A Year of Painful and Sleepless Nights in Geriatric Case!!! Due to Post Herpetic Neuralgia (PHN)-? Can be Managed with Para-Vertebral Block
A Year of Painful and Sleepless Nights in Geriatric Case!!! Due to Post Herpetic Neuralgia (PHN)-? Can be Managed with Para-Vertebral Block
Surekha Chavan,Vaibhav Mohansing Solanke,4 Authors,Kshitija Dipak Tonapi
2025 · DOI: 10.38124/ijisrt/25apr1748
International Journal of Innovative Science and Research Technology · 0 Citations
TLDR
A 74-year-old Male patient of low socioeconomic status with DM & Asthma referred to the pain clinic with complaints of sleepless nights, altered moods/emotions and pain on the right midaxillary line on rib T7-T10 level radiating from the back to the abdomen since 1 year.
Abstract
Post-herpetic neuralgia (PHN) is common in elderly, covid-19 and immunocompromised patients and is
characterised by persistent neuropathic pain, which occurs after an outbreak of shingles (herpes zoster). Patients with HZhave severe pain affecting psychology, quality of life and daily living. Here we had a 74-year-old Male patient of lowsocioeconomic status with DM & Asthma referred to the pain clinic with complaints of sleepless nights, alteredmoods/emotions and pain on the right midaxillary line on rib T7-T10 level radiating from the back to the abdomen since 1year. PHN in the elderly having comorbidities can be successfully managed by paravertebral block with excellent pain reliefand recovery from one-year sleepless nights, offering better quality of life. This case alarms health care services to createawareness in the prevention of herpes zoster and vaccination in the geriatric population.