28th February 2024

An 85-year-old patient presents with a burning and stabbing pain on her left flank.

An 85-year-old patient presents with a burning and stabbing pain on her left flank. She recently had treatment for shingles, affecting the same area – but the rash resolved several weeks ago. The pain was not responding to over-the-counter analgesics, so she was prescribed gabapentin with no relief of symptoms.

What is the most appropriate management option for this patient?