MANAGEMENT OF POSTHERPETIC NEURALGIA WHEN CONVENTIAL DRUG THERAPY IS FAILED OR CONTRADICTED
Running Title: Alternative treatments for PHN
Irban, Arzu, M.D., D.E.S.A *, Koran, Serhat M.D.**
*Pain Specialist, Prof. at Department of Anesthesiology and Reanimation, MedipolUniversity, School of Medicine, Istanbul, Turkey.
Email:firstname.lastname@example.org GSM: +90 532 641 73 34. Fax: +90 212 460 70 70.
**Assis. Prof. at Department of Family Medicine, Medipol University, School of Medicine, Istanbul, Turkey.
E.mail: email@example.com GSM: +90 5058775133. Fax: +90 212 460 70 70.
Here, four cases with postherpetic neuralgia treated with different methods were presented when conventional therapy is failed or contradicted. In cases at the late stages of disease, radiofrequency treatment (pulsed /conventional) was effective as it prevents transmission and spinal modulation of noxious stimulus. In cases at the early stage of disease; virustatic, immunomodulating, analgesic and anti-inflammatory effects of ozone makes ozone therapy an important alternative to conventional drug treatments. As a conclusion, in case of failure or contradiction of conventional treatment; RFT and ozone therapy should be kept in mindas effective treatment methods.
Key word: Herpes zoster; postherpetic neuralgia; radiofrequency treatment; ozone therapy