Doctor insights on:
Post Herpetic Neuralgia
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
Nerve Damage: A painful condition that follows a bout of shingles or herpes zoster. This occurs in people that have had chicken pox earlier in life when the virus reactivates in their nervous system..An immunization is available for patients over 50 to reduce the chance of this reactivation happening. Condition is not generally seen in younger people unless they are immunocompromised or under unusual stress. ...Read moreSee 1 more doctor answer
Yes-in a way: Amphetamines do not change the actual post herpetic neuralgia pain or peripheral nerve affected, but can cause increased central sensitization to the pain, or cause mild agitation which can also lead to increased feelings of pain. I hope this answers your question and helps a little! ...Read more
Is a stellate ganglion block appropriate treatment for post herpetic neuralgia, along the trigeminal nerve. ?
Possibly: Stellate nerve blocks are often used to treat peripherial nerve problems caused by injuries or trauma. They are designed to block sympathetic nerves. The trigeminal nerve is a cranial nerve, that does not go through the spine or neck, so i don't know if the stellate block would help. The sympathetic nerves do contribute to eyelid motion and facial flushing, so it may be worth a try. ...Read moreSee 1 more doctor answer
See below: Trigeminal neuralgia symptoms may include one or more of these patterns: occasional twinges of mild pain episodes of severe, shooting or jabbing pain spontaneous attacks of pain or attacks triggered by things such as touching the face, chewing, speaking and brushing teeth bouts of pain lasting from a few seconds to several seconds episodes of several attacks lasting days. ...Read moreSee 1 more doctor answer
Location: Pain refers to different areas.Get a more detailed answer ›
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 moreSee 2 more doctor answers
Possibly: Trigeminal neuralgia in a younger adult may be caused by multiple sclerosis. However, there must be more than just trigeminal neuralgia to define definite ms. History of other suspicious symptoms, abnormalities on neuro exam other than just trigeminal neuralgia and supplemental diagnostic studies will better define the suspicion for ms. ...Read moreSee 2 more doctor answers
Postherpetic neuralg: Severe options, thankfully. Medications such as gabapentin, pregabalin, Lidocaine patches . Nerve blocks and treatments with pulsed radiofrequency. Spinal cord stimulation if nothing helps. It is a painful and difficult to treat condition. See an expert for proper evaluation. It has central as well as peripheral components so the treatment may vary depending on that. ...Read moreSee 1 more doctor answer
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