post-herpetic neuralgia

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   Our user asked: "I am working with a patient who has paresis of the ankle dorsiflexors as a complication of shingles. Any specific exercise or modality suggestions?"

Ask a PT Response: "Treatment for paresis following herpes zoster infection includes analgesia for post-herpetic neuralgia, protection of the weakened muscles, maintenance of range-of-movement exercises, and a program of graduated strengthening exercises. General ankle ROM and isometric ankle strengthening exercises could be initially initiated with these patients. Treatment should be progressed as tolerated. Functional electrical stimulation could also be utilized to prevent muscular atrophy and to facilitate strengthening. Keep in mind that in most cases progress will more than likely be slow and may take up to 1 to 2 years to achieve desired outcomes. "

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Ask a PT Members Profile Send Private Message Find Members Posts Add to Buddy List Senior Member Joined: Jul 07 2008 Status: Offline Points: 954	Post Options Post Reply Quote Ask a PT Report Post Thanks(0) Quote Reply Topic: post-herpetic neuralgia Posted: Jan 19 2011 at 8:24am
	Our user asked: "I am working with a patient who has paresis of the ankle dorsiflexors as a complication of shingles. Any specific exercise or modality suggestions?" Ask a PT Response: "Treatment for paresis following herpes zoster infection includes analgesia for post-herpetic neuralgia, protection of the weakened muscles, maintenance of range-of-movement exercises, and a program of graduated strengthening exercises. General ankle ROM and isometric ankle strengthening exercises could be initially initiated with these patients. Treatment should be progressed as tolerated. Functional electrical stimulation could also be utilized to prevent muscular atrophy and to facilitate strengthening. Keep in mind that in most cases progress will more than likely be slow and may take up to 1 to 2 years to achieve desired outcomes. "

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