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Doctor insights on: Neuralgia After Shingles

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Shingles -has anyone had post-herpetic neuralgia pain treated?

Shingles -has anyone had post-herpetic neuralgia pain treated?

Several treatments: Post-herpetic neuralgia (chronic pain after shingles) can be treated with Gabapentin (neurontin) or other related drugs. You can also apply capsaicin (zostrix) cream to the area, which burns the nerve endings to deaden the pain. Other treatments include tricyclic antidepressants, Lidocaine patches, and, in severe cases, narcotic pain relievers. ...Read more

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Dr. Jeffrey Cohen
1,962 doctors shared insights

Neuralgia (Definition)

Can also be described as neuropathic pain or "nerve pain" which can occur anywhere in the body. It can also be due to many disorders such as direct nerve damage, diabetes, ...Read more


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Sciatic nerve pain recent shingles was treated with acyclovir shingles didn't get any worse but ache like toothache left side hip/buttock area?

Sciatic nerve pain recent shingles was treated with acyclovir shingles didn't get any worse but ache like toothache left side hip/buttock area?

Shingles: What you may be experiencing is something called "post herpetic neuralgia", which is a condition that can occur after an episode of shingles. It is a nerve pain and generally takes time to get better. Can be days, weeks, months or in rare cases, years. The treatment of choice for nerve related pains is something called neurontin (gabapentin). ...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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Trigeminal neuralgia lasted only 1 day. can MS or brain tumor cause trigeminal neuralgia to last for 1 day?

Trigeminal neuralgia lasted only 1 day. can MS or brain tumor cause trigeminal neuralgia to last for 1 day?

Comments: You do NOT have trigeminal neuralgia, unless it recurs, as unfortunately, once it starts, it can be unbearably frequent. Do not think you have MS or a brain tumor if you had just one day of facial pain. But might see a dentist, and check for jaw or tooth issues. ...Read more

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Will postherpetic neuralgia be visible?

Post herpetic neural: The words only mean pain related to having had shingles.Noted after the shingles has healed. If you have a rash then one ay see it but more often than not the rash is long done. ...Read more

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Trigeminal neuralgia lasted only 1 day. Can MS or brain tumor cause trigeminal neuralgia to last only 1 day?

Trigeminal neuralgia lasted only 1 day. Can MS or brain tumor cause trigeminal neuralgia to last only 1 day?

Last one day ?: Could you describe what exact was the symptom? Did you experience it continuously for one day ? MS can be cause of trigeminal neuralgia many in young patients... Brain tumor can cause pain the face, but it is usually accompanied by some findings in the neuro exam ...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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Does trigmenial neuropathy ever recover? (Not trigmenial neuralgia)

Does trigmenial  neuropathy ever recover? (Not trigmenial neuralgia)

VARIES: Really depends on cause, and if a main branch or division. If myelin coverings affected, reversal could occur in 4-5 weeks, but if internal axon injured, might take months if ever. This can be tested by electrodiagnostic studies, which may confirm prognosis. ...Read more

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Dx. atypical TN. Possibly shingles virus on the trigeminal nerve. If shingles why did ENT not prescribe an anti-viral med?

 Dx. atypical TN.   Possibly  shingles virus on the trigeminal nerve. If shingles why did ENT not prescribe an anti-viral med?

Possible Shingles: Only your Ear Nose Doctor can answer this question. "Possibly shingles" means the diagnosis was questionable. If testing was done and confirmed shingles the treatment was probably indicated. Give your doctor a call to clarify and answer your question. Good luck ...Read more

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Does zostrixhelp shingles pain?

Does zostrixhelp shingles pain?

Yes, but...: ...Be aware that zostrix (capsaicin) works by depleting the chemical in nerve endings that transmits pain. In order to deplete the chemical it has to release it, which means that they pain often gets worse for a day or so before it gets better. So don't worry if the pain worsens initially - keep applying the cream. ...Read more

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Whole body MS symptoms: neuropathy, trigeminal pain, parathesia, etc. Brain MRI normal. I had shingles not long before this. Could it be post viral?

Whole body MS symptoms: neuropathy, trigeminal pain, parathesia, etc. Brain MRI normal. I had shingles not long before this. Could it be post viral?

Response: First, doubt we can blame the shingles. But do you have evolution of a peripheral neuropathy, or even MS which has not been demonstrated.. Second, get EMG testing over the limbs. Third, get MRI of cervical spines. If this all proves fruitless, we would be happy to schedule Concierge visit online. ...Read more

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Can herpes prodrome last a month?

Can herpes prodrome last a month?

Not typically: When you have a herpes outbreak, the symptoms and eventual outbreak itself usually play out over the course of a couple of weeks. If this has been going on for a month, then go get checked out to figure out what else might be going on. ...Read more

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I would like relief from post herpetic neuralgia.?

Neurologist: Post-herpetic neuralgia can be very painful. There are several medications that may be able to help with the pain. Neurontin (gabapentin) is one of the 1st line medications that has some efficacy. There are other medications that your neurologist may recommend that may help decrease the pain. ...Read more

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Could someone get shingles even after getting the shingles shot?

Could someone get shingles even after getting the shingles shot?

Shingles prevention: Unfortunately, 'yes', although the Zostavax (Shingles vaccine) is designed to prevent shingles, it is not 100%. This is true particularly with older folks -over time they become less and less able to respond well to the vaccine. Plus, if you factor in other 'hits' to someone's immune system, they can really become weak and cannot defend against this nasty virus. Hope u can see a doc 4 more help. ...Read more

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Should i still be in pain from shingles after weeks fron onset?Dr saya ram hunt with past herrpatic aneuralgia.What neds should I be taknig?

Should i still be in pain from shingles after weeks fron onset?Dr saya ram hunt with past herrpatic aneuralgia.What neds should I be taknig?

Consider topicals: Post herpetic nerualgia can be quite painful. Tricyclic antidepressants (desipramine, amitriptyline) work for most, but be patient, as may take 3 to 4 weeks to take full effect. Can take rx strength nsaids meanwhile +/- an opioid if & when excruciating pain. Anticonvulsants such as gabapentin, pregabalin, and Depakote are also effective. Topical remedies may be too tricky to use on the face. ...Read more

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Hi, I'm on day 8 of a shingles outbreak on C2. Antivirals started immediately. Mild headaches & paresthesia persist for how long?

10-14 days: Symptoms of shingles outbreak may last anywhere between 10 -14 days. The earlier the medical treatment is started the better these get resolved. ...Read more

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Shingles -has anyone had post-herpetic neuralgia pain treated?

Several treatments: Post-herpetic neuralgia (chronic pain after shingles) can be treated with Gabapentin (neurontin) or other related drugs. You can also apply capsaicin (zostrix) cream to the area, which burns the nerve endings to deaden the pain. Other treatments include tricyclic antidepressants, Lidocaine patches, and, in severe cases, narcotic pain relievers. ...Read more

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What is postherpetic neuralgia and how does it relate to shingles?

What is postherpetic neuralgia and how does it relate to shingles?

Pain: Postherpetic neuralgia is fancy doctor talk for residual pain left over after the shingles rash has gone away. Post means after, herpetic means related to herpes-and shingles is caused by a herpes zoster virus, and neuralgiai s another word for nerve related pain. Not all patients who suffer from shingles get the resultant postherpetic neuralgia. ...Read more

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What happens if you have shingles, how common is postherpetic neuralgia?

Common: Shingles is latent chicken pox virus that affects a single nerve when it is exacerbated. Even though shingles is common, post herpatic neuralgia is less so. With proper initial treatment the complication can be minimized but not eliminated. ...Read more

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How long does shingles last and what are key signs of postherpetic neuralgia?

How long does shingles last and what are key signs of postherpetic neuralgia?

Shingles: Most cases of shingles last 3 to 5 weeks. Usually 1 to 5 days after one experiences pain/burning in a specific area, a rash with blisters appears. This may take a week to 10 days to dry up & become crusty. Usually within a couple of weeks the scabs resolve. REF: https://www.nia.nih.gov/health/shingles#catch. Postherpetic neuralgia - pain persists well after blisters are gone. ...Read more

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I'm just wondering, if you have shingles, how common is postherpetic neuralgia?

I'm just wondering, if you have shingles, how common is postherpetic neuralgia?

Posherpetic neuralgi: Overall, about 20%, but increasing incidence as we age. This is the reason to consider the vaccine. ...Read more

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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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Can VZV the only herpesvirus member that can cause shingles/postherpetic neuralgia?

Yes/No: Herpes zoster (hzv) causes both chickenpox & shingles and is usually associated with postherpetic neuralgia but both forms of herpes simplex - hsv 1 & hsv 2 in extreme cases, especially in immunocompromised patients can cause postherpetic neuralgia but generally not as wide-spread and life-affecting as the zoster virus. And it is much les common. ...Read more

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Can you get shingles in the cranial ganglia and then have neuralgias in all of the nerves? would you show a rash in your face is it was the case?

Can you get shingles in the cranial ganglia and then have neuralgias in all of the nerves? would you show a rash in your face is it was the case?

Nope: Herpes zoster (shingles) can originate from any nerve, including a cranial nerve, causing an outbreak of the scalp, face, etc. Sometimes shingles is followed by ongoing pain due to post-herpetic neuropathy (PHN) from the involved nerve. It does not cause neuralgia in any other nerves. Without a localized skin rash, shingles almost certainly isn't the cause of any symtoms you have. ...Read more

Dr. Al Hegab Dr. Hegab
2 doctors agreed:
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Is it ok to take 2mg of Dilaudid and 2mg of valium together for postherpetic neuralgia (shingles) pain or is there something better?

Dr. Al Hegab Dr. Hegab
2 doctors agreed:
Is it ok to take 2mg of Dilaudid and 2mg of valium together for postherpetic neuralgia (shingles) pain or is there something better?

Be cautious: Although you are using low dose of both drugs, better not to combine them. For post heretic neuralgia, gabapentin can be more effective, unless there is a contraindication, ask your doctor about. Good that you asked, always exercise caution with multiple medications ...Read more

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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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I have shingles. I'm 17 years old and the rash is on my back. What are my chances of postherpetic neuralgia. No other disease, ?

I have shingles. I'm 17 years old and the rash is on my back. What are my chances of postherpetic neuralgia. No other disease, ?

Shingles & PHN.: The best chance of preventing PHN would be to start an appropriate anti viral medication (Valtrex (valacyclovir) or Famvir) within 48 hours of noticing the rash. Otherwise, you have to hope for the best. The occurrence of PHN is generally unpredictable. ...Read more

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Can anxiety and or depression be the cause of terrible belly aches? The person had shingles b4 and developed neuralgia in the abdominal area.

Can anxiety and or depression be the cause of terrible belly aches? The person had shingles b4 and developed neuralgia in the abdominal area.

Conversion reactions: One of humans ways of dealing with anxiety and stress is to convert the mental symptoms to physical manifestations. Terrible abdominal pain, however, is not likely to be related to depression or anxiety alone and would definitely see a doctor to have this problem appropriately diagnosed and treated. ...Read more

Dr. Paul Grin Dr. Grin
3 doctors agreed:
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My trigeminal , and occipital neuralgia has suddenly jumped to right side , scalp, ear, and jaw. Age 41. Shingles on left at age 27 . Age 23 on left?

Dr. Paul Grin Dr. Grin
3 doctors agreed:

See a neurologist: Occipital neuralgia (ON) involves the greater and lesser occipital nerves located in the back of the scalp and can produce neck pain as well as headache. The findings suggestive of trigeminal neuralgia -- particularly a younger patient -- should be questioned about other signs or symptoms of a primary neurological disease such as multiple sclerosis. See a neurologist. ...Read more

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I had shingles at 20 and have had post herpetic neuralgia since. Also lots of strep throat as a child. Does this mean I have a poor immune system?

I had shingles at 20 and have had post herpetic neuralgia since. Also lots of strep throat as a child. Does this mean I have a poor immune system?

Not particularly: I've seen shingles in a otherwise normal toddler & many normal kids have tonsillitis 1-2 X/yr. If you were hospitalized for a bloodborne bacteria, bone infection or similar major illness I could buy into a poor immune system. You can have tests run to look for contributing issues which your primary MD can arrange. ...Read more

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What other treatments are available or effective for postherpetic neuralgia if lyrica and gabapentin isn't helping? It has been about three months since my mom had shingles outbreak. We have tried lidocaine and different oil/cream remedies. Thanks

What other treatments are available or effective for postherpetic neuralgia if lyrica and gabapentin isn't helping?  It has been about three months since my mom had shingles outbreak.  We have tried lidocaine and different oil/cream remedies.  Thanks

Homeopathy,electric:: When conventional therapies don't help alternative ones often do. Homeopathy can be very effective; I've had good success treating this with it, but best to see a homeopath as treatment is individualized.
Frequency-specific micro-current can also help a lot; see
https://frequencyspecific.com
Acupuncture is also often effective. The odds are good at least one of these can really help. Good luck! ...Read more

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I have trigeminal neuralgia, had shingles recently, and now experiencing hand tremors in my right hand - I'm a 44 year old female. The only person I am aware of with Parkinson's is a cousin of my mothers. (Not sure how to describe relation to me). The h

I have trigeminal neuralgia, had shingles recently, and now experiencing hand tremors in my right hand - I'm a 44 year old female.  The only person I am aware of with Parkinson's is a cousin of my mothers. (Not sure how to describe relation to me).  The h

Hand tremor: may have nothing to do with trigeminal neuralgia, shingle or Parkinson's disease. (There are many causes for a hand tremor) The best approach to sorting this all out is to consult with a /your neurologist. Hopefully the medication you are taking for the shingles and the trigeminal neuralgia are not contributing to or causing your tremor. If you have a specific question we can gladly address this ...Read more

Shingles (Herpes Zoster) (Definition)

A painful blistering skin rash caused by the chickenpox virus (varicella zoster), occurring in people who have had chicken pox some time in their past. ...Read more


Dr. Heidi Fowler
852 doctors shared insights

Herpes Zoster (Definition)

Shingles (herpes zoster) is a painful, blistering skin rash due to the varicella-zoster virus, the ...Read more