2019
DOI: 10.2147/lra.s223961
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<p>Case Report Of Cryoneurolysis For The Treatment Of Refractory Intercostobrachial Neuralgia With Postherpetic Neuralgia</p>

Abstract: Postherpetic neuralgia is a common and potentially debilitating neuropathic pain condition. Current pharmacologic therapy can be inadequate and intolerable for patients. We present a case of a gentleman with refractory postherpetic neuralgia in the intercostobrachial nerve distribution that was successfully treated with cryoneurolysis/cryoanalgesia therapy.

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Cited by 8 publications
(4 citation statements)
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“…12 There are case reports of the use of cryoneurolysis therapy and topical gallium maltolate cream which was successful in significantly reducing pain in PHN patients. 13,14 Interventional treatments that can be performed in cases of refractory PHN include epidural injection with metiprednisolone and bupivacaine, paravertebral nerve block, sympathetic nerve block, and ozone therapy. 12 In addition to invasive interventional treatments, there are also non-invasive interventional therapies that can be used to treat PHN pain such as the use of lasers.…”
Section: Discussionmentioning
confidence: 99%
“…12 There are case reports of the use of cryoneurolysis therapy and topical gallium maltolate cream which was successful in significantly reducing pain in PHN patients. 13,14 Interventional treatments that can be performed in cases of refractory PHN include epidural injection with metiprednisolone and bupivacaine, paravertebral nerve block, sympathetic nerve block, and ozone therapy. 12 In addition to invasive interventional treatments, there are also non-invasive interventional therapies that can be used to treat PHN pain such as the use of lasers.…”
Section: Discussionmentioning
confidence: 99%
“…Cryoneurotomy percutaneously induces selective neurolysis of a motor nerve to manage spasticity, similar to other injectable and surgical modalities, such as partial neurotomy and chemodenervation by alcohol or phenol ( 2 , 3 ). In cryoneurotomy, the axons and myelin of peripheral nerves are disrupted by the tip of the cryoprobe which may reach −70°; however, the epineurium is maintained allowing for nerve regeneration ( 3 , 4 , 13 ). Cryoneurotomy carries less risk of damage to surrounding tissue than phenol or alcohol chemodenervation ( 3 ).…”
Section: Discussionmentioning
confidence: 99%
“…The use of a mini-invasive percutaneous cryoneurotomy to induce disruption of the axon and myelin is an emerging technique for managing spasticity ( 3 ). There is substantial evidence of the efficacy of cryoanalgesia in the pain literature; however, literature outlining the use of cryoneurotomy for spasticity treatment is limited ( 3 , 4 ). There is no literature available on functional outcomes of cryoneurotomy in the pediatric population ( 3 ).…”
Section: Introductionmentioning
confidence: 99%
“…The patient also usually has a history of surgery or trauma to the chest. The treatment of this post-surgical neuralgia can range from cryoneurolysis, ultrasound-guided nerve block, steroid injection, and paravertebral nerve block [9,10]. There is a lack of literature available on possible manual therapy treatments of this diagnosis.…”
Section: Open Accessmentioning
confidence: 99%