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Cure for PHN From Shingles

When the pain of shingles continues after the rash has cleared up (postherpetic neuralgia, or PHN), a number of steps are taken to provide sufferers with pain relief. Although it is not always possible to attain full relief from the pain of PHN, many people have their level of pain significantly decreased using these methodologies.

  1. Antidepressants, Anticonvulsants and Corticosteroids

    • Seth John Stankus, MAJ, MC, and others report the use of some tricyclic antidepressants and anticonvulsants to treat the pain of PHN. To treat PHN, these medications are given in lower than usual doses; in addition to treating pain, anticonvulsants help people with severe PHN pain sleep.

      Corticosteroid injections may also be used in the management of PHN pain. Injected corticosteroids reduce swelling and nerve damage and are also used in the treatment of shingles outbreak.

    Opioid Painkillers

    • Over-the-counter pain medication is not useful in the treatment of the severe pain associated with PHN. Instead, narcotic (opioid) pain medication can be prescribed; concern over addiction should be discussed with and monitored by health-care professionals.

    TENS

    • TENS (transcutaneous electronic nerve stimulation) along with spinal cord and peripheral nerve stimulation are methodologies that use electrodes to provide relief as needed. The Mayo Clinic reports that this treatment may provide relief by stimulating the release of endorphins.

    Topical Relief

    • Capsaicin cream can topcial local relief, though some people will experience a strong burning sensation during application. Lidocaine patches can also be fitted to the area to provide transdermal pain relief. Nerve blocks may also be administered.

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