An epidural injection of steroids and local anaesthetics cuts pain in the acute phase of herpes zoster infection (pictured), but does not prevent long-term postherpetic neuralgia, a Dutch study of 598 shingles patients found. Half were given standard therapy and half had an additional epidural injection of methylprednisolone and bupivacaine. (Lancet 2006; 367: 219-24).
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