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 characterised 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 the rash. The stabbing type of pain may vary from discomfort to severe. Along with pain, burning, increased sensitivity, weakness of the affected skin area may also arise. The pain may continue for weeks, months or even a year after the rash has healed.
Homeopathy is highly effective in treating neuralgic complaints i.e. nerve pain. Homeopathic medicines for post herpetic neuralgia are deep acting remedies that can help resolve the problem. As a first step, homeopathy controls the intensity and frequency of the pain. Then the medicines work to remove the chronic and recurrent pain. In mainstream medicine, painkillers, steroids, pain-relieving skin patches, anti-convulsants and anti-depressants are given to manage pain in cases of post herpetic neuralgia. These give temporary pain relief but the pain does not get cured completely. In homeopathy, the medicines are given to resolve the pain from its root and give a complete cure.
With the use of homeopathic medicines, the burning sensation, hypersensitivity, itchy feeling associated with this condition also gets healed. This is because the medicines are given keeping in mind the totality of the symptoms that work on every aspect of the disease. The symptoms though, get better gradually, may take some time but once relief sets in, the complaint gets better till it goes away completely in a few months’ time.
Homeopathy aims to fight the viral infection in PHN cases by boosting the self-healing mechanism of the body. This way it does not just work superficially; rather it works deeply to eradicate the root cause behind it. Therefore, it ensures that the condition gets treated from its origin and that too in the most harmless and natural way.
Homeopathic medicines used to treat post herpetic neuralgia are 100% safe with zero side effects as these are sourced from natural substances. These medicines are used in highly diluted doses that ensure safe recovery.
5 Top Homeopathic Medicines For Post Herpetic Neuralgia (PHN)
The top most recommended homeopathic medicines to treat PHN are Mezereum, Ranunculus Bulbosus and Rhus Tox.
The top most recommended homeopathic medicines to treat PHN are Mezereum, Ranunculus Bulbosus, Arsenic Album, Dolichos 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 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.
When to use Mezereum?
Mezereum is a highly suitable medicine to manage post herpetic neuralgia with severe burning pains.
How to use Mezereum?
This medicine can be used once a day in 30C potency.
2. Ranunculus Bulbosus – For Sharp, Stitching Pains Coming In Paroxysms (Sudden Attack)
Ranunculus Bulbosus is indicated for sharp, stitching PHN pains that come in paroxysms. It is also one of the top listed medicines for intercostal neuralgia following herpetic infection. Ranunculus Bulbosus is well 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.
When to use Ranunculus Bulbosus?
It is an excellent medicine for PHN when pains are sharp, stitching type occurring in sudden attacks
How to use Ranunculus Bulbosus?
It is advised to use this medicine in 30C power once or twice a day.
3. Arsenic Album – To Manage Burning Sort of Nerve Pains
Another prominently indicated medicine for PHN with burning pains besides Mezereum is Arsenic Album. In cases needing this medicine, 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 in most of the cases.
When to use Arsenic Album?
This medicine is well indicated to manage burning type of pains in PHN cases when pains are worse at night.
How to use Arsenic Album?
Arsenic Album 30C should be taken once a day only.
4. Dolichos – To Manage pain and Skin Itching Without Any Rash Or Eruptions
Dolichos is yet another natural remedy to relieve post-herpetic nerve pains. Along with pains there is 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.
When to use Dolichos?
Dolichos is of great use when there are pains attended with skin itching in cases of post herpetic neuralgia.
How to use Dolichos?
One may take this medicine in 30C power two to three times a day as per the intensity of the complaint.
5. Rhus Tox – For Pain With Restlessness And Sensitivity Of Skin To Cold Air
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.
When to use Rhus Tox?
This medicine can be considered in PHN cases when pain occurs along with restlessness and sensitivity of skin to cold air.
How to use Rhus Tox?
Though it can be used in different potencies but in the beginning, it is best to take it in 30C potency twice a day.
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 the slightest touch on the affected area is painful, this area may also be sensitive to cold air.
3. Numbness, tingling or itching on the 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 any time 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 persists for more than three months. 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 the skin to the brain cannot be passed normally. This nerve gets muddled, transmitting random pain signals to the brain when pain is burning, excruciating.
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: The immune system may be compromised due to certain medical conditions, such as cancer or HIV, or certain medications, such as steroids, chemotherapy, and immunosuppressant medicines.
4. Intensity of the skin rash due to Herpes Zoster is highly intense
5. Women are more at risk than men
6. Diabetes