Risk factors

When you have shingles, you might be at greater risk of developing postherpetic neuralgia as a result of:

• Age. You're older than 50.
• Severity of shingles. You had a severe rash and severe pain.
• Other illness. You have a chronic disease, such as diabetes.
• Shingles location. You had shingles on your face or torso.
• Your shingles antiviral treatment was delayed for more than 72 hours after your rash appeared.