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January 22, 2018 at 5:43 pm #13691
ashley.k.williams
MemberOne 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?
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January 23, 2018 at 9:58 am #13704
David
ParticipantHi 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.
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