Post-herpetic neuralgia

Also called PHN or Nerve pain after shingles

Post-herpetic neuralgia is nerve pain in the area where you had shingles. It happens when the shingles virus damages the nerve, and the pain continues after the rash has gone. It is more common in older people and in people who had severe shingles.

Last updated Nov 9, 2026

What it is

For most people the pain gets better over time, but it can last for months or longer.

Medicines for nerve pain, skin patches and creams can help. Having the shingles vaccine lowers the chance of getting shingles and this pain.

Common signs

  • Burning, stabbing or throbbing pain where the rash was
  • Skin very sensitive to touch, even from clothing
  • Itching or numbness
  • Pain that affects sleep

How it is usually diagnosed

  • Questions about previous shingles and current symptoms
  • Examination of the area

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • GP notes
  • Pain clinic letters
  • Medicine lists and dose changes
  • Vaccination records

Questions to ask your doctor

  • Which nerve pain treatments could help?
  • What side effects should I expect?
  • Can I be referred to a pain clinic?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • Shingles near the eye, or new problems with vision: get urgent help the same day

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources