Interventional Physiatry in the Complex Regional Pain Syndrome of the Upper Limb Following Herpes Zoster
2024

Interventional Physiatry for Pain Relief After Herpes Zoster

Sample size: 1 publication Evidence: low

Author Information

Author(s): Muacevic Alexander, Adler John R, Swarnakar Raktim, Saha Anoovab, Sarkar Ankit, Ghosh Soumyadipta, Mandal Pankaj K

Primary Institution: Physical Medicine and Rehabilitation, RG Kar Medical College and Hospital, Kolkata, IND

Hypothesis

Can interventional physiatry effectively manage complex regional pain syndrome following herpes zoster?

Conclusion

A multimodal treatment approach combining nerve blocks and physical therapy led to significant pain relief and functional recovery in a patient with post-herpetic complex regional pain syndrome.

Supporting Evidence

  • The patient reported significant pain relief seven days post-intervention.
  • By day 15, the patient achieved complete pain remission.
  • The patient's range of motion improved and swelling decreased notably.
  • The case highlights the rarity of post-herpetic CRPS and the effectiveness of nerve blocks.
  • Previous studies support the use of multimodal treatment approaches for CRPS.

Takeaway

A patient with pain after shingles got better with special injections and exercises, helping him use his hand again.

Methodology

The patient received ulnar and median nerve blocks and participated in a structured rehabilitation program including exercises.

Limitations

The study is based on a single case report, limiting generalizability.

Participant Demographics

A 44-year-old male patient.

Digital Object Identifier (DOI)

10.7759/cureus.74081

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