Chronic pain of unknown aetiology, and characterized by cutaneous trig
ger points, has been coined the skinache syndrome. The treatment of th
e skinache syndrome was evaluated in 94 patients by two independent me
thods 2 years after treatment, After one subcutaneous injection of lid
ocaine 68% of the patients were cured. The pain recurred in 27 patient
s having suffered for an average of 2 years. Surgical removal of the c
utaneous trigger points cured 77% of the latter patients. The odds rat
io of success of surgical treatment versus all other treatments combin
ed was 101.3. The skinache syndrome requires a precise clinical invest
igation. Even when the origin of the pain in tendons, muscle and adipo
se tissue is excluded, the skinache syndrome remains a common, debilit
ating disorder. in contrast to fibromyalgia, the skinache syndrome has
a simple and effective cure.