Dr. Murray Feingold: Can shingles be prevented? - News - MailTribune.com - Medford, OR

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2014-11-10

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0 of 3 Premium Clicks used this month SUBSCRIBE Print + Online Subscriber Activation  |  Register x Forgot Password | Need an Account? e-edition | subscribe | newsletter | deals Home News Latest Stories Medford Veterans Day parade to start at 11 a.m. 10 things to know for Monday Grow 'em before you plant 'em Since You Asked: Street utility fee is non-negotiable Emergency Services Crime, Courts and Emergency Services Emergency Services New cable fence stops out-of-control SUV Emergency services Police still searching for high-speed driver Emergency services Politics and Elections Ballot measures played little role in mobilizing voters in state Senate race 'Euphoria' over pot initiative Oregon voters narrowly reject GMO labeling measure Statewide voter turnout close to 70 percent Marsh, Seffinger win big in Ashland council races Education Crater students present play about Thoreau's night in jail Half of Oregon's community college enrollees need remedial classes Marketta Gregory: Stretch yourself for God Medford Schools Foundation supports programs the district can't Fire marshal visit prompts cancellation of Sacred Heart haunted house Environment Grow 'em before you plant 'em Since You Asked: Biomass One makes steam-generated power Organic squash creates a bountiful harvest for ACCESS Prospect-area cow death likely not a wolf kill Navickas ordered to pay court filing fees State News Kitzhaber embattled as he seeks fourth term Nation - World Obituaries Jeanne R. 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By Dr. Murray Feingold More Content Now MailTribune.com By Dr. Murray Feingold More Content Now Posted Oct. 30, 2014 @ 10:32 am By Dr. Murray Feingold More Content Now Posted Oct. 30, 2014 @ 10:32 am »  Social News A major concern for patients with shingles is the development of a complication called postherpetic neuralgia, which, at times, can be very debilitating. Shingles, or herpes zoster infection, is not uncommon, especially as one gets older. Symptoms vary from being mild to severe. However, a major concern for patients with shingles is the development of a complication called postherpetic neuralgia, which, at times, can be very debilitating. A recent article reviewed this condition. The most common symptom is pain due to the nerve damage that occurs during the acute phase of shingles. For the diagnosis to be made, this pain must persist for at least 90 days after the onset of the shingles rash. The incidence of postherpetic neuralgia increases with age. At age 50 to 54, 8 percent of the patients will develop neuralgia. This increases to 20 percent at age 80 to 84. The pain can last a long time. Fifteen percent of patients still have pain after two years. The pain varies in its presentation. It can be a continuous burning sensation, a shooting pain and a pain that occurs after light contact to the involved area. Unfortunately, treatment is frequently not very effective. Less than half of the patients have a 50 percent or more reduction in pain with the present modes of treatment. Applying certain creams to the skin lesions is occasionally helpful. Neurontin medication has been successful in some patients. Narcotics, such as morphine, are considered to be last resort medications and are not always successful, and their use is controversial. At one time it was thought that shingles and postherpetic neuralgia did not recur but recent studies indicate that the recurrence risk can be as high as 6 percent. The best way to prevent postherpetic neuralgia is to prevent shingles from taking place. This can usually be accomplished by the use of a herpes zoster vaccine. Studies have shown that the vaccine reduces the incidence of herpes zoster by 50 percent and postherpetic neuralgia by 66 percent. It is not as effective in the older age group. So although strides have been made in the treatment of postherpetic neuralgia, much more needs to be done. Fortunately, research to find more effective treatment is underway and promising new drugs are now being evaluated. Massachusetts-based Dr. Murray Feingold is the physician in chief of The Feingold Center for Children, medical editor of WBZ-TV and WBZ radio, and president of the Genesis Fund. The Genesis Fund is a nonprofit organization that funds the care of children born with birth defects, mental retardation and genetic diseases. By Dr. Murray Feingold More Content Now MailTribune.com By Dr. Murray Feingold More Content Now Posted Oct. 30, 2014 @ 10:32 am » Comment or view comments   Reader Reaction »  STAY INFORMED   Email NewsLetter   Sign Up Today   Sign up for our newsletter and have the top headlines from your community delivered right to your inbox. calendar Connect with MailTribune.com Facebook Twitter RSS Back to top Reader Services Reader Services Home Subscriptions Subscriber controls Contact us Submissions Photos Events Letters to the editor Corrections Announcements Obituaries Story ideas Since you asked Alerts Email Alerts RSS Feeds Text Alerts Advertise Media Kit Home Products and services Ad rates Advertising contacts Mail Tribune Daily Tidings The Nickel Shop Our Valley Blogs Stay Informed   Email newsletter   Sign Up Today   Sign up for our newsletter and have the top headlines from your community delivered right to your inbox. 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