A visit to a pain doctor is essential if the Shingles is suspected due to decreased immunity in summer.
Tertiary neuropathy, a facial neurological disorder, and Shingles, caused by the chickenpox virus, all have something in common that causes extreme pain. If a nerve pain occurs, it is important to treat it early because the nerve itself is damaged and aftereffects occur if the treatment period is missed by mistaking it as a simple skin disease or a stressful sign.
Q. Park Bo-hyun, CEO of B&H Korea (hereinafter referred to as Park Bo-hyun): Director, please introduce yourself.
A. Kim Chan, CEO of Suwon Kim Chan Hospital (hereinafter referred to as Kim Chan): Hello. I'm the director of Kim Chan Hospital. In 1991, we introduced for the first time in Korea, the alcohol nerve block surgery for patients with tertiary neuralgia, an incurable pain disease, and nerve root treatment for patients with Shingles.
The alcohol nerve block surgery for tertiary neuralgia has been performed by most patients in Korea at Kim Chan Hospital, and it has surpassed 10,000 procedures, which has become unique know-how in the world. We have been treating numerous patients with spinal joints,
hyperhidrosis and odors, varicose veins of the lower extremities as well as Shingles and tertiary neuralgia for more than 30 years.
Q. Bo-hyun Park: Shingles, which cause blisters on the skin, is easy to think of as dermatology because symptoms appear on the skin, but why is it mainly handled by neurology and pain medicine?
A. Kim Chan: Since shingles causes rashes on the skin, there are patients who think it is a simple skin disease and endure it even if the pain is severe. However, the rash and blisters of shingles are neurological diseases in which inflammation from nerve roots is exposed to the skin. If the highest pain a human can feel is 10, the delivery pain is about 6 to 7 and the pain of shingles is about 8. Shingles is a disease that causes more severe pain than delivery pain and postoperative pain. There are many patients who hold clothes with their hands in visiting the hospital, so that their clothes don't touch their skin, saying, "It feels like they get cut by a knife just by brushing their collar." As such, the pain of shingles is very severe, so it is a very scary disease that greatly reduces the quality of life.
Shingles is a bigger problem than the disease itself, with various complications and aftereffects occurring in various areas. If "neural pain after shingles," the most representative aftereffect of Shingles, develops, the pain persists for months to years even after the rash disappears. In particular, as Shingles in the face that invaded the brain nerve can lead to blindness, tinnitus, facial paralysis, and in rare cases, meningitis that can lead to death, a quick treatment in the early stages of symptoms is important.
Q. Bo-hyun Park: As about 80% of patients visiting Kim Chan Hospital are Shingles patients, you are focusing on shingles treatment. What are the main causes and trends of patients visiting the hospital?
A. Kim Chan: Shingles was a representative senile disease that usually occurs when immunity decreases in people in their 50s or older. However, in recent years, it is also common among young people with low immunity due to overwork, stress, lack of nutrition caused by diet, and exhaustion of physical strength. In particular, women in menopause or patients with underlying diseases such as diabetes and high blood pressure need to be more careful. The number of patients with Shingles increases in summer, especially in July and August. The reason is that air conditioners or fans that are essential in summer increase the difference between indoor and outdoor temperatures which makes it easy to lose immunity. Also if you lose sleep due to heat waves, your risk of Shingles increases.
Q. Bo-hyun Park: What kind of disease is the "triple neuralgia" that causes instantaneous pain in the face? Can you explain the treatment?
A. Kim Chan: Tertiary neuralgia is a disease that suddenly causes stabbing pain and lightning pain while eating, brushing teeth, talking, and washing face in the face (mainly gums, cheeks, and forehead). Because pain usually occurs around the face and jaw joint, it is often mistaken for tooth abnormality or jaw joint abnormality. However, there is a lot of difference from toothache, where the pain lasts all day and all night, while the tertiary neuralgia repeats the process of being in pain for about a second or two, then getting better and hurting again. In fact, about 5,000 patients, about half of the 10,000 patients who visited Kim Chan Hospital, were mistaken for tooth problems. They come to the hospital after extraction at a dental clinic.
The alcohol nerve block treatment, one of the various treatments for trigeminal neuralgia, is a procedure that blocks nerves to prevent pain from being transmitted by injecting alcohol into the peripheral area of the trigeminal nerve that causes pain. There are ways to treat tertiary neuralgia, such as drug therapy and radiation therapy, but alcohol nerve block has a very high success rate and high effectiveness. Patients with tertiary neuralgia are visiting Kim Chan Hospital because C-Arm, a computer-special imaging device, is used to accurately find and treat the affected area without incision of the skin.
Q. Bo-hyun Park: Lastly, please tell us your goal or plan.
A. Kim Chan: There are still so many people in Korea who don't know much about the Department of Anesthesia and Pain Medicine. If you have a stomachache, you go to the internal medicine department, and if you have bone pain, you go to the orthopedics. Only after the pain gets severe, the last place you visit with a ray of hope is the pain department. I hope that awareness of pain medicine will improve, so the pain can be treated early. Kim Chan Hospital plans to constantly analyze clinical data and develop treatments for pain to become the only pain hospital in the world.