In the background of this patient's symptoms we reviewed the literature and found a recent case control study detailing high prevalence of Orofacial Complaints in patients with Fibromyalgia (Reference: da Silva LA, Kazyiama HH, de Siqueira JT, Teixeira MJ, de Siqueira SR ;Oral Surg Oral Med Oral Pathol Oral Radiol. 2012;113:e29-e34 http://www.medscape.com/viewarticle/774420)

The patient has been advised to obtain local anesthetic pain relieving gel from his local physician.

best wishes,
ArogyaUDHC team

PS: Rakesh Biswas is morally and legally responsible for this suggestion and ArogyaUDHC team is working under the hypothesis that informational support (such as this) for the patient and local physician is likely to be beneficial toward achieving better health outcomes."