No single treatment relieves postherpetic neuralgia for everyone. They might touch the skin in different places to find the borders of the affected area. Your health care provider will check your skin. Talk to your provider for more information on how well they prevent shingles and postherpetic neuralgia. Other shingles vaccines are offered outside of the United States. With two doses, Shingrix is more than 90% effective in preventing shingles and postherpetic neuralgia. Shingrix is given in two doses, 2 to 6 months apart. Shingrix is suggested even if you've already had shingles or the older vaccine, Zostavax. The agency also suggests Shingrix for adults 19 and older who have weaker immune systems because of diseases or treatments. In the United States, the Centers for Disease Control and Prevention (CDC) suggests that adults 50 and older get a shingles vaccine called Shingrix. Ask your health care provider when you should get a vaccine. Shingles vaccines can help prevent shingles and postherpetic neuralgia. It depends on how long the postherpetic neuralgia lasts and how painful it is. People with postherpetic neuralgia can develop other problems that are common with long-term pain. You had not been vaccinated for shingles. You didn't start taking antiviral medicine within 72 hours of your rash appearing. You have a long-term disease, such as diabetes. You had a severe rash and pain that kept you from doing daily activities. With shingles, things that can raise the risk of postherpetic neuralgia are: The shingles rash is associated with an inflammation of nerves beneath the skin. The risk of postherpetic neuralgia becomes lower if you start taking virus-fighting medicines called antivirals within 72 hours of getting the shingles rash. Often the pain starts before you notice a rash. See a health care provider at the first sign of shingles. Less often, postherpetic neuralgia can cause an itchy feeling or numbness. People with postherpetic neuralgia often can't bear even the touch of clothing on the affected skin. The pain may feel burning, sharp and jabbing. Pain that lasts three months or longer after the shingles rash has healed.That's commonly in a band around the trunk of the body, most often on one side. In general, the symptoms of postherpetic neuralgia are limited to the area of skin where the shingles outbreak first happened. For most people, postherpetic neuralgia gets better over time. There's no cure, but treatments can ease symptoms. The risk of postherpetic neuralgia rises with age. The pain lasts long after the rash and blisters of shingles go away. It causes a burning pain in nerves and skin. Postherpetic neuralgia (post-hur-PET-ik noo-RAL-juh) is the most common complication of shingles.
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