Abstract
BACKGROUND: Pharmacological treatment alone is found inadequate for patients of fibromyalgia (FM) syndrome. For prolonged pain relief, either injections of lidocaine or botulinum toxin A were previously injected at tender points of FM with varied results. CASE REPORT: We present a case where a mixture of lidocaine and botulinum A was injected at tender points in a young woman patient with FM, which resulted in immediate and extended pain relief with improvement in quality of life. CONCLUSIONS: Mixture of lidocaine and botulinum toxin injections at tender points in FM may provide immediate and long-lasting pain relief. KEY WORDS: Fibromyalgia, lidocaine, botulinum, injection
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