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Doctor insights on: Herpes Neuralgia Symptoms

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Are the symptoms of post herpetic neuralgia bad?

Are the symptoms of post herpetic neuralgia bad?

YES!: Antivirals, like valtrex, (valacyclovir) need to be started within 72 hrs of shingle symptoms. They can decrease the severity and duration of the rash. If pain persists after the rash is gone - postherpetic neuralgia (phn) - it needs to be treated aggressively so it does not last forever. The older you are when you have shingles, the more likely you are to have phn. See a board certified pain specialist for help. ...Read more

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Dr. James Marx
1,055 doctors shared insights

Neuralgia (Definition)

Neuralgia is a condition in which there is a sharp, unexpected pain along a nerve that is due to the irritation and damage of that nerve. Chemicals, diseases such as diabetes, medications, previous surgery, and trauma are potential causes of neuralgia. Numbness and weakness of the muscles supplied by the ...Read more


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What are the major symptoms of post-herpetic neuralgia?

What are the major symptoms of post-herpetic neuralgia?

Dysesthesia: Phn is characterized by altered sensation (dysesthesia) in the area previously affected by shingles which lasts beyond four months. There may be severe pain or just altered sensation. ...Read more

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Does post herpetic neuralgia usually cause many symptoms?

Pain: Neuralgia is, by definition, pain that occurs without stimulation of pain receptors. Herpes infections, which include "shingles", often result in this syndrome. ...Read more

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Can shingles occur on cranial nerves without a single rash or symptom and cause post-herpetic neuralgias silently?

Can shingles occur on cranial nerves without a single rash or symptom and cause post-herpetic neuralgias silently?

Unlikely: Some form of rash or sores should be present for shingles. You may have trigeminal neuralgia. This is a pain condition that usually presents with brief episodes of pain along the course of the Trigeminal Nerve or one its branches or divisions. It can be very painful-similar to a post-herpetic neuralgia. ...Read more

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What is the best treatment for herpes zoster neuralgia?

Unclear : The treatment of postherpetic neuralgia is difficult and needs to be individualized. ...Read more

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Herpes zoster/shingles pain in chest area (risk of postherpetic neuralgia). What can I do?

Herpes zoster/shingles pain in chest area (risk of postherpetic neuralgia). What can I do?

See your doctor.: Although there is not a “cure” for shingles- valacyclovir (valtrex), Acyclovir (zovirax) ; Famciclovir (famvir) can help symptoms. Narcotics (i.e., codeine), tricyclic antidepressants (amitriptyline), anticonvulsants (neurontin) as well as localized numbing medications can be used for pain. Cool bath or compresses over the rash may v pain/ itching. ...Read more

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If herpes can cause vestibular neuritis. Is it possible it could spread throughout the nerves causing things like trigeminal neuralgia?

No, See Neurologist: The most commonly accepted theory of what causes trigeminal neuralgia is vascular compression and not viral infection. See a neurologist or orofacial pain specialist for final diagnosis. ...Read more

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What is post herpetic neuralgia?

Shingles: A neuropathic pain that lasts for more than a month after a shingles infection started. ...Read more

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Herpes (Definition)

There are different types of herpes infections; herpes simplex infection of mouth (gingivostomatitis) and lips (labialis) are the most common. Others include genital herpes, and herpes zoster. Herpes infection could very mild to very dangerous depending on the type and location of the body affected. I ...Read more


Dr. Adam Lewis
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Nerve Pain (Definition)

Neuralgia is a sharp, shocking pain that follows the path of a nerve and is due to irritation or ...Read more