Acupuncture compared with placebo in post-herpetic pain

Lewith, George; Field, Jennifer; Machin, David

doi:10.1016/0304-3959(83)90167-7

Cited by 127 publications

(46 citation statements)

References 11 publications

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“…Simultaneous needling in the center of painful area can relief pain [10]. Surrounding needling that in this method needle inserted at 2cm intervals subcutaneously at a15 degree angle horizontally around the rash of PHN, after insertion of filiform needles, small amplitude of lifting, thrusting, twirling and rotating was done.…”

Section: Discussionmentioning

confidence: 99%

Introducing a New Event in Post Herpetic Neuralgia Traditional Medicine Treatment

2018

ARC Journal of Dermatology

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Section: Discussionmentioning

confidence: 99%

Introducing a New Event in Post Herpetic Neuralgia Traditional Medicine Treatment

2018

ARC Journal of Dermatology

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“…Systemic corticosteroids, phenothiazine tranquilizers, tricyclic antidepressants, iontophoresis, ultrasound and acupuncture have been utilized for PHN with limited success (Kernbaum & Hauchecome 1981;Kepes 1983;KnijiharCsillik et al 1982;Lewith et al 1983;Watson et al 1982). Acyclovir has been shown to have a beneficial effect on acute pain during H Z infection, but not in H Z related PHN (Cobo et al 1986).…”

Section: Discussionmentioning

confidence: 99%

The use of capsaicin in herpes zoster ophthalmicus neuralgia

Frucht‐Pery

Feldman

Brown

1997

Acta Ophthalmologica Scandinavica

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ABSTRACT. The treatment of neuralgia which occurs during and following herpes zoster ophthalmicus is often unsatisfactory. Capsaicin (trans-8-methyl-Nvanillyl-6-nonenamide) is a drug which depletes substance P and may be effective in inhibiting pain. We utilized topical capsaicin to the affected dermatome five times daily for 4 weeks in 6 patients with acute and post herpetic neuralgia. In four cases pain was markedly relieved and narcotic medications were either discontinued or significantly reduced. In two cases, pain was not reduced. Four patients had side effects including burning sensation at the site of the drug administration (4 cases), dermatitis as a result ofoveruse of the drug (2 cases) and hyperesthesia (1 case). Our results suggest that capsaicin may be a useful therapy for the alleviation of pain in some individuals with herpes zoster ophthalmicus. However, controlled studies are needed to establish these results.

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“…15 In a randomized study that compared acupuncture to sham transcutaneous electrical stimulation (TENS), using a blinded independent assessor, neither treatment resulted in improvement over baseline pain severity (class II). 57 This negates the two case series (class IV) showing benefit for acupuncture. 58,59 There were only class IV studies of He:Ne laser irradiation, nicardipine, chlorprothixene, biperiden, extract of Ganoderma lucidum, dorsal root entry zone lesions, stellate ganglion block, and vitamin E.…”

Section: R E T I R E D R E T I R E Dmentioning

confidence: 94%

Practice Parameter: Treatment of postherpetic neuralgia: [RETIRED]

Dubinsky¹,

Kabbani²,

Elchami³

et al. 2004

Neurology

267

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Abstract-A systematic review of the literature on postherpetic neuralgia was performed. The authors identified studies using the National Library of Medicine's Medline database and Cochrane Library database. The authors determined absolute reduction rate, number needed to treat (NNT), 95% CI for NNT, and number needed to harm (NNH) for successful therapies of postherpetic neuralgia. Tricyclic antidepressants, gabapentin, pregabalin, opioids, and lidocaine patch were found to be effective in reducing the pain of postherpetic neuralgia. NEUROLOGY 2004;63:959 -965 Acute herpetic neuralgia is characterized as burning, aching, electric shock like pain, or unbearable itching in association with the outbreak of a herpes zoster rash. The pain is associated with dysesthesias, paresthesias, hyperalgesia, hyperesthesia, and allodynia (production of pain by innocuous stimuli).1 The pain may precede the onset of the herpetic rash and, rarely, herpetic neuralgia can occur without the development of a rash.2 Postherpetic neuralgia, persistence of the pain of herpes zoster more than 3 months after resolution of the rash, is relatively common, affecting 10 to 15% of those with herpes zoster. Zoster-associated pain is used to describe the continuum of pain from acute herpes zoster to the development of postherpetic neuralgia. The time interval used in the clinical case definition of postherpetic neuralgia varies in the literature from 1 to 6 months after resolution of the rash. The incidence of postherpetic neuralgia increases with age. 3 The duration of postherpetic neuralgia is highly variable. In a longitudinal study, of those who developed postherpetic neuralgia, only 48% were symptomatic 1 year after onset.4,5 A prospective study of postherpetic neuralgia, performed through a network of primary care providers in Iceland from 1990 to 1995, showed that 14 of the 25 who developed postherpetic neuralgia were symptomatic 12 months after onset.6 Thus, the natural history of resolution of postherpetic neuralgia over time is a confounder in the evaluation of treatment efficacy and may limit the ability to generalize the results of controlled clinical trials in this population.Administration of antiviral agents within 72 hours of the onset of herpes zoster can reduce the intensity and duration of acute illness, and can prevent postherpetic neuralgia, 7 as may the use of amitriptyline.8 Efforts at prevention of herpes zoster and postherpetic neuralgia are important in that 40 to 50% of those with postherpetic neuralgia do not respond to any treatment. 9 The treatment of acute herpes zoster 10 and the prevention of postherpetic neuralgia are beyond the scope of this parameter.This practice parameter was developed to answer the following clinical question: In patients with postherpetic neuralgia, which treatments provide benefit in terms of decreased pain and improved quality of life?Process. We searched the National Library of Medicine's Medline database and the Cochrane database for peer-reviewed articles published between

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Acupuncture compared with placebo in post-herpetic pain

Cited by 127 publications

References 11 publications

Introducing a New Event in Post Herpetic Neuralgia Traditional Medicine Treatment

Introducing a New Event in Post Herpetic Neuralgia Traditional Medicine Treatment

The use of capsaicin in herpes zoster ophthalmicus neuralgia

Practice Parameter: Treatment of postherpetic neuralgia: [RETIRED]

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