帶狀皰疹神經性疼痛

症狀：55 歲男性，患糖尿病， 右胸燒灼痛 ５ 天， 以帶狀皰疹轉診痛症科。

檢查：右胸側及前部皮膚皰疹仍可見，皮膚接觸疼痛明顯。

診斷：帶狀皰疹神經性疼痛

治療： 右側 肋 間神經阻滯。

結果： 疼痛立即緩解， 1 周後複診患者述無痛。無並發症。

Shingles is a good example of how early intervention can make a significant difference for patients. “Pain from shingles comes from a lack of blood flow to the nerves,” Dr. Trescot said. “First to die are modulator nerves, which leaves the pain nerves unopposed. After the rash heals, there may be even worse pain. Once those nerves die, there’s nothing I can do except kill the rest of the nerves. On the other hand, if I see the patient early enough and can restore blood flow to the nerves quickly enough, I can prevent them from dying and I can prevent postherpetic neuralgia.”

早期神經阻滯可極有效防止神經損害，並控製疼痛。後期神經阻滯，絕對解除痛苦，協助神經整合恢複。頑固性疼痛者可選用脊神經或外周神經刺激器置入治療，效果非常理想。遺憾的是絕大多數人，包括醫生都對此不了解。