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Doctor insights on: Postherpetic Neuralgia

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What is postherpetic neuralgia?

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

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Dr. Jeffrey Cohen
1,065 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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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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Why causes the itch of postherpetic neuralgia?

Why causes the itch of postherpetic neuralgia?

Nerve damage : Herpes virus damages nerve cells in the spinal cord. Disballance between different nerve fibers may cause numerous abnormal feelings including the itch. ...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?

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?

A and B: A. Duration 7 to 14 days, average 10 b. Severe burning pain in distribution of rash which may persists for days to months or years, long after rash has resolved. In the absence of a definite skin rash at any time, diagnosis of post-herpetic neuralgia is suspect. ...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 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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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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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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Is a stellate ganglion block appropriate for postherpetic neuralgia along the trigeminal nerve.

Is a stellate ganglion block appropriate for  postherpetic neuralgia along the trigeminal nerve.

Yes indicated: Herpes zoster ' shingles' after blisters healed in some will have severe disabling pains will lost for months and months which most likely you have involving one of the trigeminal nerve branch, the virus stays in nerve root for ever. Image guided cervicothoracic sym. Ganglion block along with t.N block most likely will help your pain , is relatively low risk procedure in trained hands. ...Read more

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Is adding 10mg Elavil to 300mg lyrica unsafe for a person with CABG/MI for postherpetic neuralgia ? at 300mg there is moderate pain control

Is adding 10mg Elavil to 300mg lyrica unsafe for a person with CABG/MI for postherpetic neuralgia ? at 300mg there is moderate pain control

No: There are no interactions between Elavil and Lyrica. Also, at 10mg the side effects are very low. Actually it helps reduce pain by aiding sleep and reduces the afferent pain pathway. ...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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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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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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Dr. Thomas Inwood
1 doctor shared a insight

Nerve Pain (Definition)

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