title: A case of fibromyalgia involving pain throughout the body treated with site-specific targeted pain control.
abstract: BACKGROUND
  Fibromyalgia is characterized by chronic pain and tenderness throughout the body. Patients with fibromyalgia are treated with pharmacotherapy and many other therapies. However, because the cause of fibromyalgia is unclear, there is currently no clinically effective treatment method.
  
  
  METHODS
  We report the case of a patient who developed fibromyalgia after left femoral neck fracture. After several caudal epidural blocks for lumbar pain, the pain throughout the body and abnormal discomfort in the laryngopharyngeal region reduced. Site-specific targeted pain control was effective in treating his pain and discomfort.
  
  
  CONCLUSIONS
  The present case suggests that treatment targeting symptoms in one part of the body might produce a systemic therapeutic effect in patients with fibromyalgia.
authors.affiliation: Daiichi Rehabilitation Hospital, 2-14 Kutanda Kochi-shi, Kochi, 781-0112 Japan ; Department of Locomotor Science, Institute of Medical Science, Tokyo Medical University, 6-1-1, Shinjuku, Shinjuku-ku, Tokyo, 160-8402 Japan ; Department of Anesthesiology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
authors.forename: Fukami
authors.initials: F
authors.lastname: Nakajima
authors.affiliation: Department of Locomotor Science, Institute of Medical Science, Tokyo Medical University, 6-1-1, Shinjuku, Shinjuku-ku, Tokyo, 160-8402 Japan ; Physician, Student, and Researcher Support Center, Tokyo Medical University, Tokyo, Japan.
authors.forename: Satoko
authors.initials: S
authors.lastname: Aratani
authors.affiliation: Future Medical Science Institute of Medical Science, Tokyo Medical University, Tokyo, Japan.
authors.forename: Hidetoshi
authors.initials: H
authors.lastname: Fujita
authors.affiliation: Bayside Misato Medical Center, Kochi, Japan.
authors.forename: Kou
authors.initials: K
authors.lastname: Nakatani
authors.affiliation: Department of Anesthesiology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
authors.forename: Koshi
authors.initials: K
authors.lastname: Makita
authors.affiliation: Daiichi Rehabilitation Hospital, 2-14 Kutanda Kochi-shi, Kochi, 781-0112 Japan ; Department of Locomotor Science, Institute of Medical Science, Tokyo Medical University, 6-1-1, Shinjuku, Shinjuku-ku, Tokyo, 160-8402 Japan ; Future Medical Science Institute of Medical Science, Tokyo Medical University, Tokyo, Japan ; Bayside Misato Medical Center, Kochi, Japan.
authors.forename: Toshishiro
authors.initials: T
authors.lastname: Nakajima
keywords: Fibromyalgia; Musculoskeletal pain; Nerve block