Disappearance of pathological indications from Nogier auriculopoints and marked improvement after single intravenous guanethidine block in primary fibromyalgia of the upper limb : a case report

This report describes a case of primary fibromyalgia syndrome in a 30-year-old adult male who complained of pain in his left upper extremity and the anterolateral side of his chest wall and neck, with multiple tender and trigger points. Nogier auriculopoint investigation indicated sympathetic nervous system involvement in the pathological process with no other objective signs of sympathetic hyperactivity