You may need an HSV test if you have symptoms of a brain or spinal cord disorder. Testing schedules may vary. James Myhre is an American journalist and HIV educator. Available from: University of Rochester Medical Center [Internet]. 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved. Herpes simplex viruses. This can happen with many kinds of diagnostic tests. NIH also maintains a database with information aboutclinical trials around the world. Circumcision is a procedure that removes the foreskin from the human penis. Not everyone with HSV-2 has symptoms or is even aware that they've been infected. You may still have an HSV infection if your results were normal. Available from: American Sexual Health Association [Internet]. We avoid using tertiary references. Contact a health care provider if you have questions about your health. Enzyme-linked virus-inducible system (ELVIS). If you have health complications, like a compromised immune system, the detection of HSV is vital. The incubation period for herpes simplex virus type 2 (HSV-2) is between two and 12 days following exposure. Viral, Chlamydia, or Mycoplasma culture transport provided by LabCorp, or other appropriate transport medium; body fluids and tissue samples may be submitted in viral transport media or in a sterile leakproof container. What Is the Incubation Period for Common STIs? To use the sharing features on this page, please enable JavaScript. Madison (WI): University of Wisconsin Hospitals and Clinics Authority; c2018. Talk with your healthcare provider. Available from: Merck Manual Consumer Version [Internet]. HSV is a common virus that comes in 2 types: HSV1 and HSV2. 0800-193-222. what does hsv culture without typing mean. On the flip side, having HSV-2 increases the risk of getting HIV by around 300%. [1] Most commonly, viral replication occurs in epithelial tissue and establishes dormancy in sensory neurons, reactivating periodically as localized recurrent lesions. We take your privacy seriously. what does hsv culture without typing meanhow to get guitar in kaiju paradisehow to get guitar in kaiju paradise Viral culture is the best test to confirm a herpes simplex infection. A mother with herpes can pass the infection to her baby during delivery. Treatment involves antiviral drugs, either taken when needed to treat acute episodes or taken daily to reduce the frequency of outbreaks. HSV2 affects the genitals and is spread by sexual contact. It is also possible that you have inadvertently deleted your document root or the your account may need to be recreated. A wrong result is also possible when the person has a low risk of infection. Sometimes herpes can be spread even if there are no visible sores. Medication doses are measured in grams (g) or milligrams (mg). what does hsv culture without typing meanjohn hopkins psychedelic research volunteer. Most cases of genital herpes will start within four days. infection. outbreaks, too, often from oral sex. Many people with herpes dont have any symptoms. Herpes Simplex Virus Infections; [cited 2018 Jun 13]; [about 2 screens]. In: Balows A, Hausler WJ, et al, eds. Fanfair RN, Zaidi A, Taylor LD, Xu F, Gottlieb S, Markowitz L. Trends in seroprevalence of herpes simplex virus type 2 among non-Hispanic blacks and non-Hispanic whites aged 14 to 49 years--United States, 1988 to 2010. In this cell line, HSV infection causes the expression of a beta-galactosidase "reporter gene", and it is the expression of this gene that can be used to monitor infection by HSV. You are pregnant and you or your partner has had a previous herpes infection or symptoms of genital herpes. medicines that don't need a prescription and any illegal drugs you may use. Schiffer JT, Mayer BT, Fong Y, Swam DA, Wald A. Drew WL. This may result in some discomfort. Based on these findings, your doctor will prescribe a treatment for the infection. Madison (WI): University of Wisconsin Hospitals and Clinics Authority; c2018. Mpox vs. Chickenpox: What Are the Differences? Herpes simplex virus-2 transmission probability estimates based on quantity of viral shedding. Last medically reviewed on July 26, 2021. You dont need to do anything to prepare for these tests. Triangle Park (NC): American Sexual Health Association; c2018. Coronavirus (COVID-19): Latest Updates | Visitation PoliciesVisitation PoliciesVisitation PoliciesVisitation PoliciesVisitation Policies | COVID-19 Testing | Vaccine InformationVaccine InformationVaccine Information. Viral culture is the best test to confirm a herpes simplex infection. The test can detect and distinguish between HSV-1 and HSV-2 in shell-vial cultures (MRC-5 cells) before the development of cytopathic effect (Pre-CPE). You will be subject to the destination website's privacy policy when you follow the link. 1. 2014 Jun 6;11(95):20140160. doi:10.1098/rsif.2014.0160. For more details, see our Privacy Policy. Available from: UW Health [Internet]. If your blog is showing the wrong domain name in links, redirecting to another site, or is missing images and style, these are all usually related to the same problem: you have the wrong domain name configured in your WordPress blog. HSV2 affects the genitals and is spread by sexual contact. 2005 - 2023 WebMD LLC. (2021). Nor does it mean you are immune to the virus, without active infection. allowed for additional confirmatory or additional reflex tests. The two categories of antibody tests used to detect HSV are: Certain IgG blood tests can also tell you whether you have HSV-1 or HSV-2. Most are either asymptomatic or have very mild symptoms that are easily mistaken for other skin conditions. Genital herpes CDC fact sheet (detailed). Sexual contact is the primary way that the virus spreads. Nor does it mean you are . Why does herpes cause repeated outbreaks? Cultures positive by ELVIS are confirmed by immunofluorescent staining. Saving Lives, Protecting People, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, U.S. Department of Health & Human Services, You have genital symptoms that could be related to herpes, or, You have (or have had) a sex partner with genital herpes, or. A "negative" viral . HSV is occasionally isolated from the CSF of patients with HSV 2 meningitis and of neonates with congenital herpes, and from urine of patients with primary genital HSV infections concurrent with cystitis. RewriteBase / Herpes, neonatal. You are having (or have had) sex with someone with genital herpes. The HSV 2 blood test has also been known to create false positive results from time to time. HSV1 can cause genital outbreaks, too, often from oral sex. In some cases, additional time should be Tupocon Oy > Yleinen > what does hsv culture without typing mean. Symptoms include: Your healthcare provider may also order other tests to check for: If your provider suspects that your brain has been affected by the infection, they There are two main types of HSV: Herpes simplex virus type 1 (HSV-1): HSV-1 is the cause of most cases of oral herpes and is often contracted during childhood. Herpes simplex virus (HSV) is a prevalent, easily transmissible virus that causes lifelong viral infection. Symptoms Herpes simplex virus type 2 (HSV-2) is the virus most commonly linked to genital herpes, a sexually transmitted infection (STI) that causes painful blisters and ulcers on the penis, vagina, or rectum. Genital herpes guide:risk factors and clinical manifestations. flashpoint news gene bailey. It could help you to learn more about the disease and talk honestly with your sexual partner. The U.S. National Institutes of Health (NIH), National Institute of Allergy and Infectious Diseases (NIAID) supports research to develop prevention methods and treatments for genital herpes. For example, the virus can be life-threatening when its present in children, in people with compromised immune systems, or in people with HSV infections of the eye. How long does it take for HSV-2 to show up? Even though your doctor can often identify and diagnose a herpes skin lesion without laboratory testing, there are cases when diagnosis may be difficult to confirm. village naturiste leucate avis; sunnyside high school ricky torres; pink urban dictionary; mccormick human resources; crestcore rental listings; joey badass let it breathe sample; For the test to be effective, your doctor will need to collect a skin sample at the height of your outbreak. what does hsv culture without typing mean Thank you, {{form.email}}, for signing up. They help us to know which pages are the most and least popular and see how visitors move around the site. painful, fluid-filled blisters that burst before crusting over to form a cold sore, usually around the mouth, genitals, and anus. How to find the correct spelling and folder, 404 Errors After Clicking WordPress Links, From the left-hand navigation menu in WordPress, click. Specify the exact specimen source/origin (eg, genital lesion). amtifo backup camera troubleshooting. HSV blood testing may be useful if: There is no cure for HSV-2. Testing can also determine the type of HSV causing an infection. How accurate is the "typing" in a HSV culture test? Your healthcare provider will collect the sample by gently pressing a soft swab into Each type of HSV causes a number of health problems. meaning that no HSV was found in your sample. Allina Health [Internet]. (2014). Certain risk factors can increase the likelihood of genital herpes, including: Black people are diagnosed with genital herpes 4 times more often than White people. the protective membranes covering the brain. As the blisters begin to rupture, they turn into open sores that can bleed or ooze a whitish fluid. Kenilworth (NJ): Merck & Co. Inc.; c2018. This database includes information on all genital herpes studies that are actively recruiting volunteers. 2017 Dec;17(12):13036. Genital herpes is one of the most common infective causes of genital ulceration in developed countries, and at least 50 million people are . 2023 Laboratory Corporation of America Holdings. There are two main types of HSV: However, for people who are severely immunocompromised, such as those with advanced human immunodeficiency virus (HIV), HSV-2 can cause rare but serious complications like aseptic meningitis (inflammation of the lining of the brain). In this article, well cover how the test works, why its given, and more. Submit one specimen per test requested. It is free to join and allows people with STIs a safe space to post questions and seek advice from others who fully understand what they are going through. HSV1 can cause genital outbreaks, too, often from oral sex. If your lesion is located in your throat or eye, a sterilized swab must be used for sample collection. may order a viral DNA test of your cerebrospinal fluid, the fluid around your brain Cultures positive by ELVIS are confirmed by immunofluorescent staining. A lab then checks the sample for the herpes virus. If a patient has no blisters or sores, providers may use a blood test to see if they have herpes. University of Florida; c2018. Some studies suggest that asymptomatic HSV-2 shedding can occur as much as 10% of days. It can take up to 7 days to get your results. Studies have shown that suppressive therapy can reduce the frequency of genital herpes outbreaks by 70% and 80% while reducing the risk of infection to sexual partners. The traditional rule of thumb is that the treatment of genital herpesin the form of oral antiviral drugsshould begin within 72 hours of the first appearance of lesions. At the lab, the sample is placed in a dish and observed for 16 hours or up to 7 days to monitor the growth of the virus. Available from: Centers for Disease Control and Prevention [Internet]. Herpes simplex is a viral infection caused by the herpes simplex virus. HSV1 is more common. Infectious HSV is rarely present in CSF during encephalitis, resulting in a poor recovery by culture (5% in adults, 5% in adults, A positive test result means that herpes IgM was detected in the sample. After collection, remove cap from the transport media tube and insert swab aseptically into transport tube and break swab shaft. Of the two, I had tested positive for genital herpes, HSV-2 with an index value of 2.0 (Any index value above 1.1 is considered positive). Your HSV test results will be given as negative, also called normal, or positive, also called abnormal. Theres no cure for genital herpes, but it can be treated. The herpes viral culture of lesion test, also known as the herpes simplex virus culture, is a laboratory test that's used to determine if a skin sore contains the herpes simplex virus (HSV). They may choose tests based on several factors (e.g., number of sex partners, if you had an STI before, etc.). by . Outbreaks of HSV may occur frequently or only once in a persons life. . WebMD does not provide medical advice, diagnosis or treatment. junio 1, 2022 . This is the highest. Check expiration date of transport; do not use expired devices. CDC: Genital Herpes -- CDC Fact Sheet., Mayo Clinic: Diseases and Conditions -- Genital Herpes., Center for Young Womens Health: Herpes., U.S. Preventive Services Task Force: Screening for Genital Herpes Simplex: Brief Update for the U.S. Preventive Services Task Force., American Sexual Health Association: Herpes Blood Test Reference Guide.. Available from: UW Health [Internet]. Notice that the CaSe is important in this example. Add the following snippet of code to the top of your .htaccess file: # BEGIN WordPress Since HSV can be life-threatening in these conditions, a correct diagnosis is needed to ensure that treatment is provided in a timely manner. Your provider may put a numbing cream on your back before this injection. HSV-2 doesn't always cause symptoms. You might want to join a support group, too. Available from: Mayo Clinic [Internet]. This is known as having an outbreak. The blisters break and leave painful sores that may take a week or more to heal. Labs & Appointments Toggle Labs & Appointments, Billing & Insurance Toggle Billing & Insurance, Diseases & Conditions Toggle Diseases & Conditions, OnDemand Testing Toggle OnDemand Testing, Testing by Disease & Condition Toggle Testing by Disease & Condition, Testing & Services For Toggle Testing & Services For, Hospitals & Physician Systems Toggle Hospitals & Physician Systems, Managed Care Health Plans Toggle Managed Care Health Plans, Lab Data Integrations & Tools Toggle Lab Data Integrations & Tools, Employee Wellness & Testing Toggle Employee Wellness & Testing, Government & Education Toggle Government & Education, Therapeutic Indications Toggle Therapeutic Indications, Development Phase Toggle Development Phase, Compounds & Molecules Toggle Compounds & Molecules. Herpes and Depression: Coping After Diagnosis. 2016;41(4):30-33. You can opt-out at any time. Herpes sores can also develop on the hands and . Bacterial swab specimen; specimen received in grossly leaking transport container; dry specimen; specimen submitted in fixative or additive; specimen received in expired transport media or incorrect transport devices; inappropriate specimen transport conditions; specimen received after prolonged delay in transport (usually more than 72 hours); specimen stored or transported at room temperature; wooden shaft swab in transport device; calcium alginate swab; unlabeled specimen or name discrepancy between specimen and request label. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Bird Flu Deaths Prompt U.S. to Test Vaccine in Poultry, COVID Treatment in Development Appears Promising, Marriage May Help Keep Your Blood Sugar in Check, Getting Outdoors Might Help You Take Fewer Meds, New Book: Take Control of Your Heart Disease Risk, MINOCA: The Heart Attack You Didnt See Coming, Health News and Information, Delivered to Your Inbox, 10 Ways to Reduce Your Genital Herpes Risk. First outbreaks tend to be worse than subsequent ones. Soon after, a cluster of itchy or painful blisters filled with fluid will appear on the vagina, vulva, cervix, penis, scrotum, buttocks, anus, or upper thighs. Differentiation of HSV-1 and HSV-2 Infections. For HSV PCR testing, please request test 138651. HSV1 is more common. Specimens include Vesicular fluid, ulcerated lesions, pharyngeal and throat swabs, urine, cerebrospinal fluid (CSF), autopsy and biopsy material, eye exudates, or vaginal swabs. Over time, many people will have fewer and fewer attacks. People with symptoms can have one or more blisters on or around the genitals, rectum, or mouth. Mospan CM, Cluck D. Prevention and management of genital herpes. This page will help you understand CDCs herpes testing recommendations. This test is best used within 48 hours of when you first see symptoms. As with the viral culture, your doctor swabs or scrapes a sample from one of your sores. (You may need to consult other articles and resources for that information.). High prevalence of herpes simplex virus (HSV)-type 2 co-infection among HIV-positive women in Ukraine, but no increased HIV mother-to-child transmission risk. Centers for Disease Control and Prevention. Growth of the virus from the collected sample indicates that your sore is infected with the herpes virus. Genital herpes is often diagnosed with a physical exam and a swab of cells from a herpes sore. There are two main types of HSV: Herpes is spread through direct contact with sores. Blood test. Why does herpes cause repeated outbreaks? Over a period of several days, the sores will begin to crust over and heal. This may prevent you from getting a headache afterward. Either way, please contact your web host immediately. But you may need an HSV test if: HSV-2 may increase your risk of HIV and other sexually transmitted diseases (STDs). During a first outbreak, the appearance of lesions will often be accompanied by: Subsequent attacks tend to be shorter and less severe. What does genital herpes look like? If you have already uploaded the file then the name may be misspelled or it is in a different folder. Centers for Disease Control and Prevention. This is because of the limits of a herpes blood test and the possibility of a wrong test result. Herpes simplex viruses. on the face, symptoms can include: Sores on the lips, tongue, face, palate, and gums. While many experts recommend initiating treatment within 72 hours of the appearance of lesions, there are still benefits if treatment is started after 72 hours. New diagnostic tests for herpes simplex and varicella zoster infections. tingling, burning, or itching before a blister appears. If you tested positive for HSV, talk to your health care provider. No. Anderson NW, et al. This test looks for which type of herpes simplex virus (HSV) is causing your infection. This is for two main reasons: A healthcare provider may diagnose herpes by looking at any blisters or sores. If you still have symptoms of herpes, you may need to get tested again. hospital valet job description what does hsv culture without typing mean HSV is a common virus that comes in 2 types: HSV1 and HSV2. Although oral and genital herpes can be uncomfortable, the viruses usually don't cause any major health problems. You may also get a headache after the procedure. This will reset the permalinks and fix the issue in many cases. Available from: Lab Tests Online [Internet]. Viral culture is the best test to confirm a herpes simplex infection. You will lie on your side or sit on an exam table. Available from: American Pregnancy Association [Internet]. Results from the test are typically reported to your doctor within 2 to 5 days. The first genital herpes outbreak will generally be worse than the ones that follow. Polymerase chain reaction (PCR) test. Dennis Sifris, MD, is an HIV specialist and Medical Director of LifeSense Disease Management. Label the tube with patient identification and transport specimen to the laboratory at 4(degrees)C. Causes for Rejection:Bacterial swab specimen; specimen received in grossly leaking transport container; dry specimen; specimen submitted in fixative or additive; specimen received in expired transport media or incorrect transport devices; inappropriate specimen transport conditions; specimen received after prolonged delay in transport (usually more than 72 hours); specimen stored or transported at room temperature; wooden shaft swab in transport device; calcium alginate swab; unlabeled specimen or name discrepancy between specimen and request label. Laboratory diagnosis of HSV infections. 2023 Dotdash Media, Inc. All rights reserved. Vertebrae are the small backbones that make up your spine. When someone gets genital herpes, it can take up to 16 weeks or more after an exposure for the current tests to detect it. The best way to prevent genital herpes or another STD is to not have sex. . What does the CDC say about who to test? However, receiving oral sex from someone with an oral HSV-1 infection can also lead to genital herpes. Positive/Abnormal. Herpes simplex virus type 1 (HSV-1): HSV-1 is the cause of most cases of oral herpes and is often contracted during childhood. Kenilworth (NJ): Merck & Co. Inc.; c2018. Some people will remain asymptomatic (symptom-free) but still be able to pass the virus to others without knowing it. Health Information: Herpes Tests: Test Overview; [updated 2017 Mar 20; cited 2018 Jun 13]; [about 2 screens]. The Centers for Disease Control and Prevention (CDC) does not recommend HSV testing for people without symptoms of HSV. cold sores). World Health Organization. The virus is passed during intimate sexual contact prior to and following the outbreak of ulcers. World Health Organization. Geburtshilfe Frauenheilkd. If not, correct the error or revert back to the previous version until your site works again. Oral sex, vaginal sex or anal sex, are some of the major ways of transmitting the herpes simplex virus. Replace the cap so that the swab will not interfere with closure and allow the tube to leak. If transmission occurs, the virus can reactivate soon after birth and spread to the baby's lungs, liver, brain, or circulatory system, causing severe illness and even death. This includes HSV2 affects the genitals and is spread by sexual contact. HSV1 is more common. Over time, the number of outbreaks tends to decrease and become less severe. Learn more about laboratory tests, reference ranges, and understanding results. Label the tube with patient identification and transport specimen to the laboratory at 4C. HSV-1 can also be spread to the genitals during oral sex. Solomon AR. They are all taken by mouth. Mayo Foundation for Medical Education and Research; c19982018. Massive proportion of worlds population are living with herpes infection. They dont take long, but how soon you get your results depends on the type of test and the lab that does it. Everyone who gets a first herpes outbreak should be treated. Minneapolis: Allina Health; Herpes viral culture of lesion; [cited 2018 Jun 13]; [about 3 screens]. The risks of the herpes viral culture of lesion test are minimal. Madison (WI): University of Wisconsin Hospitals and Clinics Authority; c2018. With HSV-`1, or oral herpes, those who experience symptoms will get what is commonly known as a cold sore or a fever blister, which occurs on or around the lips. Herpes simplex virus type 2 (HSV-2) accounts for most cases of genital herpes. Submit one specimen per test requested. HSV is occasionally isolated from the CSF of patients with HSV-2 meningitis and of neonates with congenital herpes, and from urine of patients with primary genital HSV infections concurrent with cystitis. Specify the exact specimen source/origin (eg, genital lesion). Recent data from the Centers for Disease Control and Prevention found that over 15% of norovirus tests are coming back positive. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. allowed for additional confirmatory or additional reflex tests. They can also reduce the risk of outbreaks in people with recurrence and reduce the risk of passing the virus to others. HSV1 can cause genital outbreaks, too, often from oral sex. US Pharm. The WHO is reporting a rare outbreak of the Marburg virus. You may have slight pain or bruising at the spot where the needle was put in, but most symptoms go away quickly. Youre more likely to get this test if you have symptoms but its been longer than 48 hours since they showed up. Vesicular fluid, ulcerated lesions, pharyngeal and throat swabs, urine, cerebrospinal fluid (CSF), autopsy and biopsy material, eye exudates, and vaginal swabs, Swab in viral transport medium, 1 mL fluid, 0.5 g tissue in transport medium. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. HSV infections are quite common. Herpes Simplex Virus Type 2 infections are more commonly seen in association with the genitalia, and surrounding areas, and are . Look for the .htaccess file in the list of files. If symptoms do show up, you might first feel tingling or burning near your genitals. Diagnosis of genital herpes simplex virus infection in the clinical laboratory. There are situations in which the virus poses a significant health threat. In cases of recurrence, antivirals can be prescribed whenever an outbreak occurs, usually at lower doses or for shorter treatment periods. An equivocal test result means that the test was unable to determine whether or not there was an antibody present. 4-16-2015 . Herpes: What Are the Differences? Herpes simplex virus type 1 (HSV-1) or herpes simplex virus type 2 (HSV-2) cause genital herpes. (2014). Replace cap so that swab will not interfere with closure and allow tube to leak. If attacks are frequent and severe, your healthcare provider may recommend suppressive therapy in which an antiviral drug is taken every day to prevent a recurrence. If you had a lumbar puncture, you may have pain or tenderness in your back where the needle was inserted. They can help you decide what is best for you based on your sexual and medical history. Caut aici. Herpes sores can also develop on the hands and Ingrown Hair vs. Madison (WI): University of Wisconsin Hospitals and Clinics Authority; c2018. Studies have shown a >98% detection of HSV DNAin CSF by polymerase chain reaction (PCR), and this method is now considered the standard for diagnosis of HSV encephalitis. After collection, remove the cap from the transport medium tube, and insert the swab aseptically into the transport tube and break the swab shaft. All information these cookies collect is aggregated and therefore anonymous. what does hsv culture without typing mean. Symptoms of genital HSV-2 infections can develop within two to 12 days of exposure. If you go to your temporary url (http://ip/~username/) and get this error, there maybe a problem with the rule set stored in an .htaccess file. Once a person is infected with HSV, theres no cure. Bacterial swab specimen; specimen received in grossly leaking transport container; dry specimen; specimen submitted in fixative or additive; specimen received in expired transport media or incorrect transport device; inappropriate specimen transport conditions; specimen stored or transported greater than seven days refrigerated; specimen stored or transported at room temperature; wooden shaft swab in transport device; unlabeled specimen or name discrepancy between specimen and test request label. Herpes is a skin infection caused by the herpes simplex virus, known as HSV.HSV causes painful blisters or sores in different parts of the body. 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved. The health care provider collects the sample from a skin sore (lesion). This is referred to as the herpes incubation period. Studies show that HIV risk is not lowered by genital herpes testing or treatment. Herpes Simplex Virus Type 1 infection are usually found above the waist. Viral culture is the best test to confirm a herpes simplex infection. Requests with only a written order and no test number indicated will be processed according to Default Testing for Virology. URL of this page: https://medlineplus.gov/lab-tests/herpes-hsv-test/. Details about current research efforts can be found on theNIAID website. Redirects and rewriting URLs are two very common directives found in a .htaccess file, and many scripts such as WordPress, Drupal, Joomla and Magento add directives to the .htaccess so those scripts can function. Each type of HSV causes In . RewriteRule ^index.php$ - [L] After collection, remove the cap from the transport medium tube, and insert the swab aseptically into the transport tube and break the swab shaft. They usually wont leave any scars. However, antiviral drugs can reduce the duration and severity of an outbreak. While first outbreaks can be severe, subsequent outbreaks tend to be milder. [2] It remains one of the most common sexually transmitted infections (STI) but continues to be . Solomon AR. Light microscopy, culture, molecular, and serologic methods for detection of herpes simplex virus. That means after your first outbreak of sores clears up, you may get another outbreak in the future. Genital outbreaks caused by HSV-1 and HSV-2 are largely indistinguishable, but those caused by HSV-2 will almost always result in recurrent attacks. Once the area on your back is completely numb, your provider will insert a thin, hollow needle between two vertebrae in your lower spine.