A Year of Painful and Sleepless Nights in Geriatric Case!!! Due to Post Herpetic Neuralgia (PHN)-? Can be Managed with Para-Vertebral Block

Post-herpetic neuralgia (PHN) is common in elderly, covid-19 and immunocompromised patients and is characterised by persistent neuropathic pain, which occurs after an outbreak of shingles (herpes zoster). Patients with HZ have severe pain affecting psychology, quality of life and daily living. Here we had a 74-year-old Male patient of low socioeconomic status with DM & Asthma referred to the pain clinic with complaints of sleepless nights, altered moods/emotions and pain on the right midaxillary line on rib T7-T10 level radiating from the back to the abdomen since 1 year. PHN in the elderly having comorbidities can be successfully managed by paravertebral block with excellent pain relief and recovery from one-year sleepless nights, offering better quality of life. This case alarms health care services to create awareness in the prevention of herpes zoster and vaccination in the geriatric population.