25/10/2026
Post-Shingles Nerve Symptoms: When the Rash Has Gone but the Nerve Still Reacts
One of our recent patients came to Four Pillars Acupuncture with a long-standing problem following shingles affecting the ophthalmic branch (V1) of the trigeminal nerve.
Almost three years after the original shingles episode, she was still experiencing:
Numbness over part of the forehead and scalp, intense neuropathic itching, crawling and “zinging” sensations, touch sensitivity, symptoms aggravated by stress.
This is a recognised type of post-herpetic neuralgia. It does not always present as pain. Damaged sensory nerves can also produce itching, tingling, crawling, electrical sensations or reduced sensation.
Our treatment approach has been to work at several levels:
1. Local treatment
Gentle acupuncture around the affected forehead and scalp area, while avoiding heavily irritated skin.
2. Distal acupuncture
Points on the hands, arms, legs and feet are used to regulate related channel pathways and provide sensory input away from the hypersensitive area.
3. Scalp acupuncture
Selected scalp sensory areas are used as part of a broader neuromodulation approach, with the aim of influencing how the nervous system processes abnormal sensory signals.
4. Whole-system regulation
Stress, sleep and nervous-system arousal can strongly influence neuropathic itching, so treatment also focuses on calming the overall system rather than only treating the local symptom.
After completing her initial course, the patient reported that sensation was beginning to return in areas of the face and scalp that had previously felt numb, and she has chosen to continue treatment.
Every case is different, and acupuncture cannot guarantee complete symptom resolution. In long-standing neuropathic conditions, meaningful progress may instead be seen as reduced itching, fewer abnormal sensations, improved sleep, greater comfort and gradual changes in sensory awareness.
Four Pillars Acupuncture
St Albans
www.pillarsacupuncture.com