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Post-Herpetic Neuralgia

Request an appointmentColorado (720) 749-5599Arizona (602) 325-2024
Close-up of a person's back showing red, raised skin bumps and patches, possibly indicating skin inflammation or a skin condition.
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Post-Herpetic Neuralgia Treatment Starts Here

Post-Herpetic Neuralgia Pain Management at Mountain View Pain Center

Post-herpetic neuralgia (PHN) is lingering nerve pain that can persist after a shingles infection. Even after the rash heals, some people experience burning, stabbing, or highly sensitive pain in the same area. At Mountain View Pain Center, we help evaluate your symptoms and build a plan focused on pain relief, function, and quality of life.

Next step

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Symptoms

Common symptoms of post-herpetic neuralgia

  • Burning, stabbing, or shooting pain in a specific area
  • Pain in the same region where a shingles rash occurred
  • Extreme sensitivity to touch (clothing, sheets, light contact)
  • Itching, tingling, or numbness in the affected area
  • Pain that worsens at night or with stress/fatigue
  • Episodes of electric-like “zaps”
  • Sleep disruption due to discomfort
  • Ongoing tenderness long after the rash has healed
Causes

Causes & contributing factors

  • Nerve irritation/damage following shingles
  • Higher risk with increasing age (common risk factor)
  • Severe shingles pain during the initial outbreak (can increase risk)
  • Delayed treatment of shingles (sometimes discussed as a contributor)
  • Stress and poor sleep can amplify nerve sensitivity
  • Sensory changes that persist even after skin appearance returns to normal

When to Seek Urgent Care
Seek urgent evaluation if you have sudden one-sided weakness, facial droop, slurred speech, severe headache, sudden loss of balance, or rapidly worsening symptoms. If you have reduced sensation plus new wounds, spreading redness, drainage, or signs of infection, seek prompt medical evaluation.

Diagnosis

How We Evaluate Post-Herpetic Neuralgia

We start by confirming the timeline of shingles symptoms and where pain persists. Your visit may include a review of pain pattern, sensitivity, and how symptoms impact sleep and daily activity. Because PHN follows a distinct pattern, evaluation typically focuses on symptom history, functional impact, and screening for red flags or other causes if anything is atypical. If additional testing or referral is appropriate, we’ll guide the next steps.

Treatment

How We Treat Post-Herpetic Neuralgia

Care is tailored to your symptom severity and goals, with a focus on comfort, safety & function.

Pain Management

Options to help manage nerve-related pain and improve day-to-day comfort when appropriate.

Physical Therapy

Movement and conditioning strategies to maintain function, reduce guarding, and support activity tolerance when pain leads to reduced movement.

Chiropractic Care

Hands-on care to support mobility and reduce contributing tension patterns, tailored to your comfort and symptom sensitivity.

Acupuncture

A supportive option that may help reduce discomfort and improve relaxation as part of a broader plan.

Treatments We Commonly Recommend

  • Strategies to reduce sensitivity triggers (touch/friction management)
  • Gradual return-to-activity plan to avoid deconditioning
  • Sleep-support strategies when pain flares at night
  • Relaxation/stress reduction support (often helpful for nerve sensitivity)
  • Symptom management plan tailored to your goals
At home

Home Care & Quick Relief

  • Ice for 10–15 minutes at a time if it helps reduce discomfort
  • Avoid friction triggers when possible (soft clothing, gentle fabrics)
  • Use pacing: break tasks into smaller chunks during flare-ups
  • Gentle movement as tolerated to avoid stiffness and deconditioning
  • Aim for consistent sleep routines (night flares are common)
Treatment

Find Post-Herpetic Neuralgia Treatment Today

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  • Conditions We Treat
  • Our ServicesPain ManagementPhysical TherapyChiropractic CareAcupuncture
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Peripheral NeuropathyDiabetic Peripheral NeuropathyNumbness & TinglingNeuropathiesTrigeminal Neuralgia
By metro

Where to be treated for Post-Herpetic Neuralgia

Every clinic below has Chiropractic, Physical Therapy, Acupuncture and Pain Management on one chart, so care can move between them without a new referral.

Denver metro

Downtown out through the north, west, south and east suburbs.

  • Downtown Denver
  • Central Park, Denver
  • Lowry, Denver
  • Northglenn
  • Lakewood
  • Littleton
  • Highlands Ranch
  • Lone Tree
  • SE Aurora
  • Southlands, Aurora
  • Lafayette

Colorado Springs

Academy, Interquest and Tenderfoot cover the north, central and south of the city.

  • Academy
  • Interquest
  • Tenderfoot

Northern Colorado

Harmony in Fort Collins and our Greeley clinic serve Larimer and Weld counties.

  • Harmony, Fort Collins
  • Greeley

Arizona

Across the Valley, from the West Valley through Phoenix to the East Valley.

  • Deer Valley, Phoenix
  • NW Phoenix, Dunlap
  • Glendale, Westgate
  • Peoria
  • Mesa
  • Chandler
Before you come in

Post-Herpetic Neuralgia FAQs

What is post-herpetic neuralgia?

It’s nerve pain that persists after shingles. Pain can continue even after the rash resolves.

How long can post-herpetic neuralgia last?

It varies. Some people improve in months, while others have longer-lasting symptoms. Our goal is symptom relief and improved quality of life.

Is PHN contagious?

PHN itself isn’t contagious. Shingles comes from reactivation of the chickenpox virus; your medical team can advise on contagious periods during an active rash.

Why is the area so sensitive to touch?

PHN can cause nerves to become hypersensitive, so light contact (clothing, sheets) may feel painful.

What treatments help most?

Many patients benefit from a coordinated symptom management plan that may include Pain Management options and supportive therapies to improve comfort and function.

Do I need a referral to schedule?

Often, no. Some insurance plans require a referral or authorization - if you’re unsure, we can help verify.

Can post-herpetic neuralgia start months after the rash cleared?

Yes. The rash can settle completely while the injured nerve keeps sending pain signals, which is why the timing does not always line up with how the skin looks.

What does the first visit involve?

An examination and a history rather than a treatment handed over on arrival. The provider maps where the pain sits, tests what the skin and the nerve are doing, and says what the plan would be before anything is started.

You do not have to live with this while it sorts itself out.

Post-Herpetic Neuralgia is treated at every Mountain View Pain Center clinic in Colorado and Arizona — see the full clinic map, Colorado or Arizona.

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Mon: 8:00 am - 6:00 pm
Tue: 8:00 am - 6:00 pm
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