Fibromialgia, Trastornos en el Cuello y Mandíbula. Es Un Síntoma Bastante Común entre los Pacientes

Un gran porcentaje de pacientes con trastornos craneomandibulares (TCM) y craneocervicales (CC), que son afecciones musculoesqueléticas que afectan la mandíbula y el cuello, también tienen fibromialgia, según un estudio realizado por investigadores de la Universidad de Heidelberg en Alemania.

Los resultados sugieren que estos síntomas relacionados con 
el dolorestán vinculados, lo que subraya la necesidad de un enfoque 

multidisciplinario de diagnóstico al examinar a los pacientes con dolor de 

cabeza y mandíbula.
Se desconoce si la fibromialgia latente causa las dos condiciones, o si los TCM y CC influyen en el desarrollo de la fibromialgia.En el estudio, “Fibromalgia en pacientes con CC crónica y TCM. Un estudio retrospectivo de 555 pacientes”, los investigadores revisaron los expedientes médicos de  cada paciente para detectar síntomas de fibromialgia.

El informe, publicado en The Journal of Craniomandibular & Sleep Practice, mostró que 351 pacientes, el 63% de las personas analizadas, cumplieron los criterios diagnósticos para la fibromialgia. 
La edad promedio del grupo era 45 años, y el 70% eran mujeres.Casi todos los pacientes (96%) tuvieron dolor durante más de seis meses, y el 71% experimentaron dolor en una gran área del cuerpo.
El análisis demostró que los pacientes que cumplían con los criterios de fibromialgia tenían puntuaciones más altas en el índice de dolor generalizado (IDG), una lista de comprobación que indicaba en qué parte del cuerpo, el paciente experimentó dolor en la última semana, y también puntajes de gravedad de los síntomas más altos, en comparación con pacientes que no tenían fibromialgia .También tenían niveles más altos de agotamiento, deterioro cognitivo, sueño alterado, mareos, y problemas cardíacos, en comparación con personas que no cumplían con los criterios de fibromialgia.Un gran porcentaje de los pacientes con fibromialgia (83%) tenían una condición de asimetría facial conocida como escoliosis facial.


Debido a que esta condición se desarrolla después de varios años con TCM, los investigadores creen que el número refleja el porcentaje de pacientes con un diagnóstico de largo plazo.Los investigadores argumentaron que el vínculo entre las condiciones musculares en la cabeza, y la fibromialgia, subrayaban la complejidad del diagnóstico. 
También piden un enfoque multidisciplinario para el diagnóstico, escribieron.
El estudio no es el primero en señalar una relación entre el cuello, el dolor de la mandíbula, y la fibromialgia. 
Varios estudios han informado anteriormente que las condiciones musculares en la cabeza pueden influir en otras áreas del cuerpo, incluyendo los hombros, la espalda baja, las caderas e incluso los pies.Existen varios tratamientos para aliviar el dolor y los síntomas de TMD y CC, y el equipo de investigación cree que el tratamiento específico de estas condiciones en pacientes con fibromialgia, simultáneamente, podría tener un impacto positivo en los síntomas de la fibromialgia, y la calidad de vida del paciente.

52 thoughts on “Fibromialgia, Trastornos en el Cuello y Mandíbula. Es Un Síntoma Bastante Común entre los Pacientes

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