What to do about intercostal neuralgia caused by shingles

Herpes zoster-induced intercostal neuralgia requires comprehensive treatment to alleviate symptoms. Antiviral therapy should be initiated early, using medications such as acyclovir, to control viral replication and reduce nerve damage. For neuropathic pain, analgesic medications such as carbamazepine or pregabalin may be prescribed, as they effectively relieve pain and improve quality of life. Additionally, neurotrophic agents such as vitamin B1, vitamin B12, or methylcobalamin are commonly used to protect nerves and promote recovery. Physical therapies, such as infrared therapy, can also improve local blood circulation and aid in pain relief. Patients should ensure adequate rest, avoid excessive fatigue, maintain a light diet, and avoid spicy or irritating foods to prevent exacerbation of symptoms. If symptoms are severe or persist despite treatment, prompt medical consultation is recommended for further evaluation and management according to medical advice.