Dr. Rajesh Shah's advice on Post Herpetic Neuralgia

Homeopathy is strongly recommended for Post Herpetic Neuralgia
Life Force team has treated over 1000 cases of various forms of Neuralgias

Post Herpes Neuralgia

What is Post Herpetic Neuralgia?

Post herpetic neuralgia is a nerve disease occurs after an attack of herpes zoster infection. Herpes zoster or ‘shingles’ is a viral infection which affects the skin, especially sides of the chest, caused by varicella zoster virus. This is the same virus which causes chicken pox in children.

After an episode of herpes, the virus remains dormant in the nerve tissues of the body. This virus may become active when the immunity of the individual reduces or during convalescence after a major illness, resulting in blisters on the skin, known as shingles. It is accompanied with a rash which disappears without major consequences in about two to four weeks. Around 50% of individuals with shingles go on to develop post herpetic neuralgia (PHN) or after-shingles pain.

The neuralgia begins when the herpetic eruptions begin to heal. The pain appears usually in the affected dermatone or the affected nerve course and results in severe pain in the region which has the same nerve supply. The pain is a drawing, pricking type of intense pain, sometimes accompanied with burning sensation of the skin. The pain lasts from a few weeks to few months, rarely years.

Causes/risk factors

  • Severe rash within three days of shingles infection
  • A study shows that, 65% of patients were women
  • The chances of developing PHN, increases when the shingles occurs in persons over 50 years.
  • The incidence of herpes zoster is up to 15 times higher in HIV-infected patients than in uninfected persons, and as many as 25 percent of patients with Hodgkin's lymphoma develop herpes zoster.
  • Blacks are one fourth as likely as whites to develop this condition.
  • Site of HZ involvement
    • Lower risk - Jaw, neck, sacral, and lumbar
    • Moderate risk - Thoracic
    • Highest risk - Trigeminal (especially ophthalmic division), brachial plexus

Signs and symptoms

  • A pain that continues for 3 months or more, after the healing of shingles, is defined as PHN.
  • PHN pain may be burning, aching, itching and sharp and the pain can be constant or it can come and go
  • The skin which was affected with blisters, may show scarring
  • The involved deramatome may show altered sensations, either hypersensitivity or reduced sensitivity.
  • In rare cases,where if the nerves involved also control muscle movement, the patient might also experience muscle weakness, tremor or paralysis

Treatment

The conventional treatment is directed at pain control while waiting for the condition to resolve. Pain therapy may include multiple interventions, such as topical medications, over-the-counter analgesics, tricyclic antidepressants, anticonvulsants and a number of non medical modalities. Occasionally, narcotics may be required.

Homeopathic approach

Homeopathy works well in cases of neuralgias. Homeopathic medicines have proven efficacy in the treatment of all sorts of neuralgia which include Post herpatic Neuralgia, Trigeminal Neuralgia, etc.

Case studies of Post Herpetic Neuralgia

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Post Herpes Neuralgia Case Studies

Thirty-four-year-old lady, Mrs. L.S. (Patient Identification No: 10550) visited Life Force on 5th April 2008 for the treatment of Headache and muscular pains.

She presented with complaints of tension headache since 1-2 years. She suffered from left-sided headache. Pain would settle over.....Read more

A 60-year-old lady, Mrs. R. A. L. (PIN: 36402) approached Life Force in April 2018 with the complaints of severe pain in her right heel for the past five to six months. She had already done X-ray of her heel which was suggestive of a calcaneal spur on the plantar aspect of the right heel. She com.....Read more

Ms. C.S.D. aged 22 years (Patient Identification Number 15635) visited the clinic on 11 March 2011 for the treatment of Urticaria. She was suffering from Urticaria since last five years.

Ms. C.S.D presented with severe Urticaria. She had severe itching all over the body with reddish eru.....Read more

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