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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
PubMed
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.

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  • 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.