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Doctor insights on: Post Neuralgia Pain From Shingles

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Spinal Fluid Leaking From Nose (Definition)

If cerebro-spinal fluid is leaking through the nose. It implies a breech in the base of the skull. There is a specific test to determine if the fluid leaking from the nose is CSF, a test of beta transferrin. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex, ...Read more


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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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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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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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Could acupressure cause facial pain from the trigeminal nerve?

Could acupressure cause facial pain from the trigeminal nerve?

Possibly: It is possible if the nerve is irritated. You may need to go to the doctors to be evaluated to make sure you have normal nerve function. ...Read more

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Would oxycodone relieve nerve pain? Particularly pudendal neuralgia?

Would oxycodone relieve nerve pain? Particularly pudendal neuralgia?

Yes and No: Short answer is that any opiate or narcotic, oxycodone, hydrocodone, morphine etc, will help just about any pain. But one develops rapid tolerance to such drugs and in time they become less effective. Most all neuralgias are much more effectively treated with more "nerve specific" meds like Gabapentin and carbamazepine. ...Read more

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Chiro says I have herniated disc causing acute onset sciatic nerve pain but shingles popped up at exact same time. Could all my pain be from shingles?

Chiro says I have herniated disc causing acute onset sciatic nerve pain but shingles popped up at exact same time. Could all my pain be from shingles?

Anatomy impotant: Where is the rash (what nerve root distribution (s)? What does the MRI look like (you can attach pictures of the study) And what does the EMG show ? (needs to be done at least 2 weeks after symptom onset for denervation pattern to be obvious. Treat for shingles and if symptom persist see a specialist to sort this out (neurologist or maybe a PMR physician. Hope this is helpful. ...Read more

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Gbs diag3/11/13, MS symptoms, ascending pain from foot to hip, what causes ascending unilateral pain, pain medication not relieving pain.

Gbs diag3/11/13, MS symptoms, ascending pain from foot to hip, what causes ascending unilateral pain, pain medication not relieving pain.

Perhaps peripheral: The guillain-barre syndrome can cause nerves in the leg to be susceptible to local compression, and you may have a problem with nerve issues in foot or ankle but even more proximally, like hip or low back. Does not really fit ms. An EMG test might help. ...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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Is referred pain a common occurance with Trigeminal Neuralgia?

Is referred pain a common occurance with Trigeminal Neuralgia?

NO: Trigeminal neuralgia is an intense focalized facial pain lasting over a period of a few seconds. I do not understand what you are asking, as you do not express where the "referred pain" is localized. But, generically, and classically, the attacks of facial pain are localized, focalized, and relatively stereotypical. ...Read more

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For trigeminal neuralgia: can it involve a constant pain instead of a fleeting pain?

For trigeminal neuralgia: can it involve a constant pain instead of a fleeting pain?

Trigeminal neuralgia: TN is rarely a constant pain until the late untreated stages. It is a pain that comes on suddenly, lasts for a few seconds and it is a pain described as electrical like and pain scales at 10/10. ...Read more

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1 month recovering from microlumbar disectomy, l4/l5, l5/s1. Back pain relieved but numbness/tingling/pressure in right knee persists. Possibilities?

1 month recovering from microlumbar disectomy, l4/l5, l5/s1. Back pain relieved but numbness/tingling/pressure in right knee persists. Possibilities?

Neuropathic pain: You may still have irritation of the nerve root but it is also possible that you have injury to a peripheral nerve innervating the knee. This possibility would be most likely if you had diabetes or the original injury involved trauma to your knee. ...Read more

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Is sciatica pain different from back pain?

Is sciatica pain different from back pain?

Symptom Vs Cause: Sciatica is the symptom of leg pain caused by a disc herniation or narrowing where the nerve exits the spine. A disc herniation is a outpouching of the disc from its normal place into the spinal canal or on the nerve and can be a source of pain in the back or down the leg, . ...Read more

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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

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Will botox help peripheral neuropathy pain from shingles?

Will botox help peripheral neuropathy pain from shingles?

Unknown,but possible: I don't know if there is any effect of Botox on shingles. In general, Botox works on the neuromuscular end plates, which are motor in nature. Shingles tends to effect sensory nerves, which is why it is so uncomfortable. I don't think Botox will effect it, but it is possible. ...Read more

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Pain Pump (Definition)

Pain pumps are electric, battery powered or newer spring loaded devices used to administer pain medications. These can include intravenous or peri neural locations and can infuse narcotics, anti inflammatory medicines or local anesthetics. They can be set to allow for patient control or be controlled by trained personnel. They can range in size and ...Read more


Discharge From Penis (Definition)

A discharge is considered to be any fluid coming from the penis. Urine is generally excluded (unless it is leaking out at at other times) and semen is considered a normal discharge. It can be any color or consistency, depending on what it is made up of. A clear discharge during excitement or immediately after sex can be normal. Discharges at other ...Read more