Table 1.
Author, year | Management | Number of patients |
Age, yr | Sex, M/F | Pain assessment tool |
Outcomes of interest | |||||
---|---|---|---|---|---|---|---|---|---|---|---|
Incidence of PHN at 1 month | Incidence of PHN at 3 months | Incidence of PHN at 6 months | Mean pain score at 1 month | Mean pain score at 3 months | Mean pain score at 6 months | ||||||
Bulilete et al., 2019 [108] | Valaciclovir + gabapentin | 50 | 65.1 | 20/28 | 10-point VAS | • | • | • | • | ||
Valaciclovir + placebo | 48 | 66.0 | 18/30 | ||||||||
Lee et al., 2016 [104] | Valaciclovir + gabapentin | 60 | 62.58 | 18/42 | 10-point Likert scale | • | • | • | • | ||
Valaciclovir | 60 | 61.83 | 25/35 | ||||||||
Stepanović et al., 2015 [103] | TENS | 36 | 57.3 | 14/22 | VAS | • | • | • | |||
Symptomatic care | 38 | 59.9 | 16/22 | ||||||||
Antiviral agent | 71 | 70.6 | 32/39 | ||||||||
Antiviral + TENS | 77 | 65.6 | 27/50 | ||||||||
Makharita et al., 2015 [102] | Acyclovir + pregabalin + saline (paravertebral) | 70 | 56.2 | 31/37 | VAS | • | • | • | • | • | |
Acyclovir + pregabalin + bupivacaine + dexamethasone (paravertebral) | 73 | 56.8 | 34/36 | ||||||||
Makharita et al., 2012 [101] | Antiviral + pregabalin + saline (SGB) | 30 | 59.6 | 14/16 | VAS | • | • | • | • | • | |
Antiviral + pregabalin + bupivacaine + dexamethasone (SGB) | 30 | 60.6 | 13/18 | ||||||||
Krcevski Skvarc and Kamenik, 2010 [98] | Antiviral + placebo | 15 | 63 | 4/11 | 10 point Likert scale | • | • | • | |||
Antiviral + pregabalin | 14 | 67 | 6/8 | ||||||||
Ji et al., 2009 [97] | Acyclovir | 64 | 68 | 28/36 | VAS | • | • | • | • | • | • |
Acyclovir + bupivacaine + methylprednisolone (paravertebral) | 68 | 66 | 30/38 | ||||||||
van Wijck et al., 2006 [96] | Acyclovir | 297 | 66 | 116/181 | VAS | • | • | • | • | ||
Acyclovir + bupivacaine + methylprednisolone (epidural) | 301 | 66 | 118/183 | ||||||||
Pasqualucci et al., 2000 [110] | Acyclovir + prednisolone | 279 | 66.9 | 125/154 | VAS | • | • | • | • | • | • |
Bupivacaine + epinephrine + methylprednisolone via epidural catheter | 290 | 68.7 | 131/159 | ||||||||
Ahmed et al., 1998 [94] | Famciclovir | 25 | 53 | 11/14 | VAS 100 mm | • | • | • | • | • | |
PENS | 25 | 56 | 12/13 | ||||||||
Bowsher, 1997 [93] | Acyclovir + amitriptyline | 9 | 71.3 | 14/24 | NR | • | • | • | |||
Amitriptyline | 29 | ||||||||||
Acyclovir + placebo | 17 | 72.7 | 14/20 | ||||||||
Placebo | 17 | ||||||||||
Harding and Porter, 1991 [114] | Acyclovir | 24 | 62.1 | 6/17 | VAS 100 mm | • | • | • | |||
Placebo | 22 | 70.6 | 9/19 | ||||||||
Benoldi et al., 1991 [92] | Prednisolone | 9 | 68.5 | 4/5 | NR | • | • | ||||
RTx | 9 | 67.2 | 3/6 | ||||||||
Acyclovir | 9 | 67.1 | 6/3 | ||||||||
Carbamazepine | 9 | 63 | 3/6 | ||||||||
Esmann et al., 1987 [88] | Acyclovir + prednisolone | 41 | 72.8 | 17/24 | Slight, moderate, sever, attacks per day, highest grading | • | • | ||||
Acyclovir + placebo | 37 | 71.4 | 8/29 | ||||||||
Cobo et al., 1986 [87] | Acyclovir | 36 | NR | 13/23 | None, mild, moderate, severe | • | |||||
Placebo | 35 | 21/14 | |||||||||
Balfour et al., 1983 [85] | Acyclovir | 52 | NR | 29/23 | NR | • | • | ||||
Placebo | 42 | 25/17 | |||||||||
Esmann et al., 1982 [84] | Acyclovir | 27 | 65.7 | 10/17 | NR | • | • | ||||
Placebo | 29 | 68.6 | 10/19 | ||||||||
Bean et al., 1982 [83] | Acyclovir | 19 | 53.2 | 6/13 | NR | • | • | ||||
Placebo | 10 | 50.5 | 7/3 | ||||||||
Keczkes and Basheer, 1980 [115] | Prednisolone | 20 | 66.4 | 14/6 | NR | • | |||||
Carbamazepine | 20 | 68.5 | 14/6 | ||||||||
Cui et al., 2018 [107] | Acyclovir + pregabalin + ropivacaine + methylprednisolone (intracutaneous) | 51 | 61.7 | 21/28 | VAS | • | • | • | • | • | • |
Acyclovir + pregabalin + saline (intracutaneous) | 51 | 61.8 | 20/28 | ||||||||
Cui et al., 2017 [105] | Acyclovir + ropivacaine + methylprednisolone (intracutaneous) | 48 | 63.7 | 21/26 | VAS | • | • | • | • | • | • |
Acyclovir | 48 | 63.0 | 19/27 | ||||||||
Ni et al., 2017 [106] | Acyclovir + triamcinolone + lidocaine (subcutaneous) | 50 | 63.84 | 23/27 | NRS | • | • | • | |||
Acyclovir | 50 | 65.86 | 24/26 | ||||||||
Zheng et al., 2019 [109] | Famciclovir + pregabalin + placebo (cervical root block) | 70 | 63.41 | 31/39 | 11 point scale | • | • | • | • | • | |
Famciclovir + pregabalin + lidocaine + triamcinolone + cobalamine (cervical root block) | 70 | 65.84 | 29/41 | ||||||||
Hwang et al., 1999 [79] | Acyclovir + bupivacaine + methylprednisolone (continuous epidural infusion) | 40 | 60.8 | 18/22 | VRS 0-100 | • | |||||
Acyclovir | 35 | 56.1 | 9/26 | ||||||||
Wan et al., 2019 [120] | Sham | 48 | 64.87 | 20/28 | VAS | • | • | • | |||
PRF on gasserian ganglion | 48 | 66.01 | 23/25 | ||||||||
Hügler et al., 2002 [116] | Human albumin (placebo) | 20 | 67.65 | NR | VAS | • | |||||
VZVIG | 20 | 71.6 | |||||||||
Cui et al., 2016 [117] | Valacyclovir + methylene blue + lidocaine (intradermal) | 32 | 69.5 | 13/19 | VAS 100 mm | • | • | • | |||
Valacyclovir + lidocaine (intradermal) | 32 | 72.5 | 11/21 | ||||||||
Payne et al., 1989 [91] | Placebo | 17 | 70 | 10/7 | NR | • | • | • | |||
Isoprinosine | 21 | 70 | 10/11 | ||||||||
Wood et al., 1994 [111] | Acyclovir 7 days | 101 | 58 | 39/62 | 0-5; non-noticeable to excruciating | • | |||||
Acyclovir 7 days + prednisoone 21 days | 99 | 59 | 37/62 | ||||||||
Acyclovir 21 days | 101 | 59 | 38/63 | ||||||||
Acyclovir 21 days + prednisolone 21 days | 99 | 60 | 39/60 | ||||||||
McGill et al., 1983 [86] | Placebo | 20 | 68.8 | 7/13 | 0-3 | • | |||||
Acyclovir | 17 | 70.4 | 3/14 | ||||||||
Wassilew et al., 1987 [89] | Acyclovir | 29 | 62.5 | 9/20 | 0-5 | • | • | • | |||
Placebo | 31 | 63.4 | 6/25 | ||||||||
Mandal et al., 1988 [90] | Acyclovir | 26 | 67.4 | 11/15 | 0-4 | • | |||||
Placebo | 30 | 68.4 | 9/21 | ||||||||
Lee et al., 1999 [95] | Acyclovir + mepivacaine (stellate ganglion block) | 10 | 65.0 | 3/7 | VAS 0-100 mm | • | • | ||||
Acyclovir | 10 | 67.2 | 5/5 | ||||||||
Harding et al., 1986 [119] | 1% lignocaine & 0.5% marcaine (stellate ganglion block) | NR | 71.5 | NR | VAS 0-100 mm | • | • | ||||
Placebo | 72.2 | ||||||||||
Kanodia and Singhal, 2011 [99] | Acyclovir + pregabalin | 23 | 46 | 19/4 | VAS 100 mm | • | |||||
Acyclovir + placebo | 22 | 47 | 17/5 | ||||||||
Kanodia et al., 2012 [100] | Acyclovir + gabapentin 300 mg/day | 15 | 64 | 11/4 | VAS 100 mm | • | |||||
Acyclovir + gabapentin 600 mg/day | 14 | 65 | 9/5 | ||||||||
Acyclovir + gabapentin 900 mg/day | 13 | 65 | 10/3 | ||||||||
Placebo | 14 | 63 | 11/3 | ||||||||
Manabe et al., 2004 [118] | Acyclovir + bupivacaine (continous epidural infusion, intermittent epidural bolus) | 29 | 67 | 9/20 | VAS | • | |||||
Acyclovir + normal saline (continous epidural infusion) + bupivacaine (intermittent epidural bolus) | 27 | 65 | 13/14 | ||||||||
Clemmensen and Andersen, 1984 [112] | ACTH | 17 | 55 | 10/7 | 0-4 | • | |||||
Prednisolone | 19 | 56 | 13/6 | ||||||||
Placebo | 19 | 56 | 10/9 | ||||||||
Eaglstein et al., 1970 [113] | Triamcinolone | 15 | NR | NR | NR | • | |||||
Placebo | 19 |
PHN: postherpetic neuralgia, TENS: transcutaneous electrical nerve stimulation, SGB: stellate ganglion block, PENS: percutaneous electrical nerve stimulation, RTx: radiotherapy, PRF: pulsed radiofrequency, VZVIG: varicella zoster vaccine immunoglobulin, ACTH: adrenocorticotropic hormone, NR: not reported, VAS: visual analogue scale, NRS: numerical rating scale.