Doctor insights on:
What Kind Of Doctor Treats Post Herpetic Neuralgia
Pain or neurology: A pain specialist or neurologist.Get a more detailed answer ›
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
Herpetic Neuralgia: See your pcp and let him decide. ...Read more
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
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
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
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
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
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
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
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
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
I had shingles in 2013 followed by post herpetic neuralgia which has largely, but not entirely retracted. Can I visit with child w chickenpox?
A 72 year old male with a history of shingles and post herpetic neuralgia gets exposed to a child with chicken pox. Any risk of shingles recurrence?
No risk: This way but shingle can reoccur rarely. ...Read more
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
Herpetic neuralgia or trigeminal neuralgia, doc's have no real help so maybe there's homeopathic help for the pain, anyone, what to do?
There IS help: If your conventional physicians haven't been able to help, there may well be help if you see a professional homeopath to review your case and prescribe for you. This usually involves a 2-3 hour initial evaluation, and finding the 1 out of thousands of potential homeopathic medicines that most closely matches your case and symptoms. Then there's ongoing followup. Http://www. Homeopathyusa. Org/ ...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 more
What type of doctor treats trigeminal neuralgia? Pain on right side of my tongue and awhile back right side of face.
A Medical Doctor: Pain from trigeminal neuralgia can result from more than one source. You need to find a physician who is very familiar with this disorder. Evaluation and treatment may require several different approaches before arriving at a satisfactory solution. I would suggest beginning with a neurologist. ...Read more
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
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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