A 27-year-old woman presented with severe chronic postoperative occipital neuralgia and myofascial pain syndrome occurring after revision of the middle ear due to a cholesteatoma removal. Acupuncture began 6 months after the onset of pain and relief was obtained immediately. The patient decided not to continue acupuncture after 2 treatments and wished to pursue other therapeutic modalities. A follow-up conversation with the patient many months later found her still in pain and pursuing possibly a spinal stimulator.
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