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Suggest treatment for shingles and numbness in leg and ankle

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Posted on Tue, 15 Jul 2014
Question: Diagnosed with severe Shingles on 6-5-14. The outbreak was or is on my right lower buttocks, involving the inner thigh and leg. After treatment with Famciclovir 5000mg tid for 7 days, I seemed to get better.
Five days after medication stopped, another breakout, this time more severe and starting to get the numbness in my leg,ankle and right foot. I was put on Gabapentin 300mg tid. No change in discomfort and not able to tolerate this medication. Anew dose of 100mg tid was given to me today.
My concern is the possible nerve damage to my foot and ankle. I am not able to get an appointment with a neurologist until July 8. Can this be something permanent and can it get worse. Unable to get any answers from myNP.
Thanks for you help
doctor
Answered by Dr. Anshul Varshney (6 hours later)
Brief Answer:
Is is due to nerve invovement by shingles

Detailed Answer:
Hello dear,
Welcome to HCM.
I have read your query and understood your concern.

It seems that you have been suffering from a condition called post herpetic neuralgia. It is a condition characterized by numbness or pain along the distribution of the nerve of the area affected by shingles.With postherpetic neuralgia, a complication of herpes zoster, pain may persist well after resolution of the rash.
It is usually a self limiting condition. But in some, treatment is required for symptomatic relief.

For this, carbamazepine is a drug of choice. Other various oral drugs helpful in this are amitriptyline , phenytoin, pregabelin, gabapentin. various topical creams like lidocaine, capsaicin are also advised.

But cause for recurrence of shingles should be evaluated. For this, i would like to know following details:
1) What about your diabetic status?
2) History of any illness or chronic disease associated with episode of shingles?
3) Any history of mediication for another disease?

Kindly get back to me with reply of above questions.
You may discuss my opinion with your treating doctor. I am sure he/she will agree with this.

Stay healthy

If you have any further query, please ask me.
Stay Healthy.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Anshul Varshney

Internal Medicine Specialist

Practicing since :2009

Answered : 3071 Questions

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Suggest treatment for shingles and numbness in leg and ankle

Brief Answer: Is is due to nerve invovement by shingles Detailed Answer: Hello dear, Welcome to HCM. I have read your query and understood your concern. It seems that you have been suffering from a condition called post herpetic neuralgia. It is a condition characterized by numbness or pain along the distribution of the nerve of the area affected by shingles.With postherpetic neuralgia, a complication of herpes zoster, pain may persist well after resolution of the rash. It is usually a self limiting condition. But in some, treatment is required for symptomatic relief. For this, carbamazepine is a drug of choice. Other various oral drugs helpful in this are amitriptyline , phenytoin, pregabelin, gabapentin. various topical creams like lidocaine, capsaicin are also advised. But cause for recurrence of shingles should be evaluated. For this, i would like to know following details: 1) What about your diabetic status? 2) History of any illness or chronic disease associated with episode of shingles? 3) Any history of mediication for another disease? Kindly get back to me with reply of above questions. You may discuss my opinion with your treating doctor. I am sure he/she will agree with this. Stay healthy If you have any further query, please ask me. Stay Healthy.