A Case Study in the Use of Capsaicin in the Treatment of Neuropathic Chest Wall Pain and Post-thoracotomy Intercostal Neuralgia

作     者：Charles Roberts Leonard Morgan Kanisha Hall Prashant Kumar Stacy J.Smith 

作者机构：Department of Anesthesiology and Interventional PainLSU Health Science Center School of MedicineShreveportUSA 

出 版 物：《Open Journal of Anesthesiology》 (麻醉学期刊（英文）)

年 卷 期：2012年第2卷第4期

页      面：99-101页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Post-thoracotomy Neuralgia Capsaicin Qutenza^(█) 

摘      要：Off label use of Quetenza? (capsaicin 8%) patch in relieving post-thoracotomy neuropathic pain proved temporarily effective, but to a degree indicating limited usefulness in a clinical setting.A 57 year-old male with chronic post-thoracotomy pain was treated with 8% capsaicin topically. Pre-procedure pain was rated as 8 on a 10 point scale, the 30 minute post procedure pain was reported as 2 - 3 on a 10 point scale. Neuralgia was completely resolved for the initial 48 hours post-procedure, then returned gradually over the next 5 days. Because pain transmission pathways are the same in post herpetic and post traumatic neuralgias, the use of 8% capsaicin merits additional study.