Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Causes Pain In The Left Leg Post Shingles Treatment?
Question: I think I have nerve pain from shingles. I cannot drive my car for so long without pain from my rear to my left leg to foot what meds do you recommend.
Brief Answer:
Post Shingles neuropathic pain killer treatment
Detailed Answer:
Hi Larrybatery, thanks for asking from HCM.
I can understand your concern. The pain after Shingles is very severe, current like/burning type, radiates to a particular dermatome as you mentioned. It can be treated by
- Avoid touching/scratching/pouring warm water over it.
- Applying capsaicin ointment locally at pain site.
- Lidocaine patch to get relief for long term.
- Taking neuropathy pain killers like
Gabapentine (usual adult dose is 300mg what I prescribe)
Pregabaline (usual adult dose is 150-450mg what I prescribe)
Combination of Gabapentine or Pregabaline with Nortriptyline
Oxcarbamazepine therapy
- If still no relief, you can also take opioid agonists along with above medication like tramadol, hydrocodone (only after prescription).
- If still no relief, nerve ablation therapy with alcohol/phenol/radiofrequency ablation can also be done. It is attempted upon the involved nerve root.
I think this much treatment will help you. If you have nay doubt, please let me know.
I will be happy to help you.
Thanks. Take care.
Post Shingles neuropathic pain killer treatment
Detailed Answer:
Hi Larrybatery, thanks for asking from HCM.
I can understand your concern. The pain after Shingles is very severe, current like/burning type, radiates to a particular dermatome as you mentioned. It can be treated by
- Avoid touching/scratching/pouring warm water over it.
- Applying capsaicin ointment locally at pain site.
- Lidocaine patch to get relief for long term.
- Taking neuropathy pain killers like
Gabapentine (usual adult dose is 300mg what I prescribe)
Pregabaline (usual adult dose is 150-450mg what I prescribe)
Combination of Gabapentine or Pregabaline with Nortriptyline
Oxcarbamazepine therapy
- If still no relief, you can also take opioid agonists along with above medication like tramadol, hydrocodone (only after prescription).
- If still no relief, nerve ablation therapy with alcohol/phenol/radiofrequency ablation can also be done. It is attempted upon the involved nerve root.
I think this much treatment will help you. If you have nay doubt, please let me know.
I will be happy to help you.
Thanks. Take care.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
