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	Postgraduate Medicine: Three common neuralgias
		Neuralgia is a type of neuropathic pain that occurs in the distribution, or along the course, of a nerve.
		Postherpetic neuralgia is a chronic, often disabling, and difficult-to-treat pain syndrome that occurs after an acute herpes zoster attack.
		The risk of postherpetic neuralgia in patients with herpes zoster is estimated at 9% to 34%, but it increases with age and reaches 73% in untreated patients who are older than 70 years (16,18).
	www.postgradmed.com /issues/2004/09_04/ashkenazi.htm (3125 words)

	UCLA Portal (Site not responding. Last check: 2007-09-17)
		Postherpetic neuralgia is a chronic pain condition that sometimes follows a case of shingles.
		Postherpetic neuralgia is the condition in which damaged nerves cause pain to persist after the skin rash has cleared up.
		Another treatment for postherpetic neuralgia uses capsaicin, a compound derived from the capsicum pepper, to deplete the bodys supply of substance P. Substance P is a chemical that indirectly takes part in the transmittal of pain signals; its depletion with capsaicin can help relieve pain.
	www.medctr.ucla.edu /pls/editions-desc?edition_id=87653 (621 words)

	Acupuncture in the treatment of herpes and postherpetic neuralgia: A Bibliography
		AP techniques used in early herpes, and in postherpetic neuralgia, neuritis, pain or paralysis (1, 2, 5, 8, 13, 16, 17, 25, 26, 28, 29, 35, 38, 39, 41, 42, 45) were very varied.
		Postherpetic neuralgia is a perplexing disorder in which pain develops as a result of herpes zoster.
		Trigeminal neuralgia is the commonest example of the former, and postherpetic neuralgia, atypical facial pain, and tension head and facial pains are examples of the latter.
	users.med.auth.gr /~karanik/english/articles/herpes.html (6389 words)

	Understanding Postherpetic Neuralgia -- the Basics
		Neuralgia, as the name suggests, is nerve pain that occurs when a nerve is irritated or inflamed.
		A relatively common type of neuralgia is postherpetic neuralgia, which strikes after the type of herpes infection known as shingles.
		In postherpetic neuralgia, the nerve inflammation is caused by a recent viral infection from herpes zoster (shingles).
	www.webmd.com /content/article/8/1680_54124.htm (184 words)

	Neuralgia
		Neuralgia is caused by irritation or damage to a nerve, although the cause of the irritation is often not known.
		Trigeminal neuralgia is a disorder of the trigeminal nerve, the 5th cranial nerve that carries sensations of touch, pain, pressure, and temperature from the face to the brain.
		If neuralgia is caused by an artery or tumor compressing the nerve, or a pinched nerve, surgery may be needed to free the nerve from the source of pressure and permanently relieve the pain.
	www.hmc.psu.edu /healthinfo/no/neuralgia.htm (714 words)

	MedlinePlus Medical Encyclopedia: Neuralgia
		Sometimes, the cause of trigeminal neuralgia is a blood vessel or small tumor pressing on the nerve.
		Neuralgia may occur after infections such as shingles, which is caused by the varicella-zoster virus, a type of herpesvirus.
		Postherpetic neuralgia may be debilitating long after signs of the original herpes infection have disappeared.
	www.nlm.nih.gov /medlineplus/ency/article/001407.htm (1630 words)

	Neuralgia \| Blueprint for Health (Site not responding. Last check: 2007-09-17)
		Neuralgia is defined as an intense burning or stabbing pain caused by irritation of or damage to a nerve.
		Neuralgia is caused by irritation or nerve damage from systemic disease, inflammation, infection, and compression or physical irritation of a nerve.
		Glossopharyngeal neuralgia is an intense pain felt at the back of the tongue, in the throat, and in the ear--all areas served by the glossopharyngeal nerve.
	blueprint.bluecrossmn.com /topic/topic100587209 (1177 words)

	American Family Physician: Treatment of postherpetic neuralgia
		Acute herpetic neuralgia is characterized as burning, aching, electric-shock--like pain, or unbearable itching in association with the outbreak of a herpes zoster rash.
		Postherpetic neuralgia, persistence of the pain of herpes zoster more than three months after resolution of the rash, is relatively common, affecting 10 to 15 percent of those with herpes zoster.
		Efforts at prevention of herpes zoster and postherpetic neuralgia are important in that 40 to 50 percent of those with postherpetic neuralgia do not respond to any treatment.
	www.findarticles.com /p/articles/mi_m3225/is_4_71/ai_n11836552 (564 words)

	Information about Postherpetic neuralgia
		Postherpetic neuralgia may be debilitating long after signs of the original herpes or shingles infection has disappeared.
		Postherpetic neuralgia is caused by the reactivation of the varicella-zoster virus.
		Possible risk factors for the development of postherpetic neuralgia are ophthalmic zoster, a history of prodromal pain before the appearance of skin lesions and an compromised immune system.
	www.mamashealth.com /skin/ph.asp (228 words)

	AllRefer Health - Neuralgias (Nerve Pain, Postherpetic Neuralgia)
		The cause of trigeminal neuralgia is occasionally a blood vessel or small tumor pressing on the nerve.
		Some other neuralgias occur after certain infections such as shingles, which is caused by the varicella-zoster virus, a type of herpesvirus (postherpetic neuralgia).
		Postherpetic neuralgia can be debilitating long after signs of the original herpes infection have disappeared.
	health.allrefer.com /health/neuralgias-info.html (691 words)

	Postherpetic Neuralgia, Nerve Disorders, THE MERCK MANUAL OF HEALTH & AGING
		Postherpetic neuralgia is pain that persists after an episode of shingles (herpes zoster) has resolved.
		Postherpetic neuralgia is also more likely to occur if the immune system is weakened.
		Postherpetic neuralgia may be a constant deep aching or brief bouts of burning, excruciatingly sharp pain.
	www.merck.com /pubs/mmanual_ha/sec3/ch29/ch29c.html (441 words)

	Postherpetic neuralgia, Eastern Carolina
		Postherpetic neuralgia is a common complication of shingles (herpes zoster).
		Postherpetic neuralgia causes pain after shingles heals that lasts for at least 30 days and continues for months to years.
		You are at greater risk for developing postherpetic neuralgia if you are over the age of 50 when you develop shingles.
	www.uhseast.com /162681.cfm (295 words)

	Shingles And Postherpetic Neuralgia - Abstracts : Online Reference For Health Concerns
		Postherpetic neuralgia (PHN) is a chronic and painful condition that may occur after a herpes zoster infection.
		We studied the analgesic efficacy of an intravenous infusion of lidocaine and morphine in 19 adults with well-established postherpetic neuralgia in a three-session, randomized, double-blind, placebo-controlled trial.
		Postherpetic neuralgias required a more sophisticated approach, depending on the stage of the disease and the type of pain involved: sympathetic blockade with local anesthetic agents or injections of very low dose opioids to sympathetic ganglia, transcutaneous electrical nerve stimulation, and antidepressants or anticonvulsants.
	www.lef.org /protocols/abstracts/abstr-123.html (8155 words)

	Facial Neuralgia Resources: Postherpetic Neuralgia
		The incidence of postherpetic neuralgia is almost negligible before age 50, but at least 50% of patients older than 60 years and almost 75% beyond age 70 become affected following an attack of shingles.
		Their use may be somewhat difficult in the case of postherpetic trigeminal neuralgia as the substances can irritate the eye and skin around the eye.
		Empiric observations suggest that nerve blocks during shingles infection reduce pain, shorten the acute episode, and prevent the emergence of postherpetic neuralgia.
	facial-neuralgia.org /conditions/postherp.html (535 words)

	Postherpetic neuralgia
		The symptoms of postherpetic neuralgia are generally limited to the area of your skin where the shingles outbreak first occurred.
		Postherpetic neuralgia results when nerve fibers are damaged during a case of shingles.
		Although some people must live with postherpetic neuralgia the rest of their lives, most people can expect the condition to gradually disappear on its own within five years.
	www.cnn.com /HEALTH/library/DS/00277.html (1074 words)

	Treatment of postherpetic neuralgia
		Tricyclic antidepressants are effective in relieving postherpetic neuralgia (odds ratio 0.15 (0.08 to 0.27)).
		The risk of postherpetic neuralgia increases sharply with age, and can be as high as 50% in patients aged over 60 years and 75% in those aged over 75 years.
		Inclusion criteria were randomised controlled trials of postherpetic neuralgia, where pain had persisted for at least one month after onset of herpes zoster; at least two treatment groups.
	www.jr2.ox.ac.uk /bandolier/booth/painpag/Chronrev/AHZPHN/CP061.html (535 words)

	Shingles and Postherpetic Neuralgia of Augusta, Georgia
		Some doctors have found vitamin E to be effective for people with postherpetic neuralgia-even those who have had the problem for many years.
		The hot component of cayenne pepper, known as capsaicin, is used to relieve the pain of postherpetic neuralgia.
		Hypnosis has improved or cured some cases of postherpetic neuralgia, as well as the acute pain of shingles.
	www.universityhealth.org /18070.cfm (1524 words)

	Health Library -
		Postherpetic neuralgia is pain, headaches, and nerve problems that occur as a complication of shingles (herpes zoster).
		Postherpetic neuralgia lasts for at least 30 days and can continue for months to years.
		Postherpetic neuralgia is difficult to treat; however, early treatment of shingles with antiviral medications may prevent development of postherpetic neuralgia.
	yourhealth.healtheast.org /library/healthguide/en-us/support/topic.asp?hwid=ty6912 (242 words)

	Understanding Postherpetic Neuralgia -- Treatment
		Physicians often prescribe analgesics for mild cases of neuralgia and opioid analgesics for severe cases.
		Capsaicin (the active ingredient in cayenne pepper) in ointment form can be an effective over-the-counter remedy for postherpetic neuralgia, but wait until all the skin lesions are healed before using.
		However, the vaccine used to prevent chicken pox in children has been shown to reduce the incidence and duration of a shingles outbreak and the occurrence of postherpetic neuralgia pain in some people.
	www.webmd.com /content/article/10/1680_54749.htm?lastselectedguid={5FE84E90-BC77-4056-A91C-9531713CA348} (285 words)

	GNC - HealthNotes - Shingles and Postherpetic Neuralgia
		Some doctors have found vitamin E to be effective for people with postherpetic neuralgia—even those who have had the problem for many years.
		One case report has been published concerning an elderly woman with postherpetic neuralgia who experienced dramatic pain relief from topical application of 2 to 3 drops of peppermint oil to the affected area 3 or 4 times per day.
		Large, controlled trials using well-designed pain evaluation methods are still needed to determine the value of acupuncture in the treatment of shingles and postherpetic neuralgia.
	www.gnc.com /health_notes/healthnotes.aspx?contentid=1272002 (1276 words)

	Postherpetic Neuralgia Pain After Shingles - Patient UK
		Postherpetic neuralgia is a pain that persists in some people who have had shingles.
		Postherpetic neuralgia (PHN) is a nerve pain (neuralgia) that persists after a shingles rash has cleared.
		It is therefore not suitable for use during an episode of shingles (only on healthy skin which is painful due to postherpetic neuralgia).
	www.patient.co.uk /showdoc.asp?doc=23068951 (1084 words)

	Shingles Transcript
		Opening: This audio segment on shingles and postherpetic neuralgia is brought to you by The Resource Center of the Department of Pain Medicine and Palliative Care at Beth Israel Medical Center in New York City, and is made possible through a generous grant from The Mayday Fund.
		Postherpetic neuralgia is felt in the area of the rash.
		People with postherpetic neuralgia may become depressed, worried, and have trouble sleeping because of the pain.
	www.stoppain.org /multimedia/shingles_script.html (776 words)

	eMedicine - Herpes Zoster : Article by James E Moon, MD
		Postherpetic neuralgia is persistent or recurring pain lasting 30 or more days after the acute infection or after all lesions have crusted.
		Also known as herpes zoster oticus, geniculate neuralgia, or herpes zoster auricularis, it is caused by VZV reactivation involving the facial and auditory nerves.
		Chronic herpes zoster (postherpetic neuralgia): Primary treatments for postherpetic neuralgia include neuroactive agents such as tricyclic antidepressants, anticonvulsant agents such as gabapentin, and narcotic and nonnarcotic analgesics.
	www.emedicine.com /med/topic1007.htm (3950 words)

	eMedicine - Postherpetic Neuralgia : Article by W Alvin McElveen, MD (Site not responding. Last check: 2007-09-17)
		This condition is known as postherpetic neuralgia (PHN).
		Baron R, Saguer M: Mechanical allodynia in postherpetic neuralgia: evidence for central mechanisms depending on nociceptive C-fiber degeneration.
		Rowbotham M, Harden N, Stacey B, et al: Gabapentin for the treatment of postherpetic neuralgia: a randomized controlled trial.
	www.emedicine.com /neuro/topic317.htm (2701 words)

	Treatment of herpes zoster and postherpetic neuralgia -- Johnson and Dworkin 326 (7392): 748 -- BMJ
		Postherpetic neuralgia after herpes zoster can considerably affect quality of life.
		Established postherpetic neuralgia may be intractable and lead to considerable disability and suffering in an elderly patient's
		Bowsher D. Postherpetic neuralgia and its treatment: a retrospective survey of 191 patients.
	bmj.bmjjournals.com /cgi/content/full/326/7392/748 (1495 words)

	New Guideline Evaluates Treatments for Postherpetic Neuralgia (Site not responding. Last check: 2007-09-17)
		The guideline recommends tricyclic antidepressants, gabapentin, lidocaine patch, and opioids for treating the pain of postherpetic neuralgia.
		Postherpetic neuralgia is characterized as pain that persists more than three months after an individual has experienced shingles, a viral infection also known as herpes zoster.
		The guideline also determined that acupuncture, morphine, laser treatments, vitamin E, benzydamine cream, dextromethorphan, indomethacin, epidural methylprednisolone, iontophoresis of vincristine, lorazepam, and zimelidine aren’t beneficial in treating postherpetic neuralgia.
	www.pslgroup.com /dg/24503A.htm (452 words)

	U.S. Pharmacist
		Postherpetic neuralgia is a chronic neuropathic pain syndrome that interferes with activities of daily living and reduces quality of life in elderly patients via VZV-induced neuronal destruction and inflammation.
		Postherpetic neuralgia is the most common complication of this viral infection affecting the elderly.
		Acyclovir for treatment of postherpetic neuralgia: efficacy and pharmacokinetics.
	www.uspharmacist.com /index.asp?show=article&page=8_957.htm (1531 words)

	Herpes zoster and postherpetic neuralgia: incidence and risk indicators using a general practice research database -- ... (Site not responding. Last check: 2007-09-17)
		Herpes zoster and postherpetic neuralgia: incidence and risk indicators using a general practice research database -- Opstelten et al.
		Prevalence of postherpetic neuralgia after a first episode of herpes zoster: prospective study with long term follow up.
		Postherpetic neuralgia: the importance of preventing this intractable end-stage disorder.
	fampra.oxfordjournals.org /cgi/content/full/19/5/471 (2251 words)

	Shingles -- familydoctor.org (Site not responding. Last check: 2007-09-17)
		"Postherpetic neuralgia" is the name used when the pain of shingles lasts for a long time after the rash is gone.
		Postherpetic neuralgia is often treated with over-the-counter pain medicines and capsaicin cream (two brand names: Capsin, Zostrix).
		Some medicines that are used to treat depression and seizures can also help the nerve pain of postherpetic neuralgia.
	familydoctor.org /574.xml (823 words)

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