Jianbo W, Koshy E, Mengting L, Kumar H.Clinical and psychosocial correlates of post-herpetic neuralgia. Journal of Medical Virology. Volpi A, Gatti A, Pica F, Bellino S, Marsella L, Sabato A.Chaves, M.D., et al Chickenpox Exposure and Herpes Zoster Disease Incidence in Older Adults in the U.S. Mueller, PhD, et al Clinical Features, Molecular Pathogenesis of Disease, and Latency 2008 McElhaney say other treatments include acupuncture and transcutaneous electrical nerve stimulation (TENS). Sampathkuma says selective serotonin reuptake inhibitors (SSRIs) or selective norepinephrine reuptake inhibitors (SNRIs) may help, in addition to anticonvulsants or opioids.ĭr. If tricyclic antidepressants don't work, Dr. It may also be treated with tricyclic antidepressants such as amitriptyline or nortriptyline because of their sedating effect on PHN patients, who often have trouble sleeping because of pain.
PHN is treated with topical medications such as lidocaine. Some patients think they must be imagining this pain because their rash has healed.
#After effects of shingles inback skin#
With PHN, even a light touch on the skin or someone's clothing brushing against an affected person causes severe pain. They also say PHN may occur more frequently in women. McElhaney say some shingles symptoms are predictive for PHN, such as severe rash and acute pain. In an article in the International Journal of Clinical Practice, Canadian physicians R.W. Weaver, 47 percent of adults with acute herpes zoster older than 60 develop PHN. Post-herpetic neuralgia (PHN) refers to pain occurring more than three months after the shingles rash heals.
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