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The skinache syndrome

C F Bassøe1

  • 1Promed Institute, Bergen, Norway.

Journal of the Royal Society of Medicine
|October 1, 1995
PubMed
Summary

Skinache syndrome, a chronic pain condition with cutaneous trigger points, can be effectively treated. Lidocaine injections offer initial relief, while surgical removal of trigger points provides a highly successful cure for recurring pain.

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Area of Science:

  • Pain Medicine
  • Dermatology
  • Surgical Treatment

Background:

  • Skinache syndrome is a chronic pain condition of unknown cause, characterized by cutaneous trigger points.
  • It is a debilitating disorder, distinct from fibromyalgia, and requires precise clinical investigation.
  • The syndrome can persist even when pain origins in deeper tissues are excluded.

Purpose of the Study:

  • To evaluate the effectiveness of two treatment methods for skinache syndrome.
  • To compare the success rates of lidocaine injections and surgical removal of trigger points.
  • To determine the clinical significance of surgical intervention for refractory skinache syndrome.

Main Methods:

  • A study involving 94 patients diagnosed with skinache syndrome.
  • Evaluation of treatment outcomes two years post-intervention.
  • Two independent treatment methods: subcutaneous lidocaine injection and surgical removal of cutaneous trigger points.

Main Results:

  • Subcutaneous lidocaine injection cured 68% of patients initially.
  • Of the 27 patients with recurring pain, surgical removal of trigger points cured 77%.
  • Surgical treatment showed a significantly higher odds ratio (101.3) for success compared to all other treatments combined.

Conclusions:

  • Skinache syndrome is a distinct clinical entity with a simple and effective cure.
  • Lidocaine injections provide initial relief, but surgical intervention is highly effective for persistent cases.
  • Precise clinical investigation is crucial for diagnosing and effectively treating skinache syndrome.

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