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Shingles vaccination is the only way for adults to be protected against both shingles and postherpetic neuralgia, with two vaccines approved for use in people over age 50. [3] The zoster vaccine Shingrix provides around 90% protection from postherpetic neuralgia, and has been used in many countries since 2017.
As many as half of those who get shingles at the age of 85 or over will end up with damaged nerves and chronic nerve pain, studies show. To treat that pain, doctors prescribe a wide range of drugs ...
However, a study on untreated shingles shows that, once the rash has cleared, postherpetic neuralgia is very rare in people under 50 and wears off in time; in older people, the pain wore off more slowly, but even in people over 70, 85% were free from pain a year after their shingles outbreak. [66]
Back pain that lasts more than a few weeks should be investigated and discussed with your doctor, says Dr. Shah. “Other signs that occur alongside back pain require more urgent evaluation ...
A zoster vaccine is a vaccine that reduces the incidence of herpes zoster (shingles), a disease caused by reactivation of the varicella zoster virus, which is also responsible for chickenpox. [8] Shingles provokes a painful rash with blisters, and can be followed by chronic pain (postherpetic neuralgia), as well as other
Opioid treatment for chronic low back pain increases the risk for lifetime illicit drug use [100] and the effect of long-term use of opioids for lower back pain is unknown. [101] For older people with chronic pain, opioids may be used in those for whom NSAIDs present too great a risk, including those with diabetes, stomach or heart problems.
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