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Ultrasound-Guided Musculocutaneous Nerve Block in Postherpetic Neuralgia

Kuo, Ying-Chen MD; Hsieh, Lin-Fen MD; Chiou, Hong-Jen MD

American Journal of Physical Medicine & Rehabilitation: January 2016 - Volume 95 - Issue 1 - p e1–e6
doi: 10.1097/PHM.0000000000000387
Case Report

ABSTRACT: Postherpetic neuralgia is a common and challenging complication of herpes zoster infection, particularly in older people. In recent decades, first-line treatments, including oral or topical medication, have become well established. However, few studies have reported the efficacy of interventional procedures for the treatment of postherpetic neuralgia. Here, the authors present a case of intractable postherpetic neuralgia treated with musculocutaneous peripheral nerve block under ultrasound guidance. Symptoms remained controlled at 1 mo follow-up. Ultrasound can be readily applied to improve the accuracy and efficiency of peripheral nerve block as it is currently widely used to evaluate the musculoskeletal system in clinical settings.

From the Department of Physical Medicine and Rehabilitation, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan (Y-CK, L-FH); School of Medicine, Fu Jen Catholic University, Taipei, Taiwan (L-FH); Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan (H-JC); and School of Medicine, National Yang Ming University, National Defense Medical Center, Taipei, Taiwan (H-JC).

All correspondence and requests for reprints should be addressed to: Hong-Jen Chiou, MD, Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan.

Supported by the Shin Kong Wu Ho-Su Memorial Hospital.

No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated. Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

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