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Postherpedic neuralgia
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Exuberantgirl2 posted:
HI

I had shingles ANd now have postherpedic neuralgia. I need yo know What specialist i need to week, whether is a Neurologyst or a pain management doctor,. Please let me know.
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periwinkle52 responded:
Hi there, I have the same problem. Mine is on my back, exactly in the area I can't reach! Enough to drive you crazy!!
But, the Pain Dr., I was seeing @ the time, put me on Neurontin. I would think that your Family Dr. could help you with this. I'm not !00% on this, but I don't think it is a Narcotic although it will make you sleepy if you take too many! The very good news is, IT WORKS! The way I understand it, it works on our nerves, blocking the pain signals. If you look under the "Drug Look-up" in WebMd, it will tell you exactly what kind of Drug it is. I do remember I was prescribed Neurontin once before, for Migrains.
Well, I wish you Good-Luck with it & finding the correct Doc to prescibe it! periwinkle
 
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Peter Abaci, MD responded:
Either a pain specialist or neurologist could be good choices for help with treatment as both should have training in treating post-herpetic neuralgia (PHN). PHN occurs as a result of scarring and damage of nerve fibers after a shingles reaction, and it can be a very challenging problem to manage. As you probably know, shingles is caused by the chicken pox virus, and PHN exists when the pain persists after the infection goes away. About 20% of the people who get shingles will develop PHN, and it is more common in older adults.

Some of the typical medications used to treat PHN include nerve medications like Neurontin (gabapentin), Lyrica (pregabalin), and certain antidepressants like Elavil or Cymbalta, and topical lidocaine, in an ointment or patch form, can be very helpful. Sometimes nerve blocks may be tried, but evidence is lacking for their efficacy once the problem becomes more chronic. A pain problem like PHN can often be made worse by things like stress, so exercising techniques to better manage stress or anxiety will also help.


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