The appearance of painful pins and needles on the surface of the skin needs to be carefully observed to determine the appearance of the skin surface. If the surface appears obvious red papules, or blister-like changes, consider the possibility of infection with varicella zoster virus, triggered by herpes zoster, the condition is a contagious disease, it is recommended to choose the use of oral valacyclovir hydrochloride for treatment. If the surface is completely normal, purely pain-based, it may be tonic shingles, but before confirming the diagnosis of this type of shingles, it is necessary to exclude the painful areas of the skin corresponding to the internal organs, or whether there is damage to the muscle tissue. If you exclude other causes of pain, can be diagnosed as neuropathic pain, considered a virus-induced specific herpes zoster, is also the choice of the use of antiviral drugs combination therapy, pain severe people can be used in conjunction with the use of Prevacid to relieve pain.