Fibromyalgia; It is a very common disease in society. It is a chronic disease that seriously impairs the patient’s quality of life. It is a complex pain syndrome and musculoskeletal system disease characterized by widespread pain in the back, neck, shoulders and hips and extreme fatigue, which is more common in women with symptoms such as widespread musculoskeletal pain, fatigue, and sleep disorders that can be seen all over the body. Medication, physical therapy and exercises are used in the treatment.
Case: A 35-year-old female patient. He has been followed for 15 years with the diagnosis of fibromyalgia due to widespread pain. This patient had widespread pains all over the body, especially in the back, neck and waist. (VAS 9-10) He applied to various polyclinics during this period for the treatment of this and could not get any results. Thereupon, he applied to us as the last algology outpatient clinic. Here, we suggested that the pregabalin 150 mgx2 that he used before should be continued throughout our treatment. Here, a caudal epidural block was first performed for all body pain. He was called for control 15 days later. On control, the VAS was 7-8. On top of that, a suprascapular block was added in addition to the previous block. He was called for control 15 days later. In the control, the VAS was 3-4. Thereupon, paracervical, lumbar-thoracic paravertebral block was added in addition to the previous two blocks. He was called for control 15 days later. In the control, the VAS was 1-2, her pain was greatly reduced, her movements were relieved and her quality of life increased. Thereupon, the treatment was terminated by applying the previous three blocks to come for control 3 months later.
Conclusion: In the treatment of fibromyalgia, interventional blocks have an important role in reducing pain, relieving movements and increasing quality of life. This treatment of interventional blocks is sympathetic block, parasympathetic activity increases, vasodilation and revascularization occur as a result, we think that as a result of this, muscle relaxation and pain are reduced.
