title: Treatment of postherpetic neuralgia using a thoracic transforaminal epidural steroid injection.
abstract: A 64-year-old male patient with a history of herpes zoster exposure presented with severe, constant, burning pain in the left T10 dermatome consistent with postherpetic neuralgia. Previous treatment included oral and topical medications as well as an intercostal nerve block; however, these treatment options did not provide significant relief. The patient was treated with a single-level T10 thoracic transforaminal epidural steroid injection for refractory postherpetic neuralgia. He reported complete resolution of his symptoms at 2- and 12-week follow-ups. This case illustrates transforaminal epidural steroid injections may be a successful treatment option for postherpetic neuralgia.
authors.affiliation: Department of Rehabilitation, New York Presbyterian Hospital, New York, NY(∗). Electronic address: Priyesh.Mehta@gmail.com.
authors.forename: Priyesh
authors.initials: P
authors.lastname: Mehta
authors.affiliation: Weill Cornell Medical College, New York, NY(†).
authors.forename: Patrick
authors.initials: P
authors.lastname: Maher
authors.affiliation: Department of Rehabilitation, New York Presbyterian Hospital, New York, NY(‡).
authors.forename: Jaspal Ricky
authors.initials: JR
authors.lastname: Singh
mesh_terms: D005471:Fluoroscopy; D006801:Humans; D007268:Injections, Epidural; D007278:Injections, Spinal / Q000379:methods*; D008297:Male; D008875:Middle Aged; D051474:Neuralgia, Postherpetic / Q000188:drug therapy* / Q000503:physiopathology; D010147:Pain Measurement; D013904:Thoracic Vertebrae / Q000294:innervation