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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Pain Due To Shingles Be Treated?

I have post Singles nerve pain for almost a year now. I read where it could last anywhere from a few months or perhaps years. I have been taking gabapentin and Tramadol to help with the pain. Currently going to acupuncture treatments. Says he can help me. Has treated others. Don t know where else to turn, if he can t. Also says my immune system is low and taking homeopathic drops. Everything I have read is that no one knows how to cure it. I am so tired of being in constant pain. It is on my right side right at my waist line. My EMail is YYYY@YYYY
Wed, 17 Oct 2018
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General & Family Physician,  's  Response
Hi,

I am sorry to hear about for long-term pain. I will try to answer your question as simple as possible with the best of my knowledge. The pain after singles is known as post-herpetic neuralgia.

The postherpetic neuralgia may be treated with capsaicin ointment, 0.025–0.075%, or lidocaine (Lidoderm) topical patches.

Chronic postherpetic neuralgia may be relieved by regional blocks (stellate ganglion, epidural, local infiltration, or peripheral nerve), with or without corticosteroids added to the injections.

Tricyclic antidepressants, such as Amitriptyline orally as a single nightly dose, are the first-line therapy beyond simple analgesics.

Gabapentin, up to 3600 mg orally daily (starting at 300 mg orally three times daily), or duloxetine, up to 60–120 mg orally daily (starting at 30–60 mg orally daily) may be added for additional pain relief.

Long-acting opioids may be appropriate.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Waqqas Shaheen, General & Family Physician
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How Can Pain Due To Shingles Be Treated?

Hi, I am sorry to hear about for long-term pain. I will try to answer your question as simple as possible with the best of my knowledge. The pain after singles is known as post-herpetic neuralgia. The postherpetic neuralgia may be treated with capsaicin ointment, 0.025–0.075%, or lidocaine (Lidoderm) topical patches. Chronic postherpetic neuralgia may be relieved by regional blocks (stellate ganglion, epidural, local infiltration, or peripheral nerve), with or without corticosteroids added to the injections. Tricyclic antidepressants, such as Amitriptyline orally as a single nightly dose, are the first-line therapy beyond simple analgesics. Gabapentin, up to 3600 mg orally daily (starting at 300 mg orally three times daily), or duloxetine, up to 60–120 mg orally daily (starting at 30–60 mg orally daily) may be added for additional pain relief. Long-acting opioids may be appropriate. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Waqqas Shaheen, General & Family Physician