Dry Needling for Postherpetic Neuralgia

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    • January 22, 2018 at 5:43 pm #13691
      ashley.k.williams
      Member

      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?

    • January 23, 2018 at 9:58 am #13704
      David
      Participant

      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.

    • February 27, 2019 at 1:36 pm #21974
      stover11
      Participant

      Have you heard it to cause shingles?

      • February 28, 2019 at 9:57 pm #22014
        Anonymous
        Inactive

        No I have not heard of it causing shingles.

      • February 28, 2019 at 9:57 pm #22015
        Anonymous
        Inactive

        No I have not heard of it causing shingles.

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