A case of fibromyalgia involving pain throughout the body treated with site-specific targeted pain control

Nakajima, Fukami; Aratani, Satoko; Fujita, Hidetoshi; Nakatani, Kou; Makita, Koshi; Nakajima, Toshishiro

doi:10.1186/s40064-016-2572-z

Cited by 4 publications

(6 citation statements)

References 16 publications

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Section: Discussionmentioning

confidence: 99%

“…These findings are in concordance with the hypothesis that blocking the ongoing noxious stimulation from injured tissues can alleviate the symptoms of FM. 10,22 This study is limited by its clinical diagnosis eminently relying on patient reporting and physician assessment. Radiography and sEMG are ancillary techniques merely for the evaluation of physical changes, but there is a lack of scientific testing for determining the presence of pain and mental symptoms.…”

Section: Dovepressmentioning

confidence: 99%

“…Based on those results, the authors hypothesized that pain sensation is typically associated with an injury of somatic structures; for patients with FM, pain may be felt in uninjured and in unrelated innervated areas. 22 According to Vierck, if the peripheral source of pain is successfully blocked, the symptoms of FM will disappear or even not develop in the first place. 10 A clinical study was undertaken in 18 patients with chronic whiplash-related disorders to investigate the perceptive change suggestive of sensory hypersensitivity.…”

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confidence: 99%

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Cervical Spondylosis as a Hidden Contributing Factor to Fibromyalgia: A Case Report

Chu¹,

Lee²

2022

IMCRJ

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The present case study describes the long-term symptomatic remission in a patient with fibromyalgia (FM) after multimodal spinal manipulation. A 44-year-old woman presented with a chronic headache, severe neck pain, shoulder pain, and back pain lasting for 2 years after experiencing domestic violence. She had sleep disorders, fatigue, and depressive mood. Her primary care physician diagnosed her with FM and comorbid depression. Despite treatment with non-steroidal anti-inflammatory drugs, muscle relaxants, anti-depressants, anti-epileptics, acupuncture, and aqua-therapy, she experienced no appreciable relief from her symptoms. The patient then sought a chiropractic evaluation and potential treatment for her symptoms. At presentation, widespread tenderness was palpable over the neck, shoulder, back, anterior chest, abdominal wall, and buttock. Radiographs showed loss of cervical lordosis, widespread degenerative spondylosis, and osteitis pubis. Surface electromyography (sEMG) revealed neck and thoracic paraspinal muscular spasms. The patient was diagnosed with FM based on the American College of Rheumatology diagnostic criteria and the associated comorbidities. Multimodal chiropractic approaches, which consisted of spinal manipulation, massage, and intermittent motorized cervical traction, were used twice weekly to relieve soft-tissues and intervertebral joints and stretch core musculatures. The patient's physical and mental complaints were mostly resolved near the end of 9 months of treatment. Her symptom alleviation was associated with corresponding change in normalized sEMG signal and cervical spine realignment at the 16th-and 26th-month followups. Widespread pain in FM can lead to confused thinking and a lack of awareness of cervical spondylosis. In this example, it is assumed that the noxious cervical inputs triggered an ongoing FM process. Chiropractic treatment blocked noxious inputs coming from pain sources, corrected pain thresholds, and lowered excitability, thereby eradicating FM symptoms.

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Section: Discussionmentioning

confidence: 99%

Section: Dovepressmentioning

confidence: 99%

mentioning

confidence: 99%

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Cervical Spondylosis as a Hidden Contributing Factor to Fibromyalgia: A Case Report

Chu¹,

Lee²

2022

IMCRJ

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“…We reported a case in which the symptoms were alleviated by sacral epidural blocks 12) . We have managed and reported one of the two cases in which reduction of pain in the lower extremities was achieved by sacral epidural blocks, followed by improvement in other regions.…”

Section: ) Tokyo Medical and Dental University 2) Tokyo Medical Unimentioning

confidence: 95%

Consideration of the Efficacy of Nerve Block Therapy and Trigger Point Injection (Tender Point Injection) Therapy in Fibromyalgia

Nakajima

2018

J. SJWS

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“…fibromyalgia in Japan, where it has a broader range of indications than other countries [4][5][6]. However, target diseases of SGB are sometimes controversial [4] because it is unclear why this therapy works.…”

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confidence: 99%

Near-Infrared Spectroscopic Examination of Alterations in Brain Surface Blood Flow following Stellate Ganglion Block

Nakajima¹

2016

SOJAPM

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Background: Stellate Ganglion Block (SGB) is used to treat pain and other disorders, but the target diseases of SGB are controversial because the mechanisms underlying SGB remain unclear. Increased cerebral blood flow is one of the processes presumed to be involved. The aim of this study was to clarify the effects of SGB by using nearinfrared spectroscopy to measure brain surface blood flow during and after SGB. Methods: The participants were nine healthy staff volunteers. Near-infrared spectroscopy was applied to subjects' heads, and the same operator performed a right SGB (1% mepivacaine 4 ml). Changes in oxy-hemoglobin (oxy-Hb) concentration were measured from approximately 30 s before administering SGB until approximately after 30 min. Results: For the mean brain waves between the right (block) side channels, oxy-Hb concentration immediately increased after SGB in four subjects, while it temporarily decreased after SGB and then increased in five subjects. For the mean brain waves between the left (contralateral) side channels, oxy-Hb concentration markedly decreased after SGB in four subjects. In three subjects, it temporarily increased immediately after SGB but decreased after approximately 15 min. almost no change in oxy-Hb concentration was observed in the remaining two subjects. Overall, oxy-Hb concentration increased in all subjects on the right (block) side. Discussion: Increased oxy-Hb concentrations suggest that SGB relaxed vascular tone, increased the capillary bed, and enhanced blood flow. However, oxy-Hb concentration temporarily decreased before it increased in five subjects. We assume that during the temporary decrease, blood flow was unable to keep up with this rate of increase in the capillary bed. In four subjects, oxy-Hb concentration markedly decreased contralateral to the block. This may have been due to higher blood volume on the block side, but the reasons are not fully known.

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A case of fibromyalgia involving pain throughout the body treated with site-specific targeted pain control

Cited by 4 publications

References 16 publications

Cervical Spondylosis as a Hidden Contributing Factor to Fibromyalgia: A Case Report

Cervical Spondylosis as a Hidden Contributing Factor to Fibromyalgia: A Case Report

Consideration of the Efficacy of Nerve Block Therapy and Trigger Point Injection (Tender Point Injection) Therapy in Fibromyalgia

Near-Infrared Spectroscopic Examination of Alterations in Brain Surface Blood Flow following Stellate Ganglion Block

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