ISSN 0975-3583
 

Journal of Cardiovascular Disease Research



    Erector Spine Block Vs Para Vertebral Block Under USG Guided For Post Herpetic Neuralgia: A Prospective Observational Study


    Dr. Khalid Mudasir Munshi, Dr. Abdul Hakim, Dr. Rukhsana Najeeb, Dr. Aela Sifat Hinna
    JCDR. 2023: 2145-2152

    Abstract

    Severe zoster-associated pain limits patient’s daily activity and may significantly lower the patient’s quality of life. Ultrasound-guided erector spinae plane (ESP) blocks are used for a wide variety of indications in the management of acute, chronic, and postoperative pain. Aim: Our aim was to evaluate the efficacy of ultrasound-guided erector spinae plane blocks and Para vertebral for the management of post herpetic neuralgia. Methods: This study was carried out on 40 patients between 18 and 60 years old suffering from acute thoracic HZ. Patients were randomly classified into two groups: one group 1 received ESPB, using 0.2% ropivacaine (20 ml volume) and Patients who received a Para vertebral nerve block constituted Group II. All patients received standard medical care. The pain score, the consumption of pregabalin and analgesics, the incidence of complications, and the patient’s satisfaction were measured and recorded. Results: Numerical rating scale (NRS) showed insignificant differences at baseline. NRS for pain at 1, 3, 4, 12, and 24 weeks was significantly reduced in group ESB compared to group II. Doses of pregabalin and acetaminophen were comparable at 1 week among the studied groups. Doses of pregabalin and acetaminophen at 3, 4, 12, and 24 weeks were significantly lesser in group ESB compared to group II. After 3 months, the incidence of persistent herpetic pain was not significantly different between the study groups. After 6 months, the incidence of persistent herpetic pain was statistically significantly lower in groups ESB than in group II (P = 0.036 and 0.016, respectively) without significant difference between group I and group II. Conclusion: Ultrasound-guided erector spinae plane (ESP) block in conjunction with medical treatment can be beneficial in decreasing pain intensity in patients with acute pain due to herpes zoster more rapidly than conventional medical treatment. It leads to a significant decrease in pain score and analgesic requirements.

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    Volume & Issue

    Volume 14 Issue 4

    Keywords