10 doctors weighed in:
L have pain from shingles for 18 months . Please what can l do to get out of the pain or ease lt.?
10 doctors weighed in

Dr. Kenneth Choquette
Pain Management
4 doctors agree
In brief: Polypharmacy!
Post herpetic neuralgia, the pain from the damaged nerves that were injured during the zoster (shingles) infection, is one of the hardest pains to deal with.
Topical ointments are usually not well tolerated. Oral medications, especially the anti-seizure class, are useful but frequently more than one need to used at the same time to get results. Narcotics are helpful at times. Spinal cord stim ?

In brief: Polypharmacy!
Post herpetic neuralgia, the pain from the damaged nerves that were injured during the zoster (shingles) infection, is one of the hardest pains to deal with.
Topical ointments are usually not well tolerated. Oral medications, especially the anti-seizure class, are useful but frequently more than one need to used at the same time to get results. Narcotics are helpful at times. Spinal cord stim ?
Dr. Kenneth Choquette
Dr. Kenneth Choquette
Thank
1 comment
Dr. William Walsh
Specifically a neuroleptic (seizure medication) plus neurontin or lyrica will help address the neuropathic pain. Once these drugs are maximized spinal injections +/- narcotics may help. Nerve root ligation (cutting the pain nerves beyond the locus of pain) may help. Adding central pain agents (clonidine, for example) may also help, but usually is not as effective in a neuritis. Good luck!
Dr. Francine Yep
Family Medicine
4 doctors agree
In brief: Zap that zing
Shingles pain can linger, the nerves still zinging long after the infection has quieted.
You can put Lidocaine or capsaicin [the chili pepper extract] on your skin. Other relief from pills: pain medications, tricyclic antidepressants and gabapentin. Intravenous Lidocaine or steroid injection into your spine may help. Please talk with your doctor about your options. Hope you feel better.

In brief: Zap that zing
Shingles pain can linger, the nerves still zinging long after the infection has quieted.
You can put Lidocaine or capsaicin [the chili pepper extract] on your skin. Other relief from pills: pain medications, tricyclic antidepressants and gabapentin. Intravenous Lidocaine or steroid injection into your spine may help. Please talk with your doctor about your options. Hope you feel better.
Dr. Francine Yep
Dr. Francine Yep
Thank
Dr. Michael Gofeld
Pain Management
3 doctors agree
In brief: Chronic pain
Unfortunately after 18 months the condition is chronic.
Treatment is predominantly medical: Gabapentin or pregabalin, tricyclic antidepressants, Lidoderm patch.

In brief: Chronic pain
Unfortunately after 18 months the condition is chronic.
Treatment is predominantly medical: Gabapentin or pregabalin, tricyclic antidepressants, Lidoderm patch.
Dr. Michael Gofeld
Dr. Michael Gofeld
Thank
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