Herpetic Neuralgia (Postherpetic Neuralgia) Treatment in Atlanta, Marietta, and Fayetteville, GA
Herpetic neuralgia, also known as postherpetic neuralgia (PHN), is nerve-related pain that may persist after a shingles outbreak (varicella-zoster virus infection) has resolved. This condition can cause burning, stabbing, or aching sensations that interfere with daily living. At Regenerative Spine & Pain Specialists, we provide tailored diagnostic and treatment strategies in Atlanta, Marietta, and Fayetteville, GA, to help individuals manage PHN symptoms and support overall quality of life.
Postherpetic neuralgia is a complication of shingles where the varicella-zoster virus causes lasting nerve irritation or damage. Even after the rash clears, affected nerves may continue to send pain signals to the brain, resulting in ongoing discomfort.
Common symptoms include:
Burning sensation in the affected dermatome
Sharp, shooting, or electric-like pain
Increased sensitivity to touch (allodynia)
Persistent discomfort several months after infection
PHN develops when shingles damages peripheral nerves, altering their normal signaling. Risk factors include:
Older age
Severe or widespread initial shingles rash
Delayed antiviral treatment
Weakness in immune response
Early management of shingles may reduce the risk of developing persistent PHN.
Our comprehensive assessment includes:
Reviewing your shingles and medical treatment history
Detailed symptom evaluation and pain mapping
Physical and neurological exam of the affected region
Optional imaging or diagnostic nerve block in select cases
Accurate diagnosis ensures that treatment targets the appropriate nerves and areas.
Treatment is personalized and may include:
Nerve blocks or peripheral injections to interrupt pain signaling pathways
Medication management for nerve pain sensitivity (e.g., topical agents, oral neuromodulators)
Spinal cord stimulation when conventional treatments are insufficient
Regenerative therapy in select cases where nerve support may be indicated
Physical therapy and desensitization techniques to restore function and comfort
All treatment plans are discussed comprehensively with the patient and tailored to the clinical context.
Some patients may experience gradual improvement within several weeks
Sensitivity and discomfort may fluctuate over time
Follow-up care helps optimize pain modulation and functional goals
Treatment aims to support daily functioning while minimizing reliance on high-dose medications
Our experienced providers—including Dr. Zwade Marshall, Dr. and Jennifer Xiong—offer:
Specialized expertise in neuropathic and post-infection pain
Access to minimally invasive and image-guided interventions
Comprehensive, patient-centered treatment planning
Convenient clinics in Fayetteville & Atlanta, GA