Repeated thoracic paravertebral blocking to alleviate pain symptoms in 66-years-old man with post-herpetic neuralgia: A case report

Post-herpetic Neuralgia (PHN) is a type of neuropathic pain that develops as a long-term complication of Herpes Zoster (HZ), commonly known as shingles.

This study focuses on a 66-year-old man who experienced chronic pain in the right side of his chest, particularly around the areola. The pain was described as a burning sensation and had been present for a year. In recent months, the pain had worsened significantly. To address this severe pain, a Thoracic Paravertebral Block (TPVB) was proposed. This procedure involves injecting a pain-relief solution near the spinal nerves in the thoracic region. The patient underwent this procedure three times. The solution used for the injections contained 0.25% levobupivacaine, a local anesthetic, and 10 mg of dexamethasone, a steroid, mixed in 5 ml.

The TPVB procedure was performed three times. Two weeks after the treatments, the patient's pain had almost completely subsided. Consequently, he required significantly less pain medication, indicating a substantial improvement in his condition. This case highlights the potential effectiveness of TPVB in managing severe chronic pain associated with PHN.

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