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TFESI and acute Zoster outbreak

Discussion in 'Pain Medicine' started by hldgator1, Mar 1, 2007.

  1. hldgator1

    hldgator1 5+ Year Member

    12
    0
    Nov 29, 2006
    Fort Lauderdale, FL
    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
     
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  3. mille125

    mille125 7+ Year Member

    2,132
    8
    Dec 8, 2006
    I have had very limited success and use it only in refractory cases.
     
  4. mille125

    mille125 7+ Year Member

    2,132
    8
    Dec 8, 2006
    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
     
  5. Pain_doc

    Pain_doc Old Member 10+ Year Member

    867
    18
    Feb 9, 2006
    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
     

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