Re: can postherpetic neuralgia (shingles pain) spread?
are you actually feeling the very exact same type of pain in this 'spread" area? the thing about shingles is it tends to sit in only one particular spot in or on a nerve root which would include,in most cases,only one single dermatome. a dermatome(you can look up what exactly a dermatome is and where each one innervates to try and pin down what dermatome is actually being affected in you personally)is simply the area in which an individual spinal nerve root innervates. alot of how the affected area will show shingles really depends alot upon just where that chicken pox virus decided to 'set' itslef in your nerve root. it IS in some cases,possible for this to form sort of a 'banded' like area if that ch pox virus sat right in the middle area and would affect both sides not just one? has this spread to a whole different area or is it very close to the same area already affected? the one huge thing i have found in just dealing with a ton of spinal related nightmares,is just about anything is possible when it comes to neuro crap.
have you tried the lidocaine patches at all? these were actually invented by a man who happened to work in some drug co as a chemist whos wife was suffering horribly from shinlges. they are a square of lidocaine gel that you simply place over the painful areas to numb them. i use these like everyday for my worst pain areas that do not respond at all to any type of narcotics. they have been a godsend for me. you you have not yet tried these for your pain,ask your doc to Rx you some to try and see how they work for you. you can place up to three at a time to cover a pretty large area. you can also cut them to fit an area too since they are just a solid square/rectangle of lido gel in them and thats it. just one good suggestion for you that really helps me. i don;t have shingles but two seperate pain syndromes that are about the worst of the worst types of extreme burning/stinging 24/7 pain from hell. if these work for me in certain areas,believe me,they should work well for you. there is also an ointment lido too that you can use where patches wont fit all the time? what pain control methods are you currently trying or have tried in the past?
i would actually look up what i mentioned about the dermatomes? just to see where your pain areas are and how they correlate with a particular level of nerve root.this could explain a possible 'spread. but it would usually NOT move out of that one particular dermatome. if it has moved out of that dermatome there could be some other factors here involved that are not actually related to just shingles. depending upon how many real flare ups you have had of the shingles,well these can sometimes actually casue their own types of nerve damage. that could cause a spread(or simply "feel" like a spread) to another different area. just one possibility. i wish you luck in trying to keep this tolerable for you. my dad suffered repeated episodes of shingles for many many years. i know how much they can just plain hurt. please keep me posted. **
11-20-01,placement of hardware for failed fusion
9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.