Postherpetic neuralgia (post-hur-PET-ik noo-RAL-juh) is the most common complication of shingles. The condition affects nerve fibers and skin, causing burning pain that lasts long after the rash and blisters of shingles disappear.
The chickenpox (herpes zoster) virus causes shingles. The risk of postherpetic neuralgia increases with age, primarily affecting people older than 60. There’s no cure, but treatments can ease symptoms. For most people, postherpetic neuralgia improves over time.
The signs and symptoms of postherpetic neuralgia are generally limited to the area of your skin where the shingles outbreak first occurred — most commonly in a band around your trunk, usually on one side of your body.
Signs and symptoms might include:
Postherpetic neuralgia occurs if your nerve fibers are damaged during an outbreak of shingles. Damaged fibers can’t send messages from your skin to your brain as they normally do. Instead, the messages become confused and exaggerated, causing chronic, often excruciating pain that can last months — or even years
When you have shingles, you might be at greater risk of developing postherpetic neuralgia as a result of:
Depending on how long postherpetic neuralgia lasts and how painful it is, people with the condition can develop other symptoms that are common with chronic pain such as:
Your doctor will examine your skin, possibly touching it in places to determine the borders of the affected area.
In most cases, no tests are necessary.
No single treatment relieves postherpetic neuralgia for everyone. It often takes a combination of treatments to reduce the pain.
Certain anti-seizure medications, including gabapentin and pregabalin, can lessen the pain of postherpetic neuralgia. These medications stabilize abnormal electrical activity in your nervous system caused by injured nerves. Side effects include drowsiness, unclear thinking, unsteadiness and swelling in the feet.
Certain antidepressants — such as nortriptyline, amitriptyline, and duloxetine affect key brain chemicals that play a role in both depression and how your body interprets pain. Doctors often prescribe antidepressants for postherpetic neuralgia in smaller doses than they do for depression alone.
Common side effects of these medications include drowsiness, dry mouth, light-headedness and weight gain.
Some people might need prescription-strength pain medications containing tramadol) or morphine. Opioids can cause mild dizziness, drowsiness, confusion and constipation.
INJECTIONS – PAIN MANAGEMENT TREATMENT
In Livewell Hospital Ahmedabad when there is much pain due to post Herepatic neuralgia we do patients with pain management block.
Sympathetic Block: nerve root or ganglion can be helpful for postherpetic neuralgia. IN some cases when Burning pain in herpes is not relieved with medication than we required do pain management treatment.
In sympathetic block – is done according to area of pain covered for an example if neck and upper limb is involved than sympathetic block on stellate ganglion block is useful. In this pain clinic’s treatment, we do nerve block on Stellate Ganglion in neck region. If pain of herpes is in chest region than sympathetic block of T2 T3 ganglion is helpful. In both block we do injection procedure under local anaesthesia. Where we insert some needle in desired area and pass some radio frequency current so this will alter the pain pathways and patient will become pain free from post herpetic pain.
Live Well Hospital is known as an expert in treatment of postherpetic neuralgia in India. Our expert team based in Ahmedabad ensures that our doctors can take care of all kinds of cases related to postherpetic neuralgia in the best way. We are amongst the best postherpetic neuralgia treatment and pain management centers in Gujarat. Live Well Hospital is recognised for the best doctors and best pain specialists in Rajasthan, Madhya Pradesh, Gujarat and most of states of Western India to handle all kinds of postherpetic neuralgia cases in Gujarat. Dr. Hitesh Patel, the senior pain specialist and founder of Live Well Hospital assures all patients a better life guaranteed when treated at the renowned hospital, which is known as the leaders for pain management and pain free living in not just the city of Ahmedabad but the entire state of Gujarat and Western India.