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Related Experiment Videos

Postherpetic neuralgia: a workable treatment plan.

R K Portenoy

    Geriatrics
    |November 1, 1986
    PubMed
    Summary

    Effective management of postherpetic neuralgia requires a multimodal approach addressing pain and abnormal illness behaviors. Simultaneous treatment across pharmacologic, anesthetic, and psychological fronts is crucial for comprehensive patient recovery.

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    Area of Science:

    • Neurology
    • Pain Management
    • Psychiatry

    Background:

    • Postherpetic neuralgia (PHN) is a chronic neuropathic pain condition following shingles.
    • Established PHN management often involves addressing pain symptoms.
    • Patients with PHN frequently exhibit abnormal illness behaviors impacting quality of life.

    Purpose of the Study:

    • To outline a comprehensive, simultaneous management strategy for established postherpetic neuralgia.
    • To emphasize the importance of addressing both pain and associated psychological impairments.

    Main Methods:

    • Review of current pharmacologic, neuroaugmentative, anesthetic, physiatric, psychological, and surgical pain-oriented treatments.
    • Identification of common abnormal illness behaviors in PHN patients.
    • Integration of pain amelioration and behavioral improvement goals.

    Main Results:

    • Multifrontal management is essential for PHN.
    • Pharmacologic, neuroaugmentative, anesthetic, physiatric, psychological, and surgical interventions are key components.
    • Abnormal illness behaviors, including social withdrawal and loss of interest, are prevalent and require dedicated intervention.

    Conclusions:

    • Comprehensive PHN management necessitates simultaneous treatment of pain and abnormal illness behaviors.
    • Improving psychological and social impairments is as vital as pain relief.
    • A holistic approach enhances overall patient outcomes in postherpetic neuralgia.

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