question-icon

What causes pain in the left leg post shingles treatment?

default
Posted on Thu, 10 May 2018
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.
doctor
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
doctor
Answered by
Dr.
Dr. Ishu Bishnoi

Neurologist, Surgical

Practicing since :2007

Answered : 830 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

158 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What causes pain in the left leg post shingles treatment?

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.