Efficacy of Internal Heat Acupuncture Combined with High-Voltage Long-Duration Pulsed Radiofrequency on Subacute Postherpetic Neuralgia: A Retrospective Study

Fei, Yong; Yao, Ming; Huang, Bing; Xu, Longsheng; Liu, Beibei

doi:10.1155/2022/2180214

Cited by 3 publications

(2 citation statements)

References 22 publications

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“…Several studies have shown that prompt clinical interventions in patients with acute or subacute herpes zoster neuralgia can prevent and alleviate post-herpetic neuralgia. [11] However, given its complex mechanism and challenging treatment, post-herpes neuralgia still lacks standardization. Currently, there have been scarce large-scale studies confirming the effectiveness of traditional surgical interventions, including semilunar ganglion radiofrequency, in treating herpes zoster neuralgia within the trigeminal nerve branch distribution area.…”

Section: Discussionmentioning

confidence: 99%

Radiofrequency regulation of the sphenopalatine ganglion in managing herpes zoster ophthalmicus neuralgia: A case series

Cui,

Zhang,

Wang

et al. 2024

Medicine

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Introduction: Trigeminal herpes zoster, which comprises 10% to 20% of cases of herpes zoster, often leads to severe pain in the ophthalmic branches. Current treatments, including drug therapy and minimally invasive interventions, have limitations; accordingly, there is a need to explore alternative approaches. This study aimed to evaluate the efficacy and safety of computerized tomography (CT)-guided pulsed radiofrequency of the sphenopalatine ganglion in patients with intractable trigeminal herpetic pain. Patient concerns: Three patients with intractable trigeminal ophthalmic zoster neuralgia were studied. All patients complained of bursts of headache, which occurred at least 10 times a day, usually in the periorbital and frontal regions. Conventional treatments, including oral medications and radiofrequency therapy targeting the trigeminal-semilunar ganglion and supraorbital nerve, could not sufficiently provide relief. Diagnosis: Two patients were diagnosed with herpes zoster in the ocular branch of the trigeminal nerve with conjunctivitis, while one patient was diagnosed with postherpetic neuralgia in the ocular branch of the trigeminal nerve. Interventions: This study employed a novel approach that involved CT-guided radiofrequency regulation of the pterygopalatine fossa sphenopalatine ganglion. Outcomes: In all three patients, pain relief was achieved within 1 to 3 days after treatment. During the follow-up, one patient had pain recurrence; however, its severity was ≈ 40% lower than the pretreatment pain severity. The second patient had sustained and effective pain relief. However, the pain of the third patient worsened again after 2 months. The average follow-up duration was 3 months. None of the enrolled patients showed treatment-related adverse reactions or complications. Conclusion: Our findings indicated that CT-guided radiofrequency regulation of the pterygopalatine fossa sphenopalatine ganglion was a safe and effective intervention for pain in patients with trigeminal ophthalmic zoster neuralgia, suggesting that it may be a therapeutic option if other treatments fail.

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Section: Discussionmentioning

confidence: 99%

Radiofrequency regulation of the sphenopalatine ganglion in managing herpes zoster ophthalmicus neuralgia: A case series

Cui,

Zhang,

Wang

et al. 2024

Medicine

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“…Combining treatments with diverse targeting mechanisms is believed to result in a more effective therapeutic response for ZAP. For example, combinations such as DRG pulsed radiofrequency with steroids, ozone, local anesthetics or recombinant human interferon-a2b, as well as pulsed radiofrequency combined with continuous radiofrequency or heat acupuncture are applied for ZAP [38][39][40][41][42][43][44][45][46]. Numerous clinical studies have focused on the combination of pulsed radiofrequency and ozone, consistently demonstrating the safety and effectiveness of this treatment modality [40][41][42][43].…”

Section: Combined Treatmentmentioning

confidence: 99%

Progress in Radiofrequency Therapy for Zoster-Associated Pain About Parameters, Modes, Targets, and Combined Therapy: A Narrative Review

Rui,

Ni,

Xie

et al. 2023

Pain Ther

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Zoster-associated pain (ZAP) is a painful condition that significantly impacts a patient's quality of life, often leading to postherpetic neuralgia (PHN). Over 30% of patients with herpes probably experience PHN. However, the understanding and treatment of ZAP remain inadequate. Common interventional treatments include radiofrequency therapy, nerve blocks, epidural block, and spinal cord electrical stimulation. Among these, radiofrequency therapy is widely used for pain control in ZAP, but the standard pulsed radiofrequency technique can still be improved. Researchers have

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Clinical efficacy of high-voltage pulsed radiofrequency combined with stellate ganglion block in the acute phase of thoracic and dorsal herpes zoster neuralgia under dual guidance of ultrasound and C-arm

Sun,

Zhao,

Dai

et al. 2024

Journal of Clinical Neuroscience

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Efficacy of Internal Heat Acupuncture Combined with High-Voltage Long-Duration Pulsed Radiofrequency on Subacute Postherpetic Neuralgia: A Retrospective Study

Cited by 3 publications

References 22 publications

Radiofrequency regulation of the sphenopalatine ganglion in managing herpes zoster ophthalmicus neuralgia: A case series

Radiofrequency regulation of the sphenopalatine ganglion in managing herpes zoster ophthalmicus neuralgia: A case series

Progress in Radiofrequency Therapy for Zoster-Associated Pain About Parameters, Modes, Targets, and Combined Therapy: A Narrative Review

Clinical efficacy of high-voltage pulsed radiofrequency combined with stellate ganglion block in the acute phase of thoracic and dorsal herpes zoster neuralgia under dual guidance of ultrasound and C-arm

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