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Educational Brochures on Chronic Overlapping Pain Conditions

This brochure addresses what are Chronic Overlapping Pain Conditions (COPCs), how COPCs are diagnosed, the complexity of the chronic pain experience, and how to work with your health care provider to develop a treatment plan. It is available by postal ma

Study Highlights TMD Evidence and Current Practice Gaps

The TMJ Association has long championed the need for strong evidence-based demonstrations of the safety and efficacy of TMD diagnostics and treatments. Sad to say, as the following journal article indicates, even among a network of research-oriented practices, dental providers are still resorting to such TMD treatments as occlusal adjustments in which teeth are irreversibly moved, ground down, or in other ways altered, a treatment for which there is no scientific evidence of efficacy.

Beware of Ticks and Lyme Disease

We are currently in the peak season for Lyme disease. Each year at this time we highlight this topic because we have heard from a number of patients over the years who were misdiagnosed and underwent unnecessary TMD treatments when they actually had Lyme

#*!"@!**! ... May Help Your Pain... and Improve Strength!

Our headline is adopting the comic strip convention of using symbols to denote swear words because we are intrigued by a report that swearing may have some health benefits.

Predictors of Opioid Efficacy for Chronic Pain Patients

Opioids are increasingly used for treatment of chronic pain. However, they are only effective in a subset of patients and have multiple side effects. Thus, studies using biomarkers for response are highly warranted.

Estrogen Plunge Before Menstruation Linked to Migraine

  • Jan 26, 2017

Our 2016 TMJA online survey results show that 26% of respondents suffer from migraine
headaches; they are one of the overlapping chronic pain conditions associated with

Women who experienced a steeper decline in estrogen levels prior to menstruation
were more likely to experience migraines, researchers found.

In an analysis of data collected as part of the long-term longitudinal Study of Women's
Health Across the Nation (SWAN), migraineurs' urinary estrogens (E1c) declined in the
2 days before the period peak at a faster absolute rate than nonmigraineurs and at a
higher percent change than nonmigraineurs (40% versus 30%), Jelena Pavlovic, MD,
PhD, of the Albert Einstein College of Medicine in New York City, and colleagues
reported in Neurology. The study authors did not find significant differences in the
groups when they looked at absolute peak and daily hormone values, and they found
no significant differences in the time period around the ovulatory phase.

As part of a secondary analysis within the migraineurs' group, the authors determined
that hormone patterns were similar regardless of whether the woman had a migraine
that cycle. As a result, Pavlovic and her team formed a "two-hit" hypothesis in which
women with rapid estrogen level dips before menstruation are more sensitive to
migraine triggers, such as stress, lack of sleep or a glass of wine. It's a combination of
the estrogen drop and the additional triggers that result in a migraine.

Read full article at:

Overlapping Conditions


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