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Jaipur block in postherpetic neuralgia
R Bhargava1, S Bhargava, K N Haldia
1Department of Dermatology, SMS Medical College, Jaipur, India.
International Journal of Dermatology
|July 1, 1998
Summary
The Jaipur block effectively treated postherpetic neuralgia in 96% of patients, offering significant pain relief. This minimally invasive procedure provided long-term benefits for chronic pain sufferers.
Area of Science:
- Neurology
- Pain Management
- Anesthesiology
Background:
- Postherpetic neuralgia is a debilitating complication of herpes zoster.
- Existing treatments for postherpetic neuralgia are often ineffective.
Purpose of the Study:
- To evaluate the efficacy of the Jaipur block for treating postherpetic neuralgia.
- To assess the long-term outcomes of this therapeutic modality.
Main Methods:
- 3960 patients with postherpetic neuralgia received the Jaipur block, involving subcutaneous infiltration of xylocaine, bupivacaine, and dexamethasone.
- Patients were monitored at six-weekly intervals, with repeat injections for non-responders.
Main Results:
- 96% of patients achieved complete pain relief after up to three injections.
- Complete relief was observed in 28% after one injection, 57% after two, and 11% after three.
- Non-responders were typically older patients or those with pain exceeding two years.
Conclusions:
- The Jaipur block is a highly effective treatment for postherpetic neuralgia, with sustained pain relief.
- The procedure demonstrated a favorable safety profile with minimal side effects.
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