Chronic Chest Wall Pain in Postherpetic Neuralgia

Kenneth D. Candido, Teresa M. Kusper and Nebojsa Nick Knezevic

in Pain Management

Published on behalf of Oxford University Press

Published in print May 2018 | ISBN: 9780190271787
Published online May 2018 | e-ISBN: 9780190271817 | DOI:

Series: Anesthesiology A Problem Based Learning

Chronic Chest Wall Pain in Postherpetic Neuralgia

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Postherpetic neuralgia (PHN) is a debilitating condition that frequently arises after herpes zoster (HZ) caused by the varicella-zoster virus. It is characterized by severe neuropathic pain and sensory disturbances persisting after the resolution of characteristic vesicular skin lesions. Most commonly affected are the thoracic dermatomes. Trigeminal (V1), cervical, and lumbar nerves are other frequently affected sites. Early treatment shortens the duration of acute HZ and may prevent the onset of PHN. A variety of modalities are utilized to treat PHN, including chemical compounds, interventional pain techniques, and neuromodulation. HZ vaccine is recommended for individuals more than 60 years old, and it is currently the best method of averting HZ and consequent progression to PHN.

Chapter.  4488 words.  Illustrated.

Subjects: Pain Medicine ; Anaesthetics

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