Abstract
While the pain of herpes zoster usually disappears with or shortly after the healing of the skin lesions, the most common (and dreaded) complication of the disease is persistent pain, termed post-herpetic neuralgia. Post-herpetic neuralgia can vary in degree from a mild, bothersome discomfort to severely debilitating and agonizing pain. Severe postherpetic neuralgia, most frequently described as a burning pain, is unique in that it may occur spontaneously and continuously without stimulation, though it is exacerbated by light tough and/or temperature changes. Post- herpetic neuralgia produces significant physical, mental, and emotional incapacitation, and is associated with a high rate of drug addiction and suicide (1).
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Bonica JJ. Thoracic Segmental and Intercostal Neuralgia. Chapter 26 in “The Management of Pain,” Lea & Febiger, 1953:865.
Rosenak S. Procaine injection treatment of herpes zoster. Lancet 1938;2:1056–1058.
Juel-Jensen BE, MacCalum FO. Herpes Simplex Varicella and Zoster. Clinical Manifestations and Treatment. JB Lippincott Company, Philadelphia, 1972:79–116, 44.
Leger L, Audoly P. Traitement du zona par l’infiltration stellaire. La Presse Med 1942;50:588.
Street A. The use of sympathetic nerve block in: (1) herpes zoster; (2) Bell’s palsy. Mississippi Doctor 1943;20:480–481.
Verhaeghe A, Merlen J, Lagache G. Sur un cas d’algies brachiales post-zonateuses gueries par infiltration stellaire. La Presse Med 1943 1:249.
Findley T, Patzer R. The treatment of herpes zoster by paravertebral procaine block. JAMA 1945;128:1217–1219.
Rougues L. Traitement du zona par l’infiltration des ganglions sympathiques. La Presse Med 1945;53:716.
Lovell WW. The treatment of herpes zoster. South Med J 1946; 39:777–779.
Ferris LM, Martin GH. The use of sympathetic nerve block in the ambulatory patient with special reference to its use in herpes zoster. Ann Intern Med 1950;32:257–260.
Marmer MJ. Acute herpes zoster: Successful treatment by continu ous epidural analgesia. Calif Med 1965;103:277–279.
Colding A. The effect of regional sympathetic blocks in the treatment of herpes zoster. Acta Anaesth Scand 1969;13:133–141.
Tamesa T, Wakasugi B, Yuda Y, et al. Nerve block therapy in the treatment of herpes zoster. Masui 1971;20:903–905.
Colding A. Treatment of pain: Organization of a pain clinic: Treatment of acute herpes zoster. Proc R Soc Med 1973;66:541–543.
Gale DA. The management of neuralgias complicating herpes zoster. Practitioner 1973;219:794–798.
Motegi K, Bamba S, Shimizu M, et al. A case of topical application of rifampicin with blocks of the infraorbital nerve and stellate ganglion in the treatment of herpes zoster. J Jpn Stomatol Soc 1973;40:80–84.
Miyazaki T, Masaharu O. The nerve block treatment of herpes zoster. Am Soc Anesth Annual Meeting Abstracts 1974:173–174.
Tamesa T, Wakasugi B, Yuda Y. Nerve block therapy in the treatment of herpes zoster in the pain clinic. Masui 1974;22:333–339.
Masud KZ, Forster KJ. Sympathetic block in herpes zoster. Am Family Physician 1975;12:142–144.
Mani M, Keh L, Lee KN, Winnie AP, Salem MR, Collins VJ. Sympathetic blockade for herpes zoster and postherpetic neuralgia. Am Soc Anesth Annual Meeting Abstract 1976:469.
Rickles JA. Ambulatory use of sympathetic nerve blocks: Present day clinical indications. Angiology 1977;28:394–400.
Perkins HM, Hanlon PR. Epidural injection of local anesthetic and steroids for relief of pain secondary to herpes zoster. Arch Surg 1978;113:253–254.
Bauman J. Treatment of acute herpes zoster neuralgia by epidural injection or stellate ganglion block. Anesthesiology 1979;51:S223.
LaFlamme MY, Labrecque B, Mignault G. Zona ophthalmique: Traitement de la nevralgie zonateuse par infiltrations stellaires repetees. Can J Ophthalmol 1979;14:99–101.
Schreuder M, Fothergill WT. Shingles: a belt of roses from hell. Br Med J 1979;1:5.
Bettinger R, Patrick L, Thompson R. Outpatient therapy prevents or relieves herpes zoster pain. Anesth News 1981;7:1.
Riopelle JM, Naraghi M, Grush KP. Chronic neuralgia incidence following local anesthetic therapy for herpes zoster. Arch Dermatol 1984;120:747–750.
Tenicela R, Lovasik D, Eaglstein W. Treatment of herpes zoster with sympathetic blocks. Clin J Pain 1985;l:63–67.
Brownlee KA. Statistical Theory and Methodology in Science and Engineering. John Wiley & Sons, New York, 1960:155.
Conover WJ. Practical Nonparametric Statistics. John Wiley & Sons, New York, 1971:140–149.
Burgoon CF, Jr, Burgoon JS. The natural history of herpes zoster. JAMA 1957;164:265–269.
Selander D, Mansson LG, Karlsson L, Svanvic J. Adrenergic vasoconstriction in peripheral nerves of the rabbit. Anesthesiology 1985;62:6–10.
Lundborg G. Structure and function of the intraneural microvessels as related to trauma, edema formation, and nerve function. J Bone & Joint Surg 1975;57-A:938–948.
Fink BR, Cairns AM. A bioenergetic basis for peripheral nerve fiber dissociation. Pain 1982;12:307–317.
Fink BR, Cairns AM. Differential tolerance of mammalian myelinated and unmyelinated nerve fibers to oxygen lack. Reg Anes 1982;7:2–6.
Noordenbos W. Pain. Elsevier, Amsterdam, 1959.
Melzack R, Wall PD. Pain mechanisms: New theory. Science 1965;150:971–979.
McKendrick MD, McGill JI, Wood MJ: Lack of effect of acyclovir on postherpetic neuralgia. Br Med J 1989;298:431.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1998 Springer Science+Business Media Dordrecht
About this chapter
Cite this chapter
Winnie, A.P. (1998). Prevention of Post-Herpetic Neuralgia. In: Ashburn, M.A., Fine, P.G., Stanley, T.H. (eds) Pain Management and Anesthesiology. Developments in Critical Care Medicine and Anesthesiology, vol 33. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-5145-0_22
Download citation
DOI: https://doi.org/10.1007/978-94-011-5145-0_22
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-010-6162-9
Online ISBN: 978-94-011-5145-0
eBook Packages: Springer Book Archive