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Postherpetic Neuralgia
Jang-Hyuk Choi, KMD
Medically Reviewed
동제당한의원·Jang-Hyuk Choi, KMDHead Doctor
#Causes Explained

Q I am a 65-year-old retiree living in Dongincheon. I was told that I didn't experience any aftereffects from shingles when I was younger, so why is it taking so long for me?

A As people age, the function of immune cells declines and the speed of nerve recovery slows down, which is why post-herpetic neuralgia (PHN) occurs much more frequently and lasts longer in the elderly. Additionally, those who experienced severe pain before the rash appeared, or those who had shingles on the head or face, face a higher risk of aftereffects. Delayed treatment or insufficient use of antiviral medication also has an impact.

Detailed Answer

Age is the strongest predictor of post-herpetic neuralgia. The incidence of PHN reaches 30–50% in those over 60, and the duration of pain significantly increases in those over 70. This is because immunosenescence reduces the ability to inhibit viral replication and causes a significant drop in the rate of myelin regeneration in damaged nerves. The risk of PHN increases with the severity of prodromal pain prior to the rash, the occurrence in the trigeminal nerve area (face and scalp), and the duration of antiviral administration exceeding 72 hours. In Korean medicine, it is believed that as one ages and the body's regenerative capacity weakens, inflammation and toxins cannot be completely eliminated, leaving residual waste that lingers in nerve pathways, leading to chronic stagnation pain. This is in the same vein as how a deficiency in blood and body fluids slows down the self-healing of muscles and nerve pathways. At Dongjedang, we go beyond simple pain relief by combining treatments that reinforce vital energy while releasing remaining toxins and stagnant blood, thereby compensating for the slow recovery speed of elderly patients. Replenishing the blood and body fluids that form the basis of recovery and strengthening the immune foundation with herbal medicine tailored to one's constitution also helps prevent recurrence.

#대상포진후신경통 #고령 #위험인자 #면역 #노인
동제당한의원 Care

Postherpetic Neuralgia is not just a simple symptom

Korean medicine that considers both your constitution and lifestyle rhythm treats the root cause.

From consultation to precise treatment, we provide personalized care.

Herbal-Centered Treatment

Prescriptions tailored to your constitution and symptoms treat the root cause

1:1 Director Care

The director personally sees you from first to follow-up visits

Precise Diagnosis

We identify the essence through Sasang constitution, pulse and abdominal diagnosis

Clinical Approach

Treatment based on long clinical experience and evidence

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