T*****w 发帖数: 802 | 1 在国内的长辈, 经过多次治疗后反而疼痛更厉害。目前需要服用大量止痛药。 请问美
国这边有什么好的方法和药物
或者治疗经验么? 多谢!
- |
p******3 发帖数: 318 | 2 gabapentin.
【在 T*****w 的大作中提到】![](/moin_static193/solenoid/img/up.png) : 在国内的长辈, 经过多次治疗后反而疼痛更厉害。目前需要服用大量止痛药。 请问美 : 国这边有什么好的方法和药物 : 或者治疗经验么? 多谢! : -
|
T*****w 发帖数: 802 | 3 嗯 谢谢。国内已经用过类似的 叫普瑞巴林 pregabalin 。 然后不知道手术疗法如
何? 据说效果不如用药
效果好。。
【在 p******3 的大作中提到】![](/moin_static193/solenoid/img/up.png) : gabapentin.
|
A*******s 发帖数: 9638 | 4 Lidoderm patch效果不错。
【在 T*****w 的大作中提到】![](/moin_static193/solenoid/img/up.png) : 嗯 谢谢。国内已经用过类似的 叫普瑞巴林 pregabalin 。 然后不知道手术疗法如 : 何? 据说效果不如用药 : 效果好。。
|
p******3 发帖数: 318 | 5 agree.
pregabalin is Lyrica, similar to Gabapentin, but Gabapentin is much cheaper
.
【在 A*******s 的大作中提到】![](/moin_static193/solenoid/img/up.png) : Lidoderm patch效果不错。
|
D**R 发帖数: 371 | 6 Unfortunately Gabapentin, Lyrica, Lidocaine patch all of those medications
usually do not work well for PHN, which is one of the toughest pain
conditions to treat. Assuming this patient has tried multiple anti-
neuropathic medications already,
I would recommend
1. A trial of subcutaneous injection of Botox along painful area (typically
following dermatone distribution). Multiple studies showed promising results
of locally injected botox for PHN condition
2. A trial of 8% Qutenza capsaicin patch applying to painful area. It is of
high cost though
3. Lidocaine infusion or ketamine infusion
4. If 1/2/3 fails, nerve root block and pulsed radiofrequency modulation
could be considered
5. Worse case, consider spinal cord stimulator
Hope this helps |
T*****w 发帖数: 802 | 7 many thanks!
cheaper
【在 p******3 的大作中提到】![](/moin_static193/solenoid/img/up.png) : agree. : pregabalin is Lyrica, similar to Gabapentin, but Gabapentin is much cheaper : .
|
T*****w 发帖数: 802 | 8 对, 他在医院已经采取了好几种疗法, 结果反而越搞越疼 包括各种针刺,拔罐,紫
外线,局部神经阻滞治疗什么
但是出院后 反复更疼了。
typically
results
of
【在 D**R 的大作中提到】![](/moin_static193/solenoid/img/up.png) : Unfortunately Gabapentin, Lyrica, Lidocaine patch all of those medications : usually do not work well for PHN, which is one of the toughest pain : conditions to treat. Assuming this patient has tried multiple anti- : neuropathic medications already, : I would recommend : 1. A trial of subcutaneous injection of Botox along painful area (typically : following dermatone distribution). Multiple studies showed promising results : of locally injected botox for PHN condition : 2. A trial of 8% Qutenza capsaicin patch applying to painful area. It is of : high cost though
|
D**R 发帖数: 371 | 9 1, 3的治疗方法国内都有,可以去北京的宣武疼痛咨询一下
【在 T*****w 的大作中提到】![](/moin_static193/solenoid/img/up.png) : 对, 他在医院已经采取了好几种疗法, 结果反而越搞越疼 包括各种针刺,拔罐,紫 : 外线,局部神经阻滞治疗什么 : 但是出院后 反复更疼了。 : : typically : results : of
|
D**R 发帖数: 371 | 10 1,4 ,sorry
【在 D**R 的大作中提到】![](/moin_static193/solenoid/img/up.png) : 1, 3的治疗方法国内都有,可以去北京的宣武疼痛咨询一下
|