Post Herpetic Neuralgia (PHN) is a chronic potentially debilitating resistant neuropathic pain. This is a single in-depth case study conducted to assess the effectiveness of Yoga Prana Vidya (YPV) Healing in the Management of PHN. Experience has shown that YPV is an effective noninvasive non-drug therapy for several ailments and this study has used YPV in the management of this severe painful condition. A 45 year old male patient suffering from PHN was treated with a set of YPV protocols. The patient was treated earlier with conventional therapy consisting of Opioid Analgesic Pentazocin injection, sedatives like valium, tricyclic antidepressant like Gapapentin for four months duration with little relief from pain. The patient was advised to perform self-practice of some YPV protocols including rhythmic yogic breathing 2-3 times a day. Initially healing was done three times a day for 3 days and then once a day for 4 days. During the first healing session, the patient slept in clinic and got relief in the pain by 20%. On the same day in the night he slept for 7 hours. Within a week the patient was completely relieved of his pain, stopped taking any analgesic, psychotropic drugs, and resumed his daily chores. YPV worked well in this case as an effective alternative noninvasive nondrug, non-touch therapy for the relief of pain in PHN when the conventional therapy was not effective and offers scope for targeted research in this field.
A comparative study was carried out to evaluate peribulbar anaesthesia (group A) vs subconjunctival anaesthesia (group B). The results proved peribulbar anaesthesia to be more effective than subconjunctival anaesthesia as regards orbicularis akinesia (p < 0.05) and ocular akinesia (p < 0.05). There was no significant difference in the sensory anaesthesia, analgesia and intraocular pressure changes in the two groups (p > 0.05). Block assessment was ideal in 80% of patients in group A in comparison to 51% in group B (p < 0.05), and unsatisfactory in 14% in group A and 30% in group B (p < 0.05). Further, no significant complications were observed with peribulbar anaesthesia. Therefore, we conclude that peribulbar anaesthesia should be preferred over subconjunctival anaesthesia for conventional extracapsular cataract extraction with or without intraocular lens implantation.
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