are associated with TMDs and can affect the effectiveness of their treatments. The literature is lacking enough evidence on the difference between acute and chronic pain, particularly in TMDs. Investiga...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2022-12-01
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| Series: | Canadian Journal of Pain |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/24740527.2022.2067032 |
| _version_ | 1828803370973921280 |
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| author | Jack Botros Mervyn Gornitsky Firoozeh Samim Zovinar der Khatchadourian Ana Miriam Velly |
| author_facet | Jack Botros Mervyn Gornitsky Firoozeh Samim Zovinar der Khatchadourian Ana Miriam Velly |
| author_sort | Jack Botros |
| collection | DOAJ |
| description | Background Temporomandibular disorders (TMDs) are common and cause persistent pain. Comorbidities are associated with TMDs and can affect the effectiveness of their treatments. The literature is lacking enough evidence on the difference between acute and chronic pain, particularly in TMDs. Investigating this difference could highlight potential risk factors for the transition from acute to chronic pain–related TMDs.Aim To compare the likelihood of back and neck pain (BP, NP) between acute and chronic pain–related TMDs (AP-TMD, CP-TMD) as defined by pain duration and pain-related disability.Methods Participants with AP-TMDs (≤3 months) and CP-TMDs (>3 months) were recruited according to the diagnostic criteria and research diagnostic criteria of TMD. BP and NP were assessed using a self-reported checklist. CP-TMDs defined by disability (chronic disability) and depression and anxiety symptoms were assessed using validated instruments. Logistic regression analyses were employed.Results This study enrolled 487 adults with AP-TMD (n = 118) and CP-TMD (n = 369). Relative to AP-TMD, participants with CP-TMD had twice the odds of reporting NP (odds ratio [OR] = 2.17, 95% CI 1.27–3.71) but not BP (OR = 0.96, 95% CI 0.57–1.64). Participants with chronic disability were twice as likely to report NP (OR = 1.95, 95% CI 1.20–3.17) but not BP (OR = 1.13, 95% CI 0.69–1.82) compared to those without. All analyses were adjusted for age, sex, and anxiety and depression symptoms.Conclusions Within the limitations of this study, results suggest that central dysregulation or trigeminocervical convergence mechanisms are implicated in the process of pain-related TMD chronification and highlight the relevance of considering disability when defining CP-TMDs. |
| first_indexed | 2024-12-12T07:21:11Z |
| format | Article |
| id | doaj.art-6290ce4bcc2145f1bd386adb599a0ecf |
| institution | Directory Open Access Journal |
| issn | 2474-0527 |
| language | English |
| last_indexed | 2024-12-12T07:21:11Z |
| publishDate | 2022-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Canadian Journal of Pain |
| spelling | doaj.art-6290ce4bcc2145f1bd386adb599a0ecf2022-12-22T00:33:20ZengTaylor & Francis GroupCanadian Journal of Pain2474-05272022-12-016111212010.1080/24740527.2022.2067032Back and neck pain: A comparison between acute and chronic pain–related Temporomandibular DisordersJack Botros0Mervyn Gornitsky1Firoozeh Samim2Zovinar der Khatchadourian3Ana Miriam Velly4Department of Dentistry, Jewish General Hospital, Montreal, Quebec, CanadaDepartment of Dentistry, Jewish General Hospital, Montreal, Quebec, CanadaFaculty of Dentistry, McGill University, Montreal, Quebec, CanadaFaculty of Dentistry, McGill University, Montreal, Quebec, CanadaDepartment of Dentistry, Jewish General Hospital, Montreal, Quebec, CanadaBackground Temporomandibular disorders (TMDs) are common and cause persistent pain. Comorbidities are associated with TMDs and can affect the effectiveness of their treatments. The literature is lacking enough evidence on the difference between acute and chronic pain, particularly in TMDs. Investigating this difference could highlight potential risk factors for the transition from acute to chronic pain–related TMDs.Aim To compare the likelihood of back and neck pain (BP, NP) between acute and chronic pain–related TMDs (AP-TMD, CP-TMD) as defined by pain duration and pain-related disability.Methods Participants with AP-TMDs (≤3 months) and CP-TMDs (>3 months) were recruited according to the diagnostic criteria and research diagnostic criteria of TMD. BP and NP were assessed using a self-reported checklist. CP-TMDs defined by disability (chronic disability) and depression and anxiety symptoms were assessed using validated instruments. Logistic regression analyses were employed.Results This study enrolled 487 adults with AP-TMD (n = 118) and CP-TMD (n = 369). Relative to AP-TMD, participants with CP-TMD had twice the odds of reporting NP (odds ratio [OR] = 2.17, 95% CI 1.27–3.71) but not BP (OR = 0.96, 95% CI 0.57–1.64). Participants with chronic disability were twice as likely to report NP (OR = 1.95, 95% CI 1.20–3.17) but not BP (OR = 1.13, 95% CI 0.69–1.82) compared to those without. All analyses were adjusted for age, sex, and anxiety and depression symptoms.Conclusions Within the limitations of this study, results suggest that central dysregulation or trigeminocervical convergence mechanisms are implicated in the process of pain-related TMD chronification and highlight the relevance of considering disability when defining CP-TMDs.https://www.tandfonline.com/doi/10.1080/24740527.2022.2067032temporomandibular disorderchronic painacute painneck painback paincomorbidity |
| spellingShingle | Jack Botros Mervyn Gornitsky Firoozeh Samim Zovinar der Khatchadourian Ana Miriam Velly Back and neck pain: A comparison between acute and chronic pain–related Temporomandibular Disorders Canadian Journal of Pain temporomandibular disorder chronic pain acute pain neck pain back pain comorbidity |
| title | Back and neck pain: A comparison between acute and chronic pain–related Temporomandibular Disorders |
| title_full | Back and neck pain: A comparison between acute and chronic pain–related Temporomandibular Disorders |
| title_fullStr | Back and neck pain: A comparison between acute and chronic pain–related Temporomandibular Disorders |
| title_full_unstemmed | Back and neck pain: A comparison between acute and chronic pain–related Temporomandibular Disorders |
| title_short | Back and neck pain: A comparison between acute and chronic pain–related Temporomandibular Disorders |
| title_sort | back and neck pain a comparison between acute and chronic pain related temporomandibular disorders |
| topic | temporomandibular disorder chronic pain acute pain neck pain back pain comorbidity |
| url | https://www.tandfonline.com/doi/10.1080/24740527.2022.2067032 |
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