Abstract
Post-herpetic neuralgia often presents with neuropathic pain and is caused by the Varicella Zoster virus. Treatment options can include anticonvulsants and topical agents. We describe a case of a 58 year old male with a history of herpes zoster involving his left mid-thoracic region who successfully completed an interdisciplinary pain management program. This patient's pain was refractory to numerous pharmacologic agents tried, including lidocaine patch, buprenorphine patch, doxepin, gabapentin, hydrocodone/acetaminophen, oxycodone/acetaminophen, hydromorphone and fentanyl patch.
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