Help Is Available For Phn
Fortunately,early treatment for shingles can lower your chances of getting PHN.
For some people, the pain becomes refractory, or resistant to treatment, explains Dr. Rosenquist. So we want to treat shingles as fast as we can ideally as soon as somebody feels a tingling or burning sensation, even before a rash develops.
Sheadds that whenever nerve pain is involved, some people respond to treatment andsome dont.
However,medications taken orally or injected that can target the affected nerves may beable to stun the nervous system into behaving properly. That meanstransmitting the appropriate signal to the brain.
Vaccine Prevention For Shingles And Postherpetic Neuralgia
In 2006, a vaccine to prevent shingles came onto the market. Called Zostavax, the vaccine cuts the likelihood of getting shingles after chickenpox by about half, dramatically reducing the number of people who might get nerve pain after shingles.
Based on these results, the CDC recommends Zostavax to all adults age 60 and older. Rumbaugh goes further: He suggests you get vaccinated at any age if you have had shingles. His clinical experience suggests the vaccine helps reduce postherpetic neuralgia even after infection with the varicella zoster virus.
The Best Pain Doctor For Shingles Pain Treatment Is Roziermd
If you have shingles pain, you should immediately seek the care and treatment of a reputable pain doctor.
Dr. Antonio Rozier is a highly experienced and reputable pain management doctor. He is the best pain doctor for shingles pain treatment in Dallas, Mansfield & TX. He is equipped with different interventional techniques and treatments for various types of pain including shingles pain.
If you have shingles pain or you are searching for a doctor that is very experienced in the treatment of shingles pain, Dr. Rozier is highly recommended.
Recommended Reading: What Age Is Shingles Vaccine Free
Will Shingles Ever Be Obsolete
Unfortunately, shingles cases are on the rise worldwide. And more younger people are getting the virus. This is in spite of our efforts to vaccinate kids against chickenpox.
Remember, shingles happens because the varicella virus, which causes chickenpox, stays in the body and can come back years later. Vaccinating kids against varicella virus should mean no more chickenpox and no more shingles. But chickenpox vaccination is fairly new it began around 20 years ago. And not everyone is on board with vaccination.
The vaccine is not used everywhere in the world. And there are pockets of people who dont get the vaccine or dont respond to it here in the U.S., says Thomas. So I think it will be many decades before this virus disappears, if at all.
Best Treatments For Lasting Shingles Pain
Postherpetic Neuralgia Pain: What Works, What Doesn’t
Doctors call it postherpetic neuralgia or PHN. It’s caused by nerve damage left behind by a case of shingles. Shingles itself comes from reactivation of a chickenpox virus, varicella zoster. The virus travels down nerve fibers to cause a painful skin rash.
When the rash goes away, the pain usually goes with it. But for 12% to 15% of people the pain remains. If your shingles pain lasts eight to 12 weeks after the rash goes away, you’re part of an “unfortunate minority,” says pain researcher Andrew S.C. Rice, MD, of Imperial College, London.
“Among people with PHN, some have their pain resolve in the first year to 18 months after the shingles rash goes away,” Rice tells WebMD. “But if they have pain longer than that, it is not going to go away on its own. In either case, a person must deal with the pain.”
Recommended Reading: What Does Shingles Look Like On Your Neck
Shingles And Your Eyes
If the shingles rash breaks out on the face, near the eye, the vision may be affected. An ophthalmologist should be consulted right away when pain or other symptoms of shingles affect the eye or the area near the eye.
Shingles painand other symptoms from an outbreak of herpes zosterusually lasts between three to five weeks. Most people experience shingles once, but in some instances, people will continue to experience pain. When this happens, its called postherpetic neuralgia .
Shingles And Nerve Paths
Shingles is caused by a reactivation of the virus that causes chickenpox. Only people whove had chickenpox or chickenpox vaccines can develop shingles. Having a chickenpox vaccine can lead to shingles because the vaccine contains the virus that causes chickenpox.
Shingles isnt contagious, but people who have not had chickenpox can develop chickenpox if they come in contact with open blisters of somebody with shingles.
After your body fights off a chickenpox infection, the herpes zoster virus remains dormant in your cranial nerves and spinal ganglia until it becomes reactivated. Spinal ganglia are nerve cells that connect your spinal cord to nerves in your body and limbs.
The virus reactivates when your immune system is no longer able to suppress it. Reactivation most commonly occurs in older adults because the immune system tends to get weaker with age, as well as in people with suppressed immune systems.
Once the virus is active, it usually spreads down sensory nerve fibers that lead from your spinal cord to your skin. These nerves carry sensory information like feelings of pain, itchiness, or pressure from your skin to your spinal cord and brain.
Once the virus gets to the end of these sensory nerves, it reaches your skin and usually leads to a rash. This rash often shows up in one or two nearby areas of skin called dermatomes.
A dermatome is an area of your skin where the sensation is supplied by one spinal nerve.
Don’t Miss: Does Medicare Cover Shingrix Shingles Vaccine
How Is Shingles Diagnosed
See your doctor as soon as you think you may have shingles. This should be within 3 days of the rash first appearing for antiviral medication to be most effective in reducing the risk of complications. The earlier that antiviral medication is given, the more effective it is but it can be given up to 7 days after the rash appears. If it is a holiday period, go to an afterhours clinic. It is particularly important to seek medical advice if your rash is by your eyes or if you are immunosuppressed . To diagnose shingles, your doctor will ask you about your symptoms and will also do an examination. Some people may have pain with no rash or rash with no pain. In such cases, a blood test may be needed to confirm the diagnosis.
What Are The Risk Factors For Postherpetic Neuralgia
Age is a high-risk factor for postherpetic neuralgia. The older a person is when shingles develops, the more likely it is that the individual will develop postherpetic neuralgia. People over 60 years of age have about a 60% chance, while people 70 or older have about a 75% chance, of developing postherpetic neuralgia after getting shingles.
People with a family history of close relatives who developed postherpetic neuralgia are at a higher risk of developing this painful condition.
Recommended Reading: How Many Shingle Shots Do You Get
Topicals Are Not A Substitute For Medical Treatment
Topical products can help you manage your symptoms. But they arent a substitute for proper medical treatment.
Its important to visit your doctor if youre dealing with shingles. Your doctor can prescribe antiviral drugs and other medications that can shorten the duration of your infection and help you avoid severe complications.
The following creams may be able to help you manage shingles symptoms.
Postherpetic Neuralgia: Finding The Right Treatment For You
Experts agree that for everyone at risk, prevention is the best treatment. Although it’s too early to see a benefit from vaccination in the community, Ralph believes that it shows promise.
For those who have postherpetic neuralgia, treatment needs vary widely. “Some people may only need a few months of a topical anesthetic,” Rumbaugh tells WebMD. “Others — not many, thank goodness — take multiple medicines for the rest of their lives and still have pain.”
Finding the right treatment for persistent postherpetic neuralgia can be a long and frustrating process. “It can take several weeks to really give a medicine a chance to work,” Rumbaugh says. “If it’s not working, you have to start all over again.”
The important thing is not to give up. People with severe postherpetic neuralgia should see a neurologist or pain expert, says Rumbaugh. “There are people who think their pain isn’t treatable, who simply haven’t been tried on the right doses of the right medicines. There’s usually something more we can try.”
Show Sources
Recommended Reading: Does Humana Part D Cover Shingles Vaccine
Natural Remedies For Shingles
Shingles is a viral infection that causes a painful rash. The varicella zoster virus causes this viral infection. Its the same virus that causes chickenpox.
If you had chickenpox as a child, the shingles virus lies dormant in your body. The virus can reactivate later in life and cause a shingles rash. The rash can occur on any part of your body but typically only affects small sections.
Pain is usually the first symptom of shingles. The rash and fluid-filled blisters form within a couple of days after the onset of pain. Some people with shingles also have a fever, sensitivity to light, and fatigue.
According to the Centers for Disease Control and Prevention , about 1 in 3 people in the United States will develop shingles at some point in their lifetime.
The shingles virus can last between two and six weeks. Shingles isnt life-threatening, but some people experience postherpetic neuralgia. This is when nerve fibers become damaged, causing shingles pain that lasts for weeks or months after the rash clears.
Theres no cure for shingles, but your doctor can prescribe antiviral medication to help shorten the duration of the virus and reduce symptoms.
Although an antiviral is an effective treatment for shingles, its not the only option. Several natural remedies may also reduce pain and discomfort.
Dry your body completely and then wash your towel to avoid spreading the virus to others.
- orange and yellow fruits
What You Can Do About Nerve Pain That Lingers After Shingles
Chronic pain that continues after a case of shingles is called postherpetic neuralgia . It is estimated that about 20% of patients will experience this type of nerve pain as a complication of shingles.
Those who have had chickenpox are at risk of developing shingles later in life. People who develop PHN are generally age 60 and older. Although there is no cure for PHN, there are several methods of pain management that can ease symptoms. Fortunately, the type of pain that arises from postherpetic neuralgia improves over time.
Neuralgia affects the nerves, causing structural and functional damage. It can feel like a stabbing or burning pain that radiates along the affected nerve.
Neuropathic pain is not caused by an external injury or stimuli but originates from inside the nervous system. When the herpes-varicella zoster virus is reactivated in the form of shingles, scar tissue forms alongside nerves, creating pressure, and sending pain signals to the brain.
Read Also: How To Naturally Get Rid Of Shingles
New Drug Treatment Reduces Chronic Pain Following Shingles
by Sam Wong05 February 2014
A new drug treatment has been found to be effective against chronic pain in patients who have had shingles.
The researchers hope that the drug might also be effective against other causes of pain caused by nerve damage, known as neuropathic pain, such as diabetes, HIV, nerve injury and cancer chemotherapy, as it targets a mechanism that is not targeted by any existing therapies and has fewer side effects.
Drugs available now have limited success at treating neuropathic pain and often have unpleasant or disabling side effects.
It is estimated that around 190,000 people in the UK get shingles every year, most of them aged over 50. It is caused when a dormant viral infection of a nerve is reactivated, resulting in a painful rash. In most cases, the shingles rash lasts a few weeks, but in some cases the permanent nerve damage caused by the virus results in a chronic neuropathic pain called post-herpetic neuralgia. Around one in 10 people with shingles experiences post-herpetic neuralgia and, once established, it usually causes life-long suffering.
In a study involving 183 patients with post-herpetic neuralgia in six countries, the new drug EMA401 was found to reduce pain and did not cause any serious side effects. The findings are published in The Lancet.
Spinifex Pharmaceuticals, which owns the drug, now plans to conduct a larger trial, possibly testing higher doses of the drug for longer periods of time.
Nerve Pain: Most Common Complication Of Shingles
Nerve pain is the most common complication of shingles. The formal name for shingles nerve pain is postherpetic neuralgia . What causes PHN? Nerves damaged by the vaccine-preventable herpes zoster virus.
Pain occurs in the skin that was initially affected by the shingles rash, says Thomas. It can be a mild, lingering pain or an abnormal sensation when touching the skin. For other people, it can be persistent, burning, or shooting pain that can be really disruptive to daily life.
Also Check: How To Control Shingles Pain
Lidocaine Cream And Patches
2017 study suggests that its one of the best-tolerated treatments for PHN.
PHN is a complication of shingles characterized by long-term nerve pain after your rash disappears. The CDC says that about 10 to 18 percent of people experience PHN after shingles.
Lidocaine is often administered in patches. The study linked above notes that up to 3 patches can be applied in a 12-hour window.
Are There Treatments I Can Put On My Skin
You might find relief with topical treatments. You can talk to your doctor about:
Creams: Some of these contain capsaicin, the ingredient in cayenne pepper that gives it a kick. Examples are Capsin and Zostrix. You can buy this over the counter but make sure your doctor knows if you plan on using these.
Patches: Capsaicin is also in Qutenza, which is applied via a patch for one hour every 3 months. You need to visit the doctorâs office for this.
Lidoderm is a patch that has a numbing agent called lidocaine. Itâs applied directly to the painful area of skin. You need a prescription.
Recommended Reading: Can You Get Shingles On Arm
Antidepressants May Offer Surprising Relief
Antidepressants may have been invented for depression, but they are also known to modulate peripheral nerves, Dr. Auwaerter says, thereby dulling PHN pain. Your physician may suggest Pamelor or Aventyl or Elavil . Dr. Auwaerter adds that these medications can sometimes cause side effects like fatigue and sluggishnessthough PHN patients usually only need a low dose, which is unlikely to cause major adverse effects.
Look For A Lidocaine Patch
Lidocaine is an anesthetic agent that temporarily numbs the area where it’s applied, which can help with PHN pain. With significant postherpetic neuralgia, I find that the topical lidocaine patch is usually the most useful, says Camille Kotton, M.D., clinical director of transplant and immunocompromised host infectious diseases at Massachusetts General Hospital in Boston. Lidocaine is available as a prescription or OTC, though Dr. Kotton notes it can be difficult to get covered by insurance.
Read Also: How Long Do Shingles Last On Your Body
What Home Remedies May Help Neuralgia
One home remedy for postherpetic neuralgia to ask your doctor about includes crushed aspirin mixed in a lotion and applied to the painful area of skin, avoiding eyes and mouth. Another is mindfulness meditation, which provided some pain relief for participants in a 2015 study.
Shingles And Postherpetic Neuralgia: What Are The Risk Factors
You can’t control whether you’ll catch the chickenpox virus. Fully 99.5% of adults in the U.S. carry it, whether or not they remember having had chickenpox. But why do one-third of those people get shingles — and some of them go on to develop postherpetic neuralgia?
The risk of postherpetic neuralgia also goes up with age. More than 80% of cases of postherpetic neuralgia occur in people over 50 years old. “It’s likely that the natural decline of immunity with age is responsible,” says Ralph.
The results of one study showed that age had a huge effect on the risk for postherpetic neuralgia after shingles:
- Among people under 60 years old who had shingles, less than one in 50 developed postherpetic neuralgia.
- In people aged 60 to 69, about 7% of shingles sufferers developed postherpetic neuralgia.
- In those age 70 and older, almost 20% developed postherpetic neuralgia after a bout of shingles.
Race seems to matter, too. For unknown reasons, white Americans get shingles and postherpetic neuralgia at more than twice the rate of African-Americans in their age group.
“People whose immune systems are impaired by drugs or diseases like AIDS are also more prone to zoster and PHN,” adds Ralph.
Exposure to someone with chickenpox or shingles does not increase your personal risk, however. In fact, experts believe that the slight immune stimulation may boost natural defenses, making you less likely to develop shingles or PHN.
You May Like: Does Aetna Medicare Cover Shingles Vaccine
Have Shingles Get Treatment Take Action
If you have shingles, it’s important to talk to your doctor about your risk for developing PHN. Ask whether preventative treatment with antiviral drugs makes sense. If your doctor says it’s not necessary, ask why.
The full implications of the psychological risk factors for PHN aren’t clear yet, says Dworkin. But he suggests that people with shingles should try to stay active and connected.
“If psychological distress is a risk factor for PHN,” he says, “then we think that people who have shingles might benefit from getting out and not being isolated and homebound.”
You might make an effort to stay connected to family and friends and not to dwell on your symptoms. Also, keep in mind that even if you do develop PHN, there are treatments that can help.
“We have about a half dozen types of drugs that are used as first-line treatments for PHN,” says Dworkin. They include lidocaine patch , pregabalin , gabapentin , capsaicin , carbamazepine , tricyclic antidepressants, and painkillers.
The most important thing is to get prompt medical attention if you think you might have shingles.
“If you have a one-sided rash — especially if you’re over 50 — see your doctor right away,” says Dworkin. “It could be shingles. And we know that prompt treatment can dramatically reduce the likelihood of developing long-term pain.”
Show Sources