One of my patients has experienced pain in her L side body and L breast after having shingles 3 years ago. She was Dx with postherpetic neuralgia (intercostal nerve pain). She had trigger point injections by a MD with good results. She is interested in dry needling to reduce her pain. Would dry needling be indicated and if so, what points would I focus on?
Hi Ashley,
Yes IDN can be used for postherpetic pain. The thoracic paravertebrals would be a good place to start with her segmentally and you could include HA T6 and T7. Although they probably have a specified area of symptoms which the paravertebral needling may help with, I would recommend assessing the 24 HA of the body and determine if those are passively sensitized and treat accordingly for the systemic effect with the chronicity of her condition.
Have you heard it to cause shingles?
No I have not heard of it causing shingles.
No I have not heard of it causing shingles.
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