Abstract
A Series of Erector Spinae Plane Blocks Reduced Pain and Opioid Consumption in Patients with Post Herpetic Neuralgia: Two Patient Cases
Highlights
The results from the above interventions indicate that a series of erector spinae plane (ESP) blocks with local anesthetic and steroid may be considered as a viable therapeutic option in the management of refractory post-herpetic neuralgia (PHN)
Herpes Zoster (HZ), known as shingles, results from the reactivation of the varicella zoster virus (VZV), which can remain latent in the body for several years after a primary varicella (Chickenpox) infection
Pathic pain that persists for months to years after resolution of the HZ is regarded as Post-herpetic neuralgia (PNH), [1,2]
Summary
Herpes Zoster (HZ), known as shingles, results from the reactivation of the varicella zoster virus (VZV), which can remain latent in the body for several years after a primary varicella (Chickenpox) infection. Pathic pain that persists for months to years after resolution of the HZ is regarded as Post-herpetic neuralgia (PNH), [1,2]. The incidence of HZ markedly increases after the age of 50 years correlating with an age-related decline in cell mediated immunity, [2]. The incidence of HZ, and PHN, has been observed to be increasing. This is partly attributed to an expanding aging population and increasing rates of immunosuppression due to treatment and disease, [3]. Refractory neuropathic pain is an unfortunate complication following a Herpes Zoster (HZ) infection/rash and is regarded as post-herpetic neuralgia (PHN). The risk of PHN increases with age. This report describes two patients that were able to significantly reduce their chronic pain medications following a series of ESP blocks
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: International Journal of Anesthetics and Anesthesiology
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
