TFESI and acute Zoster outbreak

[hldgator1]

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

---

Members don't see this ad.

 

[mille125]

I have had very limited success and use it only in refractory cases.

 

[mille125]

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]

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