Jaipur block in postherpetic neuralgia.

Abstract:

BACKGROUND:Postherpetic neuralgia, a common sequele to herpes zoster infection, is a chronic debilitating problem. The available therapeutic modalities are usually ineffective. METHODS:A total of 3960 patients (1326 women and 2634 men; age group, 21-84 years), with postherpetic neuralgia as the presenting complaint and with pain lasting from 2 months to 5 years, were treated with Jaipur block, consisting of local subcutaneous infiltration of 2% xylocaine, 0.5% bupivacaine, and 4 mg/mL dexamethasone solution. Patients were followed up at six-weekly intervals with subsequent injections given in non-responders. RESULTS:Twenty-eight per cent of patients obtained complete relief from pain after a single injection, another 57% after a second injection, and 11% after a third injection; 4% of patients did not respond to treatment. The non-responders were either old (over 60 years) or had pain lasting for more than 2 years. The response to therapy was similar in both sexes. There were 31 left-handed patients in this study. Pain was less severe in left-handed patients and they obtained complete relief after a single injection. Side-effects including giddiness and sweating were seen, occasionally, in a few patients. CONCLUSIONS:Ninety six per cent of patients obtained complete relief after the block with a follow-up of up to 19 years.

journal_name

Int J Dermatol

authors

Bhargava R,Bhargava S,Haldia KN,Bhargava P

doi

10.1046/j.1365-4362.1998.00392.x

subject

Has Abstract

pub_date

1998-06-01 00:00:00

pages

465-8

issue

6

eissn

0011-9059

issn

1365-4632

journal_volume

37

pub_type

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