Özet:

Introduction: The aim of this study was to evaluate the effects of lidocaine injection to scar tissues in addition to physical therapy on pain, depression and functional status in patients diagnosed with fibromyalgia syndrome (FMS) after surgery. Method: In this retrospective study, 45 female patients who completed their treatment out of 54 patients (52 females, 2 males) who were found to have undergone surgery prior to the diagnosis of FMS out of 117 patients (108 females, 9 males) were included. Patients were divided into groups of physical therapy (PT) and lidocaine injection  to scar tissues in addition to physical therapy (PT + lidocaine). All patients underwent PT (hot pack + TENS + therapeutic ultrasound) for 15 sessions to neck / back areas. Lidocaine injection was performed 6 sessions in 3 weeks, with an average of 0.7 cc of  %0.5 lidocaine to 1 cm2 scar tissue. Evaluation parameters; pain and morning stiffness [visual analogue scale (VAS)], number of sensitive points, depression level [Beck Depression Inventory (BDI)], functional evaluation [Fibromyalgia Impact Questionnaire (FIQ)]. Pre- and post-treatment data and data 4-6 weeks after treatment were recorded. Results: The study was completed with 22 of PT, 23 of PT + injection, total 45 cases. All cases were women, with a mean age of 40.69 ± 5.51 years. There was no significant difference between the groups in terms of demographic and clinical parameters before the treatment (p> 0.05). Significant improvement was found in all groups for all parameters (p <0.01). When the differences between the groups were compared, pain, morning stiffness, BDI, FIQ in  PT + Lidocaine group were significantly changed compared to the PT group (p <0.01). Conclusion: Both PT and PT + lidocaine treatment are effective treatments in women with fibromyalgia syndrome (FMS). In patients who underwent PT + lidocaine, the treatment modality provided more significant well-being than the PT group in terms of pain, severity of morning stiffness, depression and functional status.

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