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Doctor insights on: Shingles Neuralgia Treatment

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What is the best treatment for herpes zoster neuralgia?

What is the best treatment for herpes zoster neuralgia?

Unclear : The treatment of postherpetic neuralgia is difficult and needs to be individualized. ...Read more

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Dr. James Marx
1,053 doctors shared insights

Neuralgia (Definition)

Neuralgia is a condition in which there is a sharp, unexpected pain along a nerve that is due to the irritation and damage of that nerve. Chemicals, diseases such as diabetes, medications, previous surgery, and trauma are potential causes of neuralgia. Numbness and weakness of the muscles supplied by the ...Read more


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Had minor shingles rash on right stomach, now going away but nerve pain all over body, especially right arm. Related? Treatment? Acyclovir not working

Had minor shingles rash on right stomach, now going away but nerve pain all over body, especially right arm. Related? Treatment? Acyclovir not working

Diffuse Nerve Pain: Hello. Herpes Zoster doesn't typically work like that- causing diffuse nerve pain. It's typically very specific to one or two nerve distributions (dermatomes) on ONE side of the body. Acyclovir can cause diffuse muscle and bone pain. Topical lidocaine, oral gabapentin, lyrica, (pregabalin) etc. are options to treat the symptoms you describe. ...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?

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 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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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

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Can you get trigeminal neuralgia from exposure to shingles?

Herpetic Neuralgia: Post herpetic neuralgia is the term which describes severe pain (even if it is in the course of trigeminal nerve) following exposure to shingles. The nature of the pain in post-herpetic neuralgia is often similar to that of trigeminal neuralgia. ...Read more

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Shingles (Herpes Zoster) (Definition)

Shingles is a painful blistering skin rash caused by the chickenpox virus (varicella zoster). Early treatment with antiviral medication (within 72 hours) lowers the risk of post herpetic neuralgia, which is lingering skin pain after the rash disappears. ...Read more


Dr. Heidi Fowler
790 doctors shared insights

Herpes Zoster (Definition)

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