Journal of Oral Medicine and Pain

Korean Academy of Orofacial Pain and Oral Medicine (대한안면통증구강내과학회)
권호 표지
DOI QR코드

DOI QR Code

Does the Pain Associated with Temporomandibular Disorder Increase on Rainy Days?

  • Jeong, Sung-Hee (Department of Oral Medicine, School of Dentistry, Pusan National University) ;
  • Lee, Sunhee (Department of Oral Medicine, School of Dentistry, Pusan National University) ;
  • Kim, Kyung-Hee (Department of Oral Medicine, Busan Paik Hospital, Inje University College of Medicine) ;
  • Heo, Jun-Young (Department of Oral Medicine and Dental Research Institute, Pusan National University Dental Hospital) ;
  • Jeon, Hye-Mi (Department of Oral Medicine, Pusan National University Hospital) ;
  • Ahn, Yong-Woo (Department of Oral Medicine, School of Dentistry, Pusan National University) ;
  • Ok, Soo-Min (Department of Oral Medicine, School of Dentistry, Pusan National University)
  • Received : 2016.11.04
  • Accepted : 2016.12.07
  • Published : 2016.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: Patients who suffer from rheumatic arthritis, fibromyalgia, other various inflammatory diseases and musculoskeletal disorders, which are all similar to temporomandibular disorders (TMD), have been complaining about changes in the level and type of pain in response to changes in weather conditions for a long time. Through an investigation about pain perception in TMD patients in response to weather conditions, our primary objective was to develop base materials for future studies on change in pain in response to meteorological factors. Methods: Among patients who presented with TMD to Department of Oral Medicine, Pusan National University Dental Hospital from August to October 2016, one hundred consecutive TMD patients diagnosed with TMDs according to Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) were recruited for the study and 28 patients were excluded according to exclusion criteria. Survey was done with the questionnaire and investigated whether there was any difference in incidence and level of pain in TMD patients between non-rainy and rainy days. Results: Among a total of 72 samples, 4 patients reported change in pain on rainy days rather than non-rainy days. Two patients from chronic group (joint and complex subgroup) reported increased pain on rainy days rather than non-rainy days but it was not statistically significant (p>0.05). One patient from chronic/muscle group reported the change in pain characteristics while pain intensity remained unchanged. One patient from acute/complex group reported decreased pain intensity. In comparison of the patients who reported increased pain on rainy days between acute and chronic groups, there were two reported cases and were both from chronic group only. There was a significantly higher chance of reporting increased pain on rainy days in chronic group than acute group (p<0.001). Conclusions: It is considered that TMD patients couldn't perceive the change in pain well in response to weather change on rainy days but some chronic patients could perceive the increase in pain in rainy days.

Keywords

References

  1. Wang XD, Kou XX, Mao JJ, Gan YH, Zhou YH. Sustained inflammation induces degeneration of the temporomandibular joint. J Dent Res 2012;91:499-505. https://doi.org/10.1177/0022034512441946
  2. Cairns BE. Pathophysiology of TMD pain--basic mechanisms and their implications for pharmacotherapy. J Oral Rehabil 2010;37: 391-410. https://doi.org/10.1111/j.1365-2842.2010.02074.x
  3. Sato J, Aoyama M, Yamazaki M, et al. Artificially produced meteorological changes aggravate pain in adjuvant-induced arthritic rats. Neurosci Lett 2004;354:46-49. https://doi.org/10.1016/j.neulet.2003.09.057
  4. Patberg WR, Nienhuis RL, Veringa F. Relation between meteorological factors and pain in rheumatoid arthritis in a marine climate. J Rheumatol 1985;12:711-715.
  5. Gorin AA, Smyth JM, Weisberg JN, et al. Rheumatoid arthritis patients show weather sensitivity in daily life, but the relationship is not clinically significant. Pain 1999;81:173-177. https://doi.org/10.1016/S0304-3959(99)00010-X
  6. Guedj D, Weinberger A. Effect of weather conditions on rheumatic patients. Ann Rheum Dis 1990;49:158-159. https://doi.org/10.1136/ard.49.3.158
  7. Janus D, Tlustochowicz M, Sliwinska J. The influence of weather on articular complaints of patients with rheumatoid arthritis. Reumatologia 2005;43:196-200.
  8. Smedslund G, Mowinckel P, Heiberg T, Kvien TK, Hagen KB. Does the weather really matter? A cohort study of influences of weather and solar conditions on daily variations of joint pain in patients with rheumatoid arthritis. Arthritis Rheum 2009;61:1243-1247. https://doi.org/10.1002/art.24729
  9. Verges J, Montell E, Tomas E, et al. Weather conditions can influence rheumatic diseases. Proc West Pharmacol Soc 2004;47:134-136.
  10. Koo ST, Shin YI, Lee DY, Lee CH. The continuance time of pressure effect in the rat model of complete Freund's adjuvant induced arthritis. Pain Physician 2015;18:E39-E45.
  11. Jamison RN, Anderson KO, Slater MA. Weather changes and pain: perceived influence of local climate on pain complaint in chronic pain patients. Pain 1995;61:309-315. https://doi.org/10.1016/0304-3959(94)00215-Z
  12. Sahni T, Singh P, John MJ. Hyperbaric oxygen therapy: current trends and applications. J Assoc Physicians India 2003;51:280-284.
  13. Edwards ML. Hyperbaric oxygen therapy. Part 1: history and principles. J Vet Emerg Crit Care (San Antonio) 2010;20:284-288. https://doi.org/10.1111/j.1476-4431.2010.00535.x
  14. Edefonti V, Bravi F, Cioffi I, et al. Chronic pain and weather conditions in patients suffering from temporomandibular disorders: a pilot study. Community Dent Oral Epidemiol 2012;40(Suppl 1):56-64. https://doi.org/10.1111/j.1600-0528.2011.00667.x
  15. Fors EA, Sexton H. Weather and the pain in fibromyalgia: are they related? Ann Rheum Dis 2002;61:247-250. https://doi.org/10.1136/ard.61.3.247
  16. McGorry RW, Hsiang SM, Snook SH, Clancy EA, Young SL. Meteorological conditions and self-report of low back pain. Spine (Phila Pa 1976) 1998;23:2096-2102. https://doi.org/10.1097/00007632-199810010-00011
  17. Redelmeier DA, Tversky A. On the belief that arthritis pain is related to the weather. Proc Natl Acad Sci U S A 1996;93:2895-2896. https://doi.org/10.1073/pnas.93.7.2895
  18. Smedslund G, Hagen KB. Does rain really cause pain? A systematic review of the associations between weather factors and severity of pain in people with rheumatoid arthritis. Eur J Pain 2011;15:5-10. https://doi.org/10.1016/j.ejpain.2010.05.003
  19. Wober C, Holzhammer J, Zeitlhofer J, Wessely P, Wober-Bingol C. Trigger factors of migraine and tension-type headache: experience and knowledge of the patients. J Headache Pain 2006;7:188-195. https://doi.org/10.1007/s10194-006-0305-3
  20. Hollander JL. The controlled-climate chamber for study of the effects of meterological changes on human diseases. Trans N Y Acad Sci 1961;24:167-172. https://doi.org/10.1111/j.2164-0947.1961.tb00760.x
  21. Kelman L. The triggers or precipitants of the acute migraine attack. Cephalalgia 2007;27:394-402. https://doi.org/10.1111/j.1468-2982.2007.01303.x
  22. McAlindon T, Formica M, Schmid CH, Fletcher J. Changes in barometric pressure and ambient temperature influence osteoarthritis pain. Am J Med 2007;120:429-434. https://doi.org/10.1016/j.amjmed.2006.07.036
  23. Sato J. Weather change and pain: a behavioral animal study of the influences of simulated meteorological changes on chronic pain. Int J Biometeorol 2003;47:55-61.