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Dr. Andrew Rynne

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What causes pain in the left leg post shingles treatment?

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Dr. Ishu Bishnoi

Neurologist, Surgical

Practicing since :2007

Answered : 830 Questions

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Posted on Thu, 10 May 2018 in Bones, Muscles and Joints
Question: I think I have nerve pain from shingles. I cannot drive my car for so long without pain from my rear to my left leg to foot what meds do you recommend.
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Answered by Dr. Ishu Bishnoi 26 minutes later
Brief Answer:
Post Shingles neuropathic pain killer treatment

Detailed Answer:
Hi Larrybatery, thanks for asking from HCM.


I can understand your concern. The pain after Shingles is very severe, current like/burning type, radiates to a particular dermatome as you mentioned. It can be treated by

- Avoid touching/scratching/pouring warm water over it.

- Applying capsaicin ointment locally at pain site.

- Lidocaine patch to get relief for long term.

- Taking neuropathy pain killers like
Gabapentine (usual adult dose is 300mg what I prescribe)
Pregabaline (usual adult dose is 150-450mg what I prescribe)
Combination of Gabapentine or Pregabaline with Nortriptyline
Oxcarbamazepine therapy

- If still no relief, you can also take opioid agonists along with above medication like tramadol, hydrocodone (only after prescription).

- If still no relief, nerve ablation therapy with alcohol/phenol/radiofrequency ablation can also be done. It is attempted upon the involved nerve root.

I think this much treatment will help you. If you have nay doubt, please let me know.
I will be happy to help you.
Thanks. Take care.
Above answer was peer-reviewed by : Dr. Nagamani Ng
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