Paraesthesia Far From The Original Source of Pain in Occipital Neuralgia with Concomitant Craniomandibular Disorders.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 3
Abstract
Introduction: Occipital neuralgia is a complex neurophysiological disorder usually associated with local, referred pain and paraesthesia to distant areas from the original source of pain. Aim: Assess frequency of paraesthesia, anatomic location and test the hypothesis that paraesthesia increases with longer duration of occipital neuralgia pain. Methods: Clinical examination, palpation of joint and masticatory muscles, self-reported questionnaires and pain history were used to gather clinical and epidemiological data in 105 subjects presenting with occipital neuralgia and craniomandibular disorders. The experimental subgroup was compared with two control subgroups: Tension-type headache + Craniomandibular Disorders no occipital neuralgia and No Tensiontype headache no occipial neuralgia and no CMDs. Outcome: The frequency of paraesthesia was higher in the subgroup with occipital neuralgia and decreased in frequency from the ON + CMDs to the other two control subgroups (X-squared for independence p<0,0001, for trends p<0,0001). The frequencies of paraesthesia were 38,1%, 4,8% and 2,3% in the occipital neuralgia, Tension-type headache and no Crniomandibular disorders subgroups, respectively. Paraesthesia was observed in all subgroups with occipital neuralgia with different pain durations. There were no statistically and significant differences when the subgroups with different occipital neuralgia pain durations were compared regarding frequency of paraesthesia Its prevalence was higher in the “16 years or longer” duration of occipital neuralgia pain. Most common paraesthesia related sensations were numbness, tingling and burning most frequently reported in the face, tongue, inside the mouth and lips. Conclusions: Although the frequency of paraesthesia was high in occipital neuralgia subjects, referred facial numbness was not reported in all subjects with signs and symptoms of occipital neuralgia. This investigation reinforces the notion that occipital is a neurophysiological disorder associated with both intense pain and paraesthesia in anatomic areas distant from the original source of pain.
Authors and Affiliations
Omar Franklin Molina, Marcus S. Peixoto, Maria A. Sobreiro, Zeila Coelho Santos, Ed Wilson César, Jamil Elias Dib, Fábio Soares
Keywords
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- DOI 10.9790/0853-1803077175.
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