Top
30
Doctor insights on: Post Herpetic Neuralgia

Share
1

1
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

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


2

2
My husband's grandparent might have post herpetic neuralgia. What is it?

My husband's grandparent might have post herpetic neuralgia. What is it?

Painful: Post-herpetic neuralgia is the pain that sometimes occurs after shingles resolves. There are several effective treatments for it. See a dermatologist. ...Read more

3

3
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

4

4
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

5

5
Are there official recommendations for treating post-herpetic neuralgia?

Are there official recommendations for treating post-herpetic neuralgia?

Yes.: Gabapentin is officially approved for treatment of phn, but i prefer amitriptyline. See a dermatologist for a prescription. ...Read more

6

6
Any treatment for post-herpetic neuralgia?

Any treatment for post-herpetic neuralgia?

Many: Over the counter remedies include zostrex cream-a cayenne pepper extract that will burn your eyes like tear gas. There are a number of medications including Lidoderm patches-a local anesthetic applied to the unbroken skin, a number of different meds of the anti-epileptic class like lyrica, (pregabalin) neurontin; snri antidepressents like Cymbalta and Pamelor work at the spinal cord level, . ...Read more

7

7
What is post herpetic neuralgia?

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

8

8
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

9

9
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

10

10
What can I do for coping with post herpetic neuralgia?

Neuralgia: This is a very common and unpleasant problem. These days there are many treatment plans geared to helping people with this problem. Medications are available from your physician. ...Read more

11

11
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

12

12
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

13

13
What is the definition or description of: post-herpetic neuralgia?

Post herpes: Residual pain neuro deficits from shingles type exacerbation. It can be extremely debilitating to a patient. Seek consultation from a neurologist or pain physician. Neuroleptic medications may help. ...Read more

14

14
What is the definition or description of: Post herpetic neuralgia?

Nerve pain : Post hermetic neuralgia is nerve pain (burning-like, lancinating, toothache type of pain) usually after a viral infection after zoster or shingles. ...Read more

15

15
My husband's grandparent might have post herpetic neuralgia. What is it?

Painful: Post-herpetic neuralgia is the pain that sometimes occurs after shingles resolves. There are several effective treatments for it. See a dermatologist. ...Read more

16

16
Are there official recommendations for treating post-herpetic neuralgia?

Yes.: Gabapentin is officially approved for treatment of phn, but i prefer amitriptyline. See a dermatologist for a prescription. ...Read more

18

18
Any treatment for post-herpetic neuralgia?

Many: Over the counter remedies include zostrex cream-a cayenne pepper extract that will burn your eyes like tear gas. There are a number of medications including Lidoderm patches-a local anesthetic applied to the unbroken skin, a number of different meds of the anti-epileptic class like lyrica, (pregabalin) neurontin; snri antidepressents like Cymbalta and Pamelor work at the spinal cord level, . ...Read more

20

20
Is there a good treatment for post herpetic neuralgia?

Is there a good treatment for post herpetic neuralgia?

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 more

21

21
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

22

22
Can you tell me which vitamin is good for post herpetic neuralgia (nerve pain)?

Can you tell me which vitamin is good for post herpetic neuralgia (nerve pain)?

B12, C, E, AMP: Although there is no overwhelming evidence, a very limited number of studies have suggested that vitamin c and B12 injections may improve symptoms. Intramuscular amp (adenosine monophosphate) has also helped some patients in one large trial. Additionally, oral or topical vitamin e, topical capsaicin or peppermint oil may offer some relief as well. ...Read more

23

23
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

27

27
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 more

28

28
Recurrent shingles with Post-Herpetic Neuralgia between outbreaks? There is a lot more to it but not enough space here.....?

Recurrent shingles with Post-Herpetic Neuralgia between outbreaks? There is a lot more to it but not enough space here.....?

Maybe HSV, not VZV: Shingles rarely recurs so frequently but HSV does, and recurrent herpes simplex can look identical to zoster. 1) Retest next outbreak to confirm varicella zoster virus (VZV), and PCR test for HSV. 2) Have an HSV IgG antibody test, expecting maybe positive for HSV1. 3) Continue valacylovir to prevent recurrences, whatever the cause. As others have advised, it is nontoxic and harmless, so why not? ...Read more

29

29
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

30

30
What is postherpetic neuralgia?

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 more

Dr. Jeffrey Cohen
1,922 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


Dr. Barbara Lavi
842 doctors shared insights

Nerve Pain (Definition)

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