Post-Herpetic Neuralgia
Conditions
Brief summary
The present study aims to evaluate the efficacy of ultrasound-guided erector spinae plane block with steroids to relieve pain in cases of post-herpetic neuralgia, patient satisfaction, and record any complications post-injection.
Detailed description
The current study will be conducted as a single-blinded prospective randomized controlled study to evaluate the efficacy of ultrasound-guided erector spinae plane block with steroids to relieve pain in cases of post-herpetic neuralgia. All patients will be evaluated by: * Full history taking: including age, sex, presence of co-morbid conditions as well as the presenting complaint. * Clinical examination and routine lab investigations that include: * Complete blood count (CBC). * Fasting blood glucose (FBG). * Coagulation profile (bleeding time, prothrombin time, prothrombin activity, international normalized ratio). Measurements: Patients will be followed up at 24 hours, 1 week, and 6 weeks after injection. The following measurements will be recorded: 1. Pain will be assessed pre- and post-injection using VAS score at 24 hours, 1 week, and 6 weeks post-injection. 2. Need for analgesic intake post-injection will be assessed at the follow-up periods. 3. Patient satisfaction using the SAPS score. 4. Complications post-injection as pain, irritation or infection will be assessed.
Interventions
PROCEDUREerector spinae plane block
erector spinae plane block with steroids
Sponsors
Alexandria University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Caregiver)
Eligibility
Sex/Gender
ALL
Age
20 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Patients with post-herpetic neuralgia not responding to medical treatment.
Exclusion criteria
\- 1- Patient refusal 2- Age less than 20 years or older than 70 years. 3- Systemic Infection. 4-Patients with dementia or other diseases that could have impaired their memory or cognitive function. 5- Immunocompromised patients, severe osteoporosis, and uncontrolled diabetes mellitus.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluate the efficacy of ultrasound-guided erector spinae plane block with steroids to relieve pain in cases of post-herpetic neuralgia | 6 weeks | by VAS score |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient satisfaction | 6 weeks | SAPS score |
| Complications | 6 weeks | As pain, irritation or infection |
Countries
Egypt
Outcome results
None listed