LAUSR

Interfascial plane blocks have becomevery popular in recent years. A novel interfascial plane block, erector spinae plane (ESP) block can target the dorsal and ventral rami of the thoracic spinal nerves but its effect in neuropathic pain is unclear [1]. If acute pain management for herpes zoster is not done aggressively, it can turn into chronic pain. However; ESP block is first described as inject local anesthetics around the erector spinae muscle at the level of T5 spinous process for thoracic region, if the block is performed at lower levels it could be effective for abdominal and lumbar region [2]. There have been no reports on the efficacy of ESP block over the herpes zoster pain. Here it we report the successful management of acute herpes zoster pain using low thoracic ESP block. Awritten consent formwasobtained from thepatient for this report. The patient was an 72-year-oldmanwho presentedwith severe painful vesicles (9/10 VAS intensity) over posterior lumbar and lateral abdominal region (Fig. 1A). The patient received amitriptyline 10 mg, non-