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CuriouZ? ConfuZed? PuZZled? Ask Dr. Z!

	John M. Zerwas, MD

On January 1, 2003, I was diagnosed with shingles, above my right knee to just below my hip. I was given Famvir, an antiviral medication for shingles. When the lesions and redness went away, I was given Neurontin, 1500 mg./day for three months to relieve the burning, sticking pain. It did not work!

Now, after 22 months, the area of pain has been reduced to an area the size of my hand. The pain is constant and intense. I respectfully request advice and information on this dreadful and painful condition. Is there anyone or any medication that can help?

Mable, Houston

Dear Mable,

Thank you for your great question. Shingles results when the virus that causes chicken pox is reactivated and can include a rash or blisters. Some initial signs of shingles can include burning or shooting pain and tingling or itching located on one side of the body or face.

A common complication of shingles is a painful neurological condition known as postherpetic neuralgia, which can continue after the shingles outbreak has healed. The condition has symptoms that include sharp, jabbing, burning and/or aching pain in the initial outbreak area.

Finding an effective treatment for postherpetic neuralgia can be frustrating. Treatments include lidocaine skin patches, which numb the skin, oral medications (antidepressants, anticonvulsants, painkillers) and certain electrical nerve stimulators. There are also creams like capsaicin ointment, which can relieve pain. Most people can expect the discomfort to partially improve over a period of five years. As always, talk with your doctor if your symptoms persist.

Send your health-related questions and contact information to Memorial Hermann’s own chief medical officer, Dr. John Zerwas, at Membership.Services@memorialhermann.org or 9401 Southwest Freeway, Suite 1203, Houston, TX 77074. Dr. Z’s advice is intended as general medical education only.