Spinal Cord Stimulation in the Treatment of Postherpetic Neuralgia
In the pain clinic setting, one of the most difficult pain syndromes to treat is postherpetic neuralgia (PHN). Recent advances in the treatment of an acute infection with the herpes zoster virus have lowered the incidence of PHN. The pain specialist needs to treat the acute episode aggressively and early, if he is to be successful in reducing the onset of PHN. It is well known that PHN continues to be a common reason for suicide in an elderly population. In most patients with an acute herpes zoster infection, the disease is self-limiting, and the rash and pain disappear completely. In some patients, however, the pain can persist for many years. This chapter will review the cause, clinical course, and current treatments including the use of spinal cord stimulation in the treatment of PHN.
KeywordsHerpes Zoster Varicella Zoster Virus Complex Regional Pain Syndrome Interstitial Cystitis Spinal Cord Stimulation
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