Postherpetic Neuralgia

Postherpetic Neuralgia (PHN) is a chronic nerve pain condition that can develop after a shingles outbreak. The pain can linger for months or even years, after the skin rash heals, often impacting sleep, mood, and overall quality of life. At Covenant Spine and Neurology, our board-certified specialists understand the complexity of this condition and are dedicated to providing advanced, compassionate care for every patient. Our approach combines cutting-edge diagnostics, individualized treatment plans, and ongoing support to relieve pain, restore comfort, and help you return to the activities you enjoy.

Understanding Postherpetic Neuralgia

Postherpetic Neuralgia occurs when the varicella-zoster virus (the same virus that causes chickenpox and shingles) damages nerve fibers. After a shingles outbreak, the affected nerves can send exaggerated or faulty pain signals to the brain, even after the skin heals.

 

Common symptoms include:

 

  • Burning, sharp, or stabbing pain in the area where the shingles rash occurred

  • Heightened sensitivity to touch, temperature, or clothing

  • Itching or numbness in the affected skin

  • Fatigue, anxiety, or depression due to chronic discomfort

Although the condition is most common in older adults, it can affect anyone who has had shingles. Early diagnosis and prompt treatment are essential to prevent long-term complications.

Comprehensive Diagnosis and Evaluation

At Covenant Spine and Neurology, we begin with a thorough neurological assessment to determine the extent of nerve damage and identify the most effective treatment path. Our diagnostic process may include:

 

  • A detailed review of your medical history and symptoms

  • Physical and neurological examinations

  • Nerve conduction studies (NCS) and electromyography (EMG)

  • Imaging tests to rule out other causes of nerve pain

This detailed evaluation allows our team to distinguish postherpetic neuralgia from other pain disorders and tailor care to your unique needs.

Individualized Treatment Options for Postherpetic Neuralgia

Because every patient experiences nerve pain differently, our specialists create personalized treatment plans designed to relieve symptoms, calm nerve activity, and improve day-to-day function.

 

1. Medications and Pain Management

 

Certain medications can help reduce nerve pain and improve comfort, including:

  • Anti-seizure drugs (gabapentin, pregabalin) to stabilize nerve activity

  • Antidepressants that modify how your brain interprets pain signals

  • Topical creams or patches containing lidocaine or capsaicin

  • Pain relievers or anti-inflammatory medications for short-term symptom control

2. Interventional Pain Procedures

 

For patients with more severe or persistent pain, we offer targeted, minimally invasive options such as:

  • Nerve Blocks: Injections that interrupt pain signals from affected nerves.

  • Epidural Injections: Deliver medication directly around the spinal nerves to reduce inflammation and pain.

  • Radiofrequency Ablation (RFA): Uses controlled heat to disrupt overactive pain pathways.

These advanced interventions can offer long-lasting relief and help patients regain mobility and independence.

 

3. Integrative and Supportive Therapies

 

Comprehensive care for postherpetic neuralgia also includes strategies that address the emotional and physical impact of chronic pain, such as:

  • Physical therapy to improve strength and flexibility

  • Relaxation techniques and stress management

  • Nutritional guidance and supplements to support nerve healing

  • Counseling or support groups for emotional well-being

Ongoing Care and Long-Term Wellness

Managing postherpetic neuralgia is a journey, not a one-time visit. Our team provides ongoing monitoring to adjust your treatment as needed and ensure consistent pain control. We also work closely with primary care physicians, dermatologists, and pain specialists to coordinate your care and deliver the best possible outcomes. Our goal is not only to reduce pain but also to help you restore your quality of life through personalized, long-term support.

Why Choose Covenant Spine and Neurology

  • Board-certified neurologists and pain management specialists

  • Advanced diagnostics for accurate, early detection

  • Evidence-based treatments tailored to your needs

  • Compassionate, patient-focused care at every stage

  • Convenient locations throughout North Carolina

At Covenant Spine and Neurology, we treat the whole person—not just the pain—helping you take back control of your health and well-being.

Find Relief from Nerve Pain After Shingles

You don’t have to live with chronic nerve pain or discomfort after shingles. The experts at Covenant Spine and Neurology offer advanced treatment options and compassionate care to help you find lasting relief. Click here to schedule an appointment or find one of our locations near you to take the first step toward recovery today.

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For more information or to schedule an appointment call us at 336-761-4020.

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