Spinal Cord Stimulation in the Treatment of Postherpetic Neuralgia in Patients with Chronic Kidney Disease: A Case Series and Review of the Literature

Baek, In Yeob; Park, Ju Yeon; Kim, Hyae Jin; Yoon, Jonghee; Byoen, Gyeong Jo; Kim, Kyung Hoon

doi:10.3344/kjp.2011.24.3.154

Cited by 12 publications

(8 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Nevertheless, the management of PHN is often suboptimal [8]. In the field of pain medicine, many pain practitioners perform various interventional treatments for PHN, and new methods are being applied [9,10]. However, there is little information on the recommendations or practice guidelines for the interventional treatment of PHN, which forces pain clinicians to apply different interventional methods in the treatment of PHN.…”

Section: Introductionmentioning

confidence: 99%

Survey on the Treatment of Postherpetic Neuralgia in Korea; Multicenter Study of 1,414 Patients

Nahm

Kim

et al. 2013

Korean J Pain

View full text Add to dashboard Cite

BackgroundPostherpetic neuralgia (PHN) is a serious complication resulting from herpes zoster infections, and it can impair the quality of life. In order to relieve pain from PHN, various treatments, including pharmacological and interventional methods have been used. However, little information on the recommendations for the interventional treatment of PHN, along with a lack of nation-wide surveys on the current status of PHN treatment exists. This multicenter study is the first survey on the treatment status of PHN in Korea.MethodsRetrospective chart reviews were conducted on the entire patients who visited the pain clinics of 11 teaching hospitals from January to December of 2011. Co-morbid disease, affected site of PHN, routes to pain clinic visits, parenteral/topical medications for treatment, drugs used for nerve block, types and frequency of nerve blocks were investigated.ResultsA total of 1,414 patients' medical records were reviewed. The most commonly affected site was the thoracic area. The anticonvulsants and interlaminar epidural blocks were the most frequently used pharmacological and interventional methods for PHN treatment. For the interval of epidural block, intervals of 5 or more-weeks were the most popular. The proportion of PHN patients who get information from the mass media or the internet was only 0.8%.The incidence of suspected zoster sine herpete was only 0.1%.ConclusionsThe treatment methods for PHN vary among hospitals. The establishment of treatment recommendation for PHN treatment is necessary. In addition, public relations activities are required in order to inform the patients of PHN treatments by pain clinicians.

show abstract

Section: Introductionmentioning

confidence: 99%

Survey on the Treatment of Postherpetic Neuralgia in Korea; Multicenter Study of 1,414 Patients

Nahm

Kim

et al. 2013

Korean J Pain

View full text Add to dashboard Cite

show abstract

“…[24] Twelve trials show that SCS has an effect on PHN, but there is no strict RTC to confirm the result. [252627282930313233343536]…”

Section: Discussionmentioning

confidence: 99%

The effect of interventional pain management on treating postherpetic neuralgia

et al. 2019

View full text Add to dashboard Cite

Background: Herpes zoster (HZ) is identified to induce postherpetic neuralgia (PHN) which is difficult to cure. PHN-related pain brings patients not only physical discomfort but also mental depression and anxiety. Currently, the main purpose of PHN treatment is to reduce patients’ pain. Now treatment combining some international pain management and drug therapy has come up. Aims and Objective: This study aims to evaluate the effect of interventional management through meta-analysis. Materials and Methods: Interventional pain management was defined as a direct strategy on nerve through physical or chemical method. Drug therapy was always regarded as control. Potentially relevant articles were searched in PubMed, EMBASE, and the Cochrane Library through key words by consensus. Pain severity was evaluated by a validated visual analog scale (VAS). Moreover, the weighted mean difference was used to calculate pain intensity. Some trails recorded the efficiency rate and odds ratio was used to calculate the effectiveness. Statistical heterogeneity was measured by the value of I 2 , and when statistical I 2 > 50%, subgroup analysis was used to seek for the source of heterogeneity. Results: Pulsed radiofrequency (PRF) combined with medication reduced the VAS scores at 1, 2, 4, and 8 weeks after treatment. The nerve block combined with medication reduced VAS scores at 8 weeks after treatment, but there is no difference between the results of medication alone at 1, 2, and 4 weeks after treatment. Conclusion: The interventional mean of PRF combined with medication has a good effect on PHN. The effect of nerve block combined with medication on PHN seems to be the same as that of medication alone. Besides, a long period with high-quality randomized controlled trial should be done to verify the results.

show abstract

“…Further long-term studies are needed to determine whether non-responders should take medication for the rest of their life or receive spinal cord stimulation at a certain point [ 14 ]. The old definition of PHN, pain persisting after the rash has healed (usually after 1 month), has been changed to a new definition in this study, 4 months after the onset of the skin rash.…”

Section: Discussionmentioning

confidence: 99%

Earlier treatment improves the chances of complete relief from postherpetic neuralgia

Kang

Kim

et al. 2017

Korean J Pain

Self Cite

View full text Add to dashboard Cite

BackgroundAs herpes zoster progresses via postherpetic neuralgia (PHN) to well-established PHN, it presents its recalcitrant nature to the treatment. At this point, the well-established PHN is fixed as a non-treatable, but manageable chronic painful neuropathic disorder. This study evaluated the incidence of complete relief from PHN according to PHN duration at their first visit, and the other factors influencing it.MethodsA retrospective chart review was performed on patients with PHN at a university-based pain clinic over 7 years. The responders were defined as patients who had complete relief from pain after 1 year of active treatment. Age, sex, PHN duration at their first visit, dermatomal distribution, and underlying disorders were compared in the responder and non-responder groups. Responders were also compared according to these factors.ResultsAmong 117 PHN patients (M/F = 48/69), 35 patients (29.9%) had complete relief from PHN. Mean ages were 64.3 ± 10.6 and 66.9 ± 10.7 years, numbers of male to female patients were 11/24 and 37/45, and mean durations of PHN at their first visit were 8.5 ± 6.3 and 15.3 ± 10.7 months in the responder and non- responder groups, respectively. In addition, PHN patients who visited the clinic before 9 months showed a better result. Dermatomal distribution and underlying disorders did not show significant differences.ConclusionsAlmost 30% of PHN patients received complete relief. Those who sought treatment in a pain clinic before 9 months received a better result.

show abstract

Spinal Cord Stimulation in the Treatment of Postherpetic Neuralgia in Patients with Chronic Kidney Disease: A Case Series and Review of the Literature

Cited by 12 publications

References 15 publications

Survey on the Treatment of Postherpetic Neuralgia in Korea; Multicenter Study of 1,414 Patients

Survey on the Treatment of Postherpetic Neuralgia in Korea; Multicenter Study of 1,414 Patients

The effect of interventional pain management on treating postherpetic neuralgia

Earlier treatment improves the chances of complete relief from postherpetic neuralgia

Contact Info

Product

Resources

About