Neurogenic herpes zoster can be treated with three methods

Clinically, the incidence of neuroherpes zoster is very high. After people find out that they have neuroherpes zoster, they can also consider using the following methods to treat the disease.

1. Drug therapy

(1) Antiviral drugs can be selected from acyclovir, valacyclovir or famciclovir.

(2) Drug treatment for neuralgia: ① The main antidepressants include paroxetine (Ceroxetine), fluoxetine (Prozac), fluvoxil, sertraline, etc.; ② Anticonvulsants include carbamazepine, sodium valproate, etc. ③Narcotic analgesics include analgesics represented by morphine. The available drugs include morphine (MSContin), hydroxymorphone (OxyContin), oxycodone, fentanyl (Durogesic), dihydroetofen, and Lugaix. ④Non-narcotic analgesics include NSAIDs, tramadol, aconite, capsaicin, etc.

2. Nerve Block

When severe pain is difficult to control with medication, direct and effective sensory nerve block therapy should be considered. The choice of block location should depend on the extent of the disease and its response to treatment. The general principle should be from shallow to deep, from simple to complex, from peripheral to nerve trunks and nerve roots.

3. Nerve damage

Radiofrequency temperature-controlled thermocoagulation for nerve destruction is the most direct and effective treatment method. Neurodestructive treatment also includes medial thalamic stereotactic radiotherapy (Gamma Knife or X-Knife), surgical subdural spinal cord dorsal root destruction, pituitary destruction, sympathetic trunk ganglion destruction, etc.