Many of you have been contacting us for evaluation of your shingles pain, or chronic pain in the same area once the shingles have healed (known as post-herpetic neuralgia pain). This is a very frustrating disease that can be very painful and debilitating. There is good treatment for it however! The problem is that most physicians, including your primary care physician, do not know about this treatment. Its been around for almost a century and is called an intercostal nerve block or nerve root block. Today, I perform it using an xray machine to guide a very thin needle very accurately to the nerves that have shingles. Then, I inject a numbing medication similar to lidocaine, and also an anti-swelling medication around the nerves. This results in complete pain relief immediately in over 90% of cases, and lasting pain relief in many cases as well. It does work quite well and is something we can offer you here at the clinic if you are interested. By using an xray machine you can be assured the injection is as accurate and efficacious as possible!