Christine's Initial Assessment
- Myalgia of right masseter muscle
- Myofascial pain associated with right anterior temporalis muscle
- Tension-type headache
- Parafunctional habit (e.g. grinding/clenching)
- Anxiety with possible depression
Christine’s Pain Differential Diagnosis
Diagnosis (possible)
- Temporomandibular joint disorder (TMD)
Diagnosis (unlikely)
- TMJ Synovitis/Capsulitis: no evidence on clinical exam due to:
- Lack of pain on palpation of the TMJs or pre-auricular areas bilaterally and
- No evidence of TMJ or pre-auricular swelling observed bilaterally
- TMJ Articular Disc Disorder: no evidence on clinical exam due to absence of TMJ noise (click/pop/crunch) audibly or on palpation
- TMJ Arthritis: no evidence on x-ray