hldgator1

Full Member
10+ Year Member
5+ Year Member
Nov 29, 2006
12
0
Fort Lauderdale, FL
Status (Visible)
  1. Attending Physician
I am curious how many of you are using TFESI for the treatment of Herpetic Zoster acute lesions. I have always shyed away from any steriod injection during an outbreak and the literature is at best inconclusive (one decent sized Dutch study showed no sig benifit at one month).

There is one interventionalist locally who indicates good success with this technique but has no data to support it.

Your opinions are greatly appreciated.

Larry
 

mille125

Full Member
10+ Year Member
Dec 8, 2006
2,127
10
Status (Visible)
  1. Attending Physician
I have had very limited success and use it only in refractory cases.
 

mille125

Full Member
10+ Year Member
Dec 8, 2006
2,127
10
Status (Visible)
  1. Attending Physician
i think that it would be better to use some combination of elavil, neurontin, lyrica, cymbalta, capsacian, or oxycodone and save the needle for another day
 

Pain_doc

Old Member
15+ Year Member
Feb 9, 2006
957
40
Status (Visible)
  1. Attending Physician
Not sure of tfesi, but certainly literature is available to support local anesthetic/steroid epidural injections in the acute setting
Pasqualucci, et al Acta Anaesth Scand 2000;44:910-918
 
About the Ads
This thread is more than 14 years old.

Your message may be considered spam for the following reasons:

  1. Your new thread title is very short, and likely is unhelpful.
  2. Your reply is very short and likely does not add anything to the thread.
  3. Your reply is very long and likely does not add anything to the thread.
  4. It is very likely that it does not need any further discussion and thus bumping it serves no purpose.
  5. Your message is mostly quotes or spoilers.
  6. Your reply has occurred very quickly after a previous reply and likely does not add anything to the thread.
  7. This thread is locked.