J Korean Pain Soc.  1990 Dec;3(2):131-138.

A Clinical Study on the Treatment of Postherpetic Neuralgia

• Choe H
• Han YJ

Abstract

Postherpetic neuralgia (PHN) causes intractable pain which disturbs sleep and daily life. Numerous drugs and treatment strategies have been introduced for the management of PHN. However, no single regimen has proved to be effective. I analysed 38 patients with PHN. Amitriptyline, a tricyclic antidepressant and chlorpromazine were most commonly prescribed. Stellate ganglion blocks for the head and neck pain and epidural blocks for the rest part of the body were most frequently given. Triamcinolone acetate was administered epidurally in most of the cases or by iontophoresis on the affected skin area in two cases. Complications were related to the technique of the nerve block and the side effects of drugs administered. Repeated nerve blocks with tricyclic antidepressant and steroid therapy were thought to be the most effective for the treatment of postherpetic pain.

MeSH Terms

Amitriptyline
Chlorpromazine
Head
Humans
Iontophoresis
Neck Pain
Nerve Block
Neuralgia, Postherpetic*
Pain, Intractable
Skin
Stellate Ganglion
Triamcinolone
Amitriptyline
Chlorpromazine
Triamcinolone