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Persistent orofacial muscle pain
R Benoliel1, P Svensson, G M Heir
1Department of Oral Medicine, The Faculty of Dentistry, Hebrew University-Hadassah, Jerusalem, Israel. benoliel@cc.huji.ac.il
Persistent orofacial muscle pain (POMP) involves muscle, central nervous system, and coping factors. This review explores the complex interplay of elements contributing to POMP and dysfunction.
Area of Science:
- Neurology
- Pain Medicine
- Musculoskeletal Disorders
Background:
- The pathophysiology of persistent orofacial myalgia is controversial.
- Current understanding lacks a unifying descriptive term and comprehensive etiological model.
Purpose of the Study:
- To propose a novel descriptive term: 'persistent orofacial muscle pain' (POMP).
- To review evidence supporting a multifactorial hypothesis for POMP induction.
- To elucidate the interplay of factors contributing to POMP.
Main Methods:
- Literature review of current evidence.
- Synthesis of findings related to peripheral and central nervous system components.
- Analysis of psychological factors, including coping ability.
Main Results:
- Evidence supports a hypothesis involving peripheral nociceptive sources in muscle.
- A faulty central nervous system component is implicated in POMP development.
- Decreased coping ability is a significant contributing factor.
Conclusions:
- Persistent orofacial muscle pain (POMP) arises from a complex interaction of factors.
- Peripheral muscle issues, central nervous system dysfunction, and reduced coping ability are key elements.
- Understanding these factors is crucial for addressing POMP and dysfunction.
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