Postherpetic Neuralgia Treatment in India

Myra Smith, a 72-year-old retired librarian,...

Myra Smith, a 72-year-old retired librarian, lives alone and values her independence. Three months ago, she developed a painful shingles rash on her left torso. While the rash healed, a severe, burning pain remained, like a hot iron pressed against her ribs, made worse by the light touch of her clothing. Over-the-counter painkillers did nothing, and the constant pain made sleeping, cooking, and even hugging her grandchildren agony. Her primary doctor referred her to a neurologist, Dr. Chen, who diagnosed Postherpetic Neuralgia (PHN). Dr. Chen explained that the shingles virus had damaged her nerves and recommended a combination approach: starting with a topical lidocaine patch for targeted relief and a low-dose antidepressant (nortriptyline) to calm the nerve pain signals. Myra was hesitant about the antidepressant but desperate for relief. After two weeks on the medication, the constant burning began to dull. With the patches, she could finally wear a soft shirt without wincing. After six weeks, her pain was manageable, a 2/10 instead of 8/10. Emotionally, she transformed from feeling isolated and defeated by the unrelenting pain to regaining hope and control. She can now enjoy quiet evenings reading and look forward to family visits without dread.