Neurology Expert Forum
Does herpes cause post-herpetic neuralgia?
About This Forum:

This forum is for questions and support regarding neurology issues such as: Alzheimer's Disease, ALS, Autism, Brain Cancer, Cerebral Palsy, Chronic Pain, Epilepsy, Fibromyalgia, Headaches, MS, Neuralgia, Neuropathy, Parkinson's Disease, RSD, Sleep Disorders, Stroke, Traumatic Brain Injury.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

Does herpes cause post-herpetic neuralgia?

I broke out in a rash on my buttocks (one check, in the center of it).  The rash started with a knife stabbing pain in that area, that was extremely painful.  Then my bladder went into severe spasms for about 3 weeks.  I had itching and numbing all, and I mean "all", over my body and dizziness that made the floor move.  Occasionally, I felt like throwing up.  I had never been so miserable in my life.  Next the rash came.  It did not come all at once.  One bump would appear, then 3 days later another, and this continued til I had about 5 bumps.  The rash never hurt.  I did not have burning when I urinated and there was no vaginal discharge.  I assumed that I had shingles and a bladder infection, since the urine showed white blood cells.  A year later I am still suffering with burning and numbing about 50% of the time. (it used to be all of the time)  The rash has come back, after having 3 days of nausea.  My question to you is this:  Could this be herpes simplex and could it cause this terrible neuralgia that I am feeling?  Or, could I possibly still be fighting the shingles?  From everything I have read, my symptoms fit the shingles, not herpes.  Oh, by the way, I have NEVER had this bumps on my private parts.  Thanks you.
Related Discussions
Avatar_n_tn
Dear Maggie:

Yes, shingles could give you symptoms as you described.  Was there a preceding illness or stressor before the initial neuralgia?  There is always the possibility that you could have HSV II or genital herpes, but your lifestyle would give you an indication as well as vaginal lesions.  I would lean toward the shingles.  Usually, we do not see shingles unless there is stress, disease (diabetes etc) or other illness.  This would be especially true for someone who is young.  But, we have plenty of patients who are young and have shingles.  I hope things start to clear up for you.

Sincerely,

CCF Neuro MD
9 Comments
Blank
Avatar_n_tn
To CCF Neuro MD, in response to 2/22/00 question & your answer.
Yes, I had a bladder infection and was under a lot of stress at the time I got what I believe to be the shingles.
No, I have never had lesions anywhere but on the buttocks.
Question is:  Could herpes cause neuralgia that lasts 18 months, and numbing?  And could herpes have come on with all of the symptoms I described, such as dizziness, nausea, bladder contractions, itching all over body, knife-stabbing pain and very, very ill?  Would they be on the buttocks cheek?
Thanks.  Maggie
Blank
Avatar_n_tn
Dear Maggie:

Everything but the itching all over the body, is likely with shingles.  I am not sure why the itching.  Although 18 months is a very long time, I guess it is possible if the symptoms were episodic and not continuous.  I would not think this was all due to the shingles, especially if you received antiviral treatment.  It is the duration of the symptoms that is alittle puzzling, unless you have a immunological disease that makes you immunocompromised.  

Sorry, I'm not much help.  If the symptoms did not go away in 18 months then the answer is that something else is going on, but if the symptoms were episodic during the 18 months then it is possible that it is just shingles.

Sincerely,

CCF Neuro MD
Blank
Avatar_n_tn
I HAVE LITTLE BLACK DOTS AROUND THE HEAD OF MY PENIS. ITS LIKE A WEB AROUND THE HOLE OF MY PENIS. IT DOES NOT HURT WENT I GO TO THE BATHROOM. BUT A TIMES IT DOES HURT. THIS WEB IF YOU WANT TO CALL IT THAT COMES OFF AFTER I START TO GO.WHAT COULD THIS BE AND SHOULD I GO TO THE DOCTOR FOR THIS PROBLEM?
Blank
Avatar_n_tn
Dear DFishel:

I would see your family physician.

CCF Neuro MD
Blank
Avatar_f_tn
Have you heard of anyone with shingles on the feet, and if so what are there symtoms (symptoms) afterwards. The neurologist thinks I had shingles in Aug 98. I first started with tingling, numbing in my feet. Then I have this intense burning in my feet, to the point I thought I had blisters, but when I took my shoes of there were no blisters. A week later I did in deed have blisters on my right foot. This went away after a week, but the tingling and burning has remainded. Its a year and half later and the tingling and numbness has worked up both legs to my knees. My left foot is the worse one, even though the blisters where on my right foot. I have been under the care of a neurologist for over a year. He now thinks it might be "small fiber sensory polyneuropathy" All my test have come back normal: MRI of brain and spine, blood test for diabetes,many other blood test for neuro deases.I cannot feel the tunning fork and have slowed reflex on my left foot. I also have a numb area above my knee on my left leg. The pin ***** are dull from my toe to mid calf. I have tingling in my fingers from time to time. I have not been able to find any information on shingles on the feet. Could this still be the cause of my neuropathy?
Blank
Avatar_n_tn
Dear Barbara:

I have not seen shingles on the bottom of the feet, but I see no reason why it could not happen.  Next time you see vessicles then go to the doctor and have him/her culture them for Herpes, that will solve that issue.  Although shingles is a painful disease, it is usually a relapsing and remitting expression of virus.  Although it is possible that it could occur and induce continual symptoms, it usually does not.  Small fiber neuropathy is likely the entity but what is the etiology.  I can't answer that for you as I have no exam or labs to go by.  

Sincerely,

CCF Neuro MD
Blank
Avatar_f_tn
I had recurring blisters in January of this year and had them test and they came back negative for shingles and that is why he now thinks it's small fiber sensory polyneuropathy. When he did the nerve test there is never damage at L5. He wants me to go to Johns Hopkins for a skin biopsy to determin if this is small fiber sensory polyneuropathy. This is the closes place to were I live that does this test.
Blank
Avatar_n_tn
Dear Barbara:

The vesicles should have had HERPES in them if they were the result of shingles.  I would have to agree with your neurologist.

Sincerely,

CCF Neuro MD
Blank
Continue discussion Blank
Blank
Request an Appointment
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eating Control: How to St...
Aug 28 by Roger Gould, M.D.Blank
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank