Nerve Pain Caused by Viral Infections: A Patient's Journey

Neuropathic pain caused by viral infections?

Hello, over a year ago, I experienced intermittent sharp and stabbing pain in the upper right abdomen, just below the chest.
After a while, it resolved, but a few weeks ago, the pain returned in the same area.
When I press on it during the pain, it hurts, but there is no sensation when I press it at other times.
Later, I began to feel similar stabbing and sharp pain on the left side in approximately the same area, which then spread to the right side of my back and above the right chest, and even my limbs would occasionally experience spasms and stabbing pain.
Sometimes, I also feel a dull pain in the right chest cavity and upper right abdomen.
Aside from that, there are no other symptoms.
After seeing a doctor, I developed a rash and a low fever that day for unknown reasons.
The doctor said it was caused by a viral infection and that it would resolve on its own after a while, prescribing me some medication.
However, the rash completely disappeared after I returned home that day and has not reappeared.
After taking the medication, the pain in my body eased somewhat, but once I finished the medication, the pain returned to its previous state and has persisted for a while.
I would like to know if this is really caused by a viral infection.
If so, is it normal to have pain for such a long duration?

Niming, 20~29 year old female. Ask Date: 2016/02/27

Dr. Liao Yaopan reply Family Medicine

Hello, based on your inquiry, the symptoms are rather nonspecific.
If the pain persists, it is advisable to have a physician conduct a personal examination for a more accurate understanding.
Changhua Hospital cares about you.

Reply Date: 2016/02/27

More Info

Understanding nerve pain caused by viral infections can be complex, especially when symptoms persist over an extended period. In your case, the initial presentation of intermittent sharp and stabbing pain in the right upper abdomen, followed by similar sensations on the left side and eventually radiating to the back and limbs, raises several considerations.

Firstly, the symptoms you describe could be indicative of a condition known as postherpetic neuralgia, which is a complication that can arise after a herpes zoster (shingles) infection. The varicella-zoster virus, which causes chickenpox, can remain dormant in the nervous system and reactivate later in life, leading to nerve pain and other neurological symptoms. The fact that you experienced a rash and low-grade fever suggests a viral infection, and if this was indeed shingles, it could explain the nerve pain you are experiencing.

The presence of pain that worsens with pressure but is not felt during normal activities can be characteristic of neuropathic pain, which is often caused by damage or dysfunction in the nervous system. This type of pain can be persistent and may not respond well to standard pain relief medications, which could explain why your symptoms returned after finishing the prescribed medication.

Regarding the duration of your symptoms, it is not uncommon for nerve pain to last for weeks or even months following a viral infection. In some cases, the pain can become chronic, leading to ongoing discomfort even after the initial infection has resolved. This is particularly true for conditions like postherpetic neuralgia, where the nerve pathways may remain sensitized long after the virus has been cleared from the body.

It is essential to consult a healthcare provider for a thorough evaluation, especially if your symptoms are affecting your quality of life. Diagnostic tests, such as nerve conduction studies or imaging, may be necessary to rule out other potential causes of your pain. Additionally, a neurologist may provide insights into the best management strategies for your symptoms.

Treatment options for nerve pain can vary widely and may include:
1. Medications: Antidepressants, anticonvulsants, or topical treatments may be prescribed to help manage nerve pain. Gabapentin and pregabalin are commonly used for neuropathic pain.

2. Physical Therapy: Engaging in physical therapy can help improve mobility and reduce pain through targeted exercises and modalities.

3. Pain Management Techniques: Techniques such as acupuncture, biofeedback, or cognitive-behavioral therapy may also be beneficial in managing chronic pain.

4. Lifestyle Modifications: Maintaining a healthy lifestyle, including regular exercise, a balanced diet, and adequate sleep, can support overall well-being and potentially alleviate some pain symptoms.

In conclusion, while it is possible that your symptoms are related to a viral infection, the persistence of pain warrants further investigation. It is crucial to work closely with your healthcare provider to develop a comprehensive treatment plan tailored to your specific needs. Remember, chronic pain can be multifaceted, and addressing it often requires a multidisciplinary approach.

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