Antiviral, microcirculation improvement and physiotherapy treatments are commonly used today. In addition there are.
Traditional acupuncture and cupping can improve local blood flow and have a therapeutic effect on pain. Pain can stimulate local sympathetic excitation causing poor regional blood flow, aggravating the accumulation of pain-causing substances and worsening pain. Acupuncture and cupping can artificially increase the reflux in the area of poor blood flow (like adding external downward reflux to a heating system with good upward water and poor downward water), and some patients get relief from pain. Cong Yongzhi, Department of Pain, Dalian Central Hospital
However, because the involved nerves are hidden behind the ribs and deep in the body, it is difficult for the traditional methods to act on the nerves, so many patients do not have good results and prolong the course of the disease. And with the prolonged course of the disease, the nerve damage is further aggravated, and it leaves sequelae.
Treatment of herpes zoster (serpentine) and posterior neuralgia by pain specialists
One of the core technologies used in the treatment of herpes zoster (SLE), in addition to the common methods described above, is the nerve block technique, in which anti-inflammatory and analgesic drugs are injected directly into the affected nerves (which can be seen directly under the images) under imaging guidance, and the drugs are spread directly along the nerves to reduce the direct damage to the nerves and the associated immune inflammatory response. Since the treatment goes directly to the affected area, it is like extinguishing the inflammatory fire of a burning cord. (The damaged nerves in the chest and back area, where shingles is most prevalent, are like a rope on fire.) Improving the local blood circulation to the painful area interrupts the chain of painful circulation, which facilitates the establishment of a virtuous circulation mechanism for the patient’s own repair, which is sometimes so powerful that it can repair broken skin wounds that have been untreated for tens of days in just a few days.
Therefore, the core of the treatment of herpes zoster and its neuralgia is to reduce or eliminate the inflammatory response of the nerves. Injecting drugs that reduce the inflammatory response of the nerve directly into the affected nerve is the closest to removing the cause of the disease and is the preferred method. It is like spraying a fire extinguishing agent directly onto the point of fire.
Almost all peripheral nerves in the human body can be precisely located by experienced pain physicians, and many minimally invasive interventions are very less invasive while the patient gets a great benefit, professionally known as having a good risk-benefit ratio, and should be applied as early as possible in people with a high incidence of post-neuralgia in the elderly.
Several first-line analgesics specifically for the treatment of herpes zoster (serpentine) neuralgia are also used, and these combined treatments resolve the long-standing pain disorder in a very short period of time in more than 90% of patients. A small number of intractable cases require neurodestruction, central analgesia, or spinal cord electrical stimulation, but at significantly higher cost.