Dry Needling for Postherpetic Neuralgia

IDN Clinical Questions and Discussions

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ashley.k.williams

Topic starter

Jan 22, 2018 12:43 pm

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Joined: 5 years ago

One of my patients has experienced pain in her L side body and L breast after having shingles 3 years ago. She was Dx with postherpetic neuralgia (intercostal nerve pain). She had trigger point injections by a MD with good results. She is interested in dry needling to reduce her pain. Would dry needling be indicated and if so, what points would I focus on?

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David

Customer

Jan 23, 2018 4:58 am

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Joined: 5 years ago

Hi Ashley,

Yes IDN can be used for postherpetic pain. The thoracic paravertebrals would be a good place to start with her segmentally and you could include HA T6 and T7. Although they probably have a specified area of symptoms which the paravertebral needling may help with, I would recommend assessing the 24 HA of the body and determine if those are passively sensitized and treat accordingly for the systemic effect with the chronicity of her condition.

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David

Feb 27, 2019 8:36 am

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Joined: 5 years ago

Have you heard it to cause shingles?

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Anonymous

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Feb 28, 2019 4:57 pm

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No I have not heard of it causing shingles.

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Anonymous

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Feb 28, 2019 4:57 pm

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No I have not heard of it causing shingles.

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