van Wijck and colleagues (2006) reported results of the PINE study of epidural steroids and local anesthetics to prevent post-herpetic neuralgia . In an RCT, 598 participants with acute herpes zoster either received standard therapy (oral antivirals and analgesics) or standard therapy and one additional ESI. After 1-, 3- and 6-month evaluations, they found that an epidural injection had a modest effect in reducing zoster associated pain after only 1 month and that this treatment is not effective for prevention of long-term post-herpetic neuralgia.
Lying in bed on your back without a pillow is one way to relieve the pressure on the nerve. While the relief isn’t always instant, the reduced pressure may help the swelling of the nerve go down and then slip back into proper placement.
Other treatments may involve physical or occupational therapy. Pain relief treatments can help you deal with that pain while waiting for the nerve to not longer be compressed through natural healing or by other treatments your doctor prescribes. One method that has had great results for patients seeking relief is the cervical transforminal epidural steroid injection.