Background and Aims: Erector spinae block being safer and easier. Use of this block may decrease acute pain severity and incidence of Post herpetic neuralgia in herpes zoster infection. Aims: Evaluation of erector spinae plane block in pain management in herpes zoster infection when given with or without local anesthetic and steroids. Methods: Total 150 adult diagnostic cases of acute herpes zoster affecting lumber and chest were selected for the study. Patients were randomly divided into two groups for erector spinae block. The active group received ESP Block with 10 ml of 30mg bupivacaine plus 8mg dexamethasone and placebo.........

Keywords : Herpes zoster, ESP block, Post herpetic neuralgia.

[1]. Waldman SD. Acute herpes zoster and postherpetic neuralgia. In Waldman SD, ed. Pain Management. Philadelphia: Saunders; 2007:279–282.
[2]. Haanpaa M, Dastidar P, Weinberg A, et al. CSF and MRI findings in patients with acute herpes zoster. Neurology. 1998; 51:1405–1411.
[3]. Woolf CJ. A new strategy for the treatment of inflammatory pain. Prevention or elimination of central sensitization. Drugs. 1994; 47(suppl 5):1–9.
[4]. Opstelten W, van Wijck AJM, Stolker RJ. Interventions to prevent postherpetic neuralgia: cutaneous and percutaneous techniques. Pain. 2004; 107:202–206.
[5]. Aydın T, Balaban O, Ahiskalioglu A, Alici HA, Acar A. Ultrasound-guided erector spinae plane block for the management of herpes zoster pain: Observational study. Cureus 2019; 11:e5891.