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Arthritis  (Expert Forum)
 | 
is there an underlying link to my symptoms?
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com

is there an underlying link to my symptoms?

by suzyq1101, Jan 29, 2005 12:00AM
36 yr old female, petite build, no smoke, no drink, healthy professnl, don't take any medication whatsoever.  diagnosed with reynauds several yrs ago.  tried nifedipene but couldn't take because dropped my blood pressure too low (normal is 90 over 60). has gotten a bit worse over the years.  Recently found out I have HPV virus and very aggressive cell change.  Negative for all other STDs/related.  last week I noticed one or two small red bumps on my right side under armpit on the edge of my right breast.  area was very itchy.  turned into a half-dollar size rash, very itchy yellowish and red bumps.  No pain except when push on bumps.  Dermatologist said I have shingles and prescribed valtrex-currently taking. I frequently have itchy red bumps which turn into liquid filled painful blisters on my fingers then crust up and go away bt not now.  The last few weeks I've had daily sporadic numbness in last three fingers on left hand most notable the ring finger. each bout lasts at least several minutes and mostly in evening/night.  Since taking the valtrex my right elbow is in pain all the time.  can't bend straight or pull or hold things.  pain from inside, not injured.  I feel like I'm falling apart.  Thank you kindly for your time.

by Kevin Pho, MD, Jan 31, 2005 12:00AM
Shingles can lead to a neuropathic discomfort - such as pain or burning.  At times this can last a few weeks to a few months.  

There are several medications that can be used to treat this.  This can include Neurontin, tricyclic antidepressants, or a lidoderm patch.  In most cases, your physician should be able to come up with a combination that should help manage the discomfort.

If not, you can consider a neurology referral or be referred to a pain management specialist.

I would discuss these options with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
Medical Weblog:
kevinmd_b
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