3 Homeopathic Medicines for Postherpetic Neuralgia

Post Herpetic Neuralgia (PHN) is a complication of Herpes Zoster also known as Shingles. Herpes Zoster is a viral infection caused by reactivation of Varicella Zoster virus (it is the same virus that causes Chicken Pox). Herpes Zoster is characterized by painful rash or blisters (fluid-filled bumps) on skin. The rash will only be on one side of the body, either right or left, in a particular area in a band like pattern. If the pain of Herpes Zoster continues for more than three months in the affected skin areas after the skin rash has healed, then it is known as Post Herpetic Neuralgia. In one out of five people who get infected by Herpes Zoster, the person will have nerve pain following the healing of rash. The pain may vary from discomfort to severe, stabbing pain. Along with pain, burning, increased sensitivity, weakness of affected skin area may also arise. The pain may continue for weeks, months or even a year after the rash has healed. Homeopathic medicines for Post Herpetic Neuralgia are deep acting remedies that can help resolve the problem. 

Homeopathic Treatment Of Post Herpetic Neuralgia (PHN)

Homeopathy is highly effective in treating neuralgic complaints i.e. nerve pain. As a first step, Homeopathy controls the intensity and frequency of pain in Post Herpetic Neuralgia. Then the medicines work to remove the chronic pain. The burning sensation, hypersensitivity associated with this condition also heals with the administration of homeopathic remedies. Apart from PHN, other kind of nerve pains that find proper treatment in homeopathy include sciatica, trigeminal neuralgia, and intercostal neuralgia.

Top Homeopathic Medicines For Post Herpetic Neuralgia (PHN)

The top most recommended homeopathic medicines to treat PHN are Mezereum, Ranunculus Bulbosus and  Rhus Tox.

1. Mezereum – For Postherpetic Neuralgia With Intense Burning

Mezereum is rated among the best medicines for Post Herpetic Neuralgia. It is the best-suited prescription when PHN pains are violent and are attended with marked burning sensation. Mezereum is the most helpful among medicines for PHN in relieving post-herpetic pains on the face. The pain in the face may get worse while eating. Warmth brings relief. Mezereum also helps during active Herpes Zoster when eruptions arise on the skin. The key symptoms to look out for before prescribing Mezereum during Herpes Zoster infection are violently itching vesicles with shining red areola and intense burning.

2. Ranunculus Bulbosus – For Pains Coming In Paroxysms (sudden attack)

Another prominently indicated medicine for PHN is Ranunculus Bulbosus. It is indicated for sharp, shooting PHN pains that come in paroxysms. It is also one of the top listed medicines for intercostal neuralgia following herpetic infection. Ranunculus Bulbosus is also indicated for Herpes Zoster when the vesicle eruptions are bluish in color. The eruptions are attended with itching and burning symptoms which worsen on contact.

3. Rhus Tox – One Of The Best Medicines For Postherpetic Neuralgia

Rhus Tox also figures on the list of highly effective medicines for Post Herpetic Neuralgia. It is one of the best medicines for PHN where the pains are attended with marked restlessness. The skin is sensitive to cold air in such cases. In Herpes Zoster, Rhus Tox is the most preferred among medicines when the vesicles are yellowish with itching and stinging.

4. Arsenic Album – To Manage Burning Sort of Nerve Pains

Arsenic Album is a highly recommended medicine when a person complains of burning pains after healing of Herpes Zoster eruptions. The burning pain is very severe at night. Arsenic Album is also given to manage itching on the skin. Restlessness can attend these symptoms. It is also indicated to manage active Herpes Zoster outbreak when marked burning pain is felt in the eruptions. These eruptions might be covered with scales like fish scales in most of the cases.

5. Dolichos – To Manage Skin Itching Without Any Rash Or Eruptions

Dolichos is yet another natural remedy to relieve Post Herpetic Nerve pains. Besides relieving pains, it can also be used to manage skin itching occurring without any rash or eruptions. For Herpes Zoster, this medicine is mostly indicated when eruptions begin in the armpit, especially on the left side that spreads to the sternum (bone in middle of chest) and to the spine. It is accompanied by smarting and burning sort of pain.

6. Merc Sol – For Burning Sensation On Touching Affected Skin Area

Merc Sol is useful for burning sensation felt on the affected skin when it is touched. In case of herpes eruptions, it can be given when eruptions tend to be filled with pus with intense itching and burning. The eruptions may spread from the back to the abdomen.

7. Zincum Met – Great Nerve Remedy To Manage Nerve Pain

Zincum Met is a magnificent medicine to manage nerve pains related to various problems. In case of Herpes Zoster, it is usually used when lancinating pains in eruptions occur. Following healing of eruptions, the nerve pain continues. The eruptions may show tendency to suppurate (pus formation).

What Are The Symptoms Of PHN?

The symptoms appear on the skin area affected with Herpes Zoster eruptions and are usually one sided.

1. Pain after rash of Herpes Zoster has healed – Pain remains for 3 months or more. In some cases, it may last for one year or more. Pain can be aching, sharp, stabbing, throbbing, electric shock like, or burning on nature. The pain can be continuous or intermittent. Pain may get worse at night or from cold or hot temperature.

2. Even slightest touch on the affected area is painful, this area may also be sensitive to cold air.

3. Numbness, tingling or itching on affected skin region, though it is not very common

4. Very rarely muscle weakness and tremors occur, if the affected nerve involved controls muscle movement too

5. Scarring on skin on affected area may be seen

What Are The Causes Behind Post Herpetic Neuralgia?

Post Herpetic Neuralgia, as mentioned in the beginning, is a complication of Herpes Zoster. Herpes Zoster is a viral disease leading to painful skin eruptions caused by varicella-zoster virus. Varicella Zoster virus is the virus that causes chicken pox when a person gets infected with this virus initially for the first time. Though the person recovers from chicken pox within weeks, the virus remains in the nerve cells in an inactive state. This virus can reactivate anytime it finds a suitable environment like low immunity, some sort of medicines, etc. When the dormant virus gets reactivated, it leads to Herpes Zoster or Shingles with painful skin eruptions. The Herpes Zoster rash resolves within two to four weeks’ time. In some cases, even after the skin eruptions completely resolve, the pain continues for months or years together. This nerve pain that persists for more than three months is referred to as Post Herpetic Neuralgia. The PHN results from damage to nerve fibres caused by Herpes Zoster virus. As a result of damaged nerve fibers, the message of transmission from skin to brain cannot be passed normally. This nerve gets muddled resulting in the transmission of random pain signals to brain when pain is burning excruciating type.

Risk Factors

Certain factors increase the risk of PHN as follows:

1. Old age: The risk of PHN increases with age. Those above 50 yrs of age are at risk, PHN is rare under 40 yrs of age.

2. Herpes Zoster on the face or trunk (body part except head, neck and limbs)

3. Weak immune system: Immnuity of the body may be compromised due to certain medical conditions like cancer, HIV or certain medications like steroids, chemotherapy, immunosuppressant medicines.

4. If intensity of skin rash was highly intense

5. Women are more at risk than men

6. Diabetes

Complications

The long lasting pain can lead to tiredness, problems with sleep, poor appetite, depression and poor concentration.

Diagnosis

It can be diagnosed based on the set of symptoms provided by the sufferer along with a history of Shingles. No tests are required in most cases to confirm diagnosis of Post Herpetic Neuralgia.