Chapter 43 Acute herpes zoster pain

2006 ◽  
pp. 653-659
Author(s):  
Maija Haanpää
Keyword(s):  
Herpes Zoster ◽  
Acute Herpes Zoster

Hypertrophic Scar with Chronic Pain after Acute Herpes Zoster -A case report-

2005 ◽  
Vol 18 (2) ◽  
pp. 229 ◽  
Author(s):  
Jong Cheol Choi ◽  
Hong Beom Bae ◽  
Sung Tae Jeong ◽  
Seok Jai Kim ◽  
Seong Wook Jeong ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Case Report ◽  
Herpes Zoster ◽  
Hypertrophic Scar ◽  
Acute Herpes Zoster

scholarly journals Corrigendum: The Effects of 830 nm Light-Emitting Diode Therapy on Acute Herpes Zoster Ophthalmicus: A Pilot Study

2013 ◽  
Vol 25 (3) ◽  
pp. 400
Author(s):  
Kui Young Park ◽  
Tae Young Han ◽  
In Su Kim ◽  
In Kwon Yeo ◽  
Beom Joon Kim ◽  
...  
Keyword(s):  
Herpes Zoster ◽  
Pilot Study ◽  
Light Emitting Diode ◽  
Herpes Zoster Ophthalmicus ◽  
Light Emitting ◽  
Acute Herpes Zoster

scholarly journals Acupuncture in Acute Herpes Zoster (AcuZoster)

2018 ◽  
Vol 11 (4) ◽  
pp. 228
Author(s):  
P. Bäumler ◽  
S. Kramer ◽  
J. Fleckenstein ◽  
D. Irnich
Keyword(s):  
Herpes Zoster ◽  
Acute Herpes Zoster

Acupuncture in the Management of Herpes Zoster

1996 ◽  
Vol 14 (2) ◽  
pp. 80-83 ◽  
Author(s):  
Janet Boaler
Keyword(s):  
Herpes Zoster ◽  
Substantial Reduction ◽  
Ageing Population ◽  
Post Herpetic Neuralgia ◽  
Controlled Clinical Trials ◽  
Care Level ◽  
Primary Health ◽  
Acute Herpes Zoster ◽  
Pain Clinics ◽  
Distressing Condition

Although it has been demonstrated conclusively that anti-viral medication reduces the duration and intensity of the manifestations of acute herpes zoster, controversy remains concerning its effectiveness in preventing post herpetic neuralgia and patients with this distressing condition are often referred to Pain Clinics. The problem is likely to become more prevalent in the future due to the ageing population, particularly in those over 80 years of age. Research, most of it uncontrolled so far, suggests that simple acupuncture starting in the acute phase, within 24–72 hours of the appearance of the skin eruption, could, if combined with anti-viral medication, produce a substantial reduction in the incidence and severity of post herpetic neuralgia. Further controlled clinical trials conducted at primary health care level are urgently needed.

scholarly journals Oral acyclovir in acute herpes zoster

BMJ ◽  
1987 ◽  
Vol 294 (6573) ◽  
pp. 704-704 ◽  
Author(s):  
R J Marsh ◽  
M Cooper
Keyword(s):  
Herpes Zoster ◽  
Oral Acyclovir ◽  
Acute Herpes Zoster

scholarly journals Efficacy of continuous epidural block with epidural electrical stimulation compared to conventional continuous epidural block for acute herpes zoster management: A retrospective study

2019 ◽  
Author(s):  
Chung Hun Lee ◽  
Sang Sik Choi ◽  
Mi Kyoung Lee ◽  
Yeon Joo Lee ◽  
Jong Sun Park
Keyword(s):  
Electrical Stimulation ◽  
Herpes Zoster ◽  
Complete Remission ◽  
Pain Score ◽  
Pain Control ◽  
Odds Ratio ◽  
Electric Stimulation ◽  
Adjusted Odds Ratio ◽  
Epidural Block ◽  
Acute Herpes Zoster

Abstract Background Continuous epidural block is commonly used in clinical settings and reduces the likelihood of transition to postherpetic neuralgia via pain control. The purpose of the present study was to compare the efficacies of conventional continuous epidural block and continuous epidural block involving electric stimulation-guided localization of the catheter to areas with neurological damage, in the treatment of herpes zoster pain and prevention of postherpetic neuralgia.Methods We analyzed the medical records of 114 patients in the present study. The patients were divided into two groups: esopocan (conventional continuous epidural block) and epistim (continuous epidural block with epidural electric stimulation). In the esopocan group, the position of the epidural catheter was confirmed using contrast medium alone, whereas in the epistim group, the site of herpes zoster infection was identified through electric stimulation using the guidewire in the catheter. Clinical efficacy was assessed using a numerical rating scale (pain score) up to 6 months after the procedures. We compared the percentage of patients who showed complete remission (pain score less than 2 and no further medication) in each group. We also investigated whether the patients required additional interventional treatment due to insufficient pain control during the 6 month follow-up period after each procedure.Results After adjusting for confounding variables, the pain score was significantly lower in the epistim group than in the esopocan group for 6 months after the procedure. The adjusted odds ratio of patients included in the complete remission category was 1.9 times higher in the epistim group than the esopocan group (95% confidence interval: 0.81-4.44, P = 0.14). The adjusted odds ratio for other interventions within 6 months after the procedure was 3.62 times higher in the esopocan group than the epistim group (95% confidence interval: 1.17-11.19, P = 0.03). Conclusion Epidural drug administration to specific spinal segments using electrical stimulation catheters may be more helpful than conventional continuous epidural block in improving pain and preventing postherpetic neuralgia in acute herpes zoster.

scholarly journals Prevention of Post-herpetic Neuralgia from Dream to Reality: A Ten-step Model

2017 ◽  
Vol 2 (20;2) ◽  
pp. E209-E220 ◽  
Author(s):  
Mohamed Younis Makharita
Keyword(s):  
Herpes Zoster ◽  
Dorsal Root ◽  
Risk Groups ◽  
Substantial Effect ◽  
Viral Reactivation ◽  
Post Herpetic Neuralgia ◽  
Suggested Approach ◽  
Varicella Zoster ◽  
Acute Herpes Zoster ◽  
Step Model

Herpes zoster (HZ) is a painful, blistering skin eruption in a dermatomal distribution caused by reactivation of a latent varicella zoster virus in the dorsal root ganglia (DRG). Post-herpetic neuralgia (PHN) is the most common complication of acute herpes zoster (AHZ). Severe prodrome, greater acute pain and dermatomal injury, and the density of the eruption are the risk factors and predictors for developing PHN. PHN has a substantial effect on the quality of life; many patients develop severe physical, occupational, social, and psychosocial disabilities as a result of the unceasing pain. The long-term suffering and the limited efficacy of the currently available medications can lead to drug dependency, hopelessness, depression, and even suicide. Family and society are also affected regarding cost and lost productivity. The pathophysiology of PHN remains unclear. Viral reactivation in the dorsal root ganglion and its spread through the affected nerve result in severe ganglionitis and neuritis, which induce a profound sympathetic stimulation and vasoconstriction of the endoneural arterioles, which decreases the blood flow in the intraneural capillary bed resulting in nerve ischemia. Our rationale is based on previous studies which have postulated that the early interventions could reduce repetitive painful stimuli and prevent vasospasm of the endoneural arterioles during the acute phase of HZ. Hence, they might attenuate the central sensitization, prevent the ischemic nerve damage, and finally account for PHN prevention. The author introduces a new Ten-step Model for the prevention of PHN. The idea of this newly suggested approach is to increase the awareness of the health care team and the community about the nature of HZ and its complications, especially in the high-risk groups. Besides, it emphasizes the importance of the prompt antiviral therapy and the early sympathetic blockades for preventing PHN. Key words: Acute herpes zoster, prevention, post-herpetic neuralgia, sympathetic blockade, tenstep model

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