Understanding Postherpetic Neuralgia : Managing Shingles Pain

Postherpetic Neuralgia (PHN) is a chronic pain condition that occurs as a complication of shingles, caused by the varicella-zoster virus. While shingles itself presents as a painful rash, some individuals continue to experience severe nerve pain long after the rash has healed. This persistent pain, known as PHN, can last for months or even years, significantly affecting quality of life.

Causes and Symptoms

PHN results from nerve damage caused by the shingles virus. It affects the nerve fibers and skin, leading to prolonged pain even after the infection subsides. Symptoms include:

• Burning, stabbing, or throbbing pain in the affected area

• Sensitivity to touch or temperature changes

• Numbness or itching

• Sleep disturbances and fatigue due to constant discomfort

Treatment Options at ‘The Painex Clinic’

At The Painex Clinic, we specialise in effective treatments to alleviate PHN and restore comfort. Our expert team offers:

• Medications: Antiviral drugs, nerve pain medications (such as gabapentin or pregabalin), and topical analgesics to ease discomfort. Capsaicin and Lignocaine patches may be used.

• Nerve Blocks: Injections to numb the affected nerves and reduce pain.

• Physical Therapy: Helps improve mobility and decrease nerve sensitivity.

• Advanced Pain Management Techniques:

  • Radiofrequency Ablation: Uses heat to disrupt pain signals from affected nerves.

  • Sympathetic Blocks: Injections targeting the sympathetic nervous system using ultrasonography, fluoroscope or CT scan to reduce pain.

  • Intrathecal Pumps: Delivers pain medication directly to the spinal cord for effective relief.

  • Spinal Cord Stimulator: Uses electrical impulses to interfere with pain signals and provide relief.

Early intervention is crucial to preventing long-term nerve damage. If you or a loved one suffers from shingles pain, visit The Painex Pain Clinic for expert care and lasting relief.