Dry Needling for Postherpetic Neuralgia

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  • January 22, 2018 at 5:43 pm #69323
    ashley.k.williams

      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 #69332
      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 #73465
        David
        Participant

          Have you heard it to cause shingles?

          February 28, 2019 at 9:57 pm #73484
          Anonymous

            No I have not heard of it causing shingles.

            February 28, 2019 at 9:57 pm #73485
            Anonymous

              No I have not heard of it causing shingles.

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