What Can I Do For Shingles Pain

What Is The Outcome For Someone Who Has Shingles

New treatment for the pain of shingles

Most people get shingles once, but its possible to get it again.

If you have a healthy immune system, the blisters tend to clear in 7 to 10 days. The rash tends to go away completely within 2 to 4 weeks. The pain may last longer, but usually stops in 1 or 2 months.

For some people, the pain will last longer than the rash. When it does, its called postherpetic neuralgia , which can come and go or be constant. PHN can last for months, years, or the rest of your life. Treatment can help reduce the amount of pain you feel.

Be sure to tell your doctor if you continue to have pain. Treatment can help you feel more comfortable.

For anyone who has a shingles rash, the right self-care can help ease your discomfort. Youll find out what dermatologists recommend at, Shingles: Self-care.

ImageGetty Images

ReferencesCenters for Disease Control and Prevention . About shingles. Page last reviewed 10/17/2017. Last accessed 4/1/2019.

Dooling KL, Guo A, et al. Recommendations of the Advisory Committee on Immunization Practices for Use of Herpes Zoster Vaccines. Morb Mortal Wkly Rep 2018 67:103-8.

Madkan V, Sra K, et al. Human herpes viruses. In: Bolognia JL, et al. Dermatology. . Mosby Elsevier, Spain, 2008: 1204-8.

Straus SE, Oxman MN. Varicella and herpes zoster. In: Wolff K, Goldsmith LA, et al. Fitzpatricks Dermatology in General Medicine . McGraw Hill Medical, New York, 2008: 1885-98.

If You Have Shingles Symptoms Get Treatment Now And You May Avoid Permanent Nerve Pain

Shingles, a viral infection of the nerve roots, affects 1 million people in the U.S each year. Most people recover from their bout, but for as many as 50% of those over age 60 who have not been treated, the pain doesnt go away. It can last for months, years, or even the rest of their lives.

These people have whats called postherpetic neuralgia , the result of the shingles virus damaging the nerves of the skin. In some cases, the pain is mild. In others, even the slightest touch from clothing or even a breeze can be excruciating.

PHN causes a great deal of suffering and high social costs, says Robert H. Dworkin, PhD, a professor in the department of anesthesiology at the University of Rochester Medical Center in Rochester, N.Y. It can severely disrupt peoples lives.

But the good news is that there are drugs that can help treat and even prevent PHN, and doctors are learning more about who is at greatest risk of developing this debilitating condition.

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Who Is At Risk Of Getting Shingles

Shingles typically affects older people, but it can also occur in healthy younger persons and even in children. Those whose immune systems have been weakened by cancer, HIV infection, AIDS, or treatment with certain medicines are also at increased risk of getting shingles.

Anyone who has had chickenpox is at risk of getting shingles later in life. About 1 in 3 people who have not been immunised against chickenpox or shingles will get shingles in their lifetime.
Shingles usually affects older people. The older you are if you get shingles, the higher your risk of getting serious disease. People who have a weakened immune system are also at risk of getting more severe disease, even if they are young.
Women have a higher risk of getting shingles than men.
Most people who develop shingles have only 1 episode during their lifetime. However, you can have shingles more than once.

An attack of shingles during pregnancy will not harm the unborn baby. The mother is already carrying the varicella zoster virus before developing shingles and there is no increase in the risk of passing it on to the fetus if shingles develops. However, an attack of chickenpox during pregnancy can be serious and requires urgent medical attention.

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You Cannot Get Shingles From Someone With Chickenpox

You cannot get shingles from someone with shingles or chickenpox.

But you can get chickenpox from someone with shingles if you have not had chickenpox before.

When people get chickenpox, the virus remains in the body. It can be reactivated later and cause shingles if someone’s immune system is lowered.

This can be because of stress, certain conditions, or treatments like chemotherapy.

Treatment Of Herpes Zoster

The treatment of herpes zoster has three major objectives: treatment of the acute viral infection, treatment of the acute pain associated with herpes zoster and prevention of postherpetic neuralgia. Antiviral agents, oral corticosteroids and adjunctive individualized pain-management modalities are used to achieve these objectives.

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Are There Alternative Treatments

Some studies show that various alternative treatments, from acupuncture to supplements, can offer relief. The research isnât complete, but some shows promise. Check with your doctor before you try any of these:

TENS . This therapy uses tiny electrical pulses to relieve pain. A TENS unit is about the size of a smartphone and comes with small patches called electrodes. You put them over the painful area and turn the unit on and off as your pain comes and goes.

Traditional Chinese medicine: These treatments aim to restore balance in your body. They include acupuncture, the ancient practice of inserting very thin needles into your skin at specific points. Also, moxibustion and cupping, two types of heat therapy, are supposed to draw out toxins. These treatments may be done in combination.

Creams and other skin treatments: A mixture of liquid dimethyl sulfoxide and idoxuridine, an antiviral drug, may reduce swelling and the number of blisters you have when you put it on your rash. And chlorophyll, the chemical that gives plants their green color, is also used directly on the rash as a cream or saline solution.

Supplements: Youâll find a long list of herbs, pills, and oils that claim to relieve shingles. Most have no research to back them up, but there are a couple of exceptions. Papain, a protein found in papayas, is sold in capsules. And manuka and clover honeys can be put directly on your skin. Very early studies on both show they may be helpful.

Treating The Pain Of Phn

Exactly how best to deal with the pain is a difficult question. Rice led a research team that looked at 35 clinical trials of various treatments. The findings appear in the July issue of the free-access online journal PloS Medicine.

“The most important thing to realize is these are painkillers,” Rice says. “You are treating the pain, not the disease itself. And this is due to permanent nerve damage. It is like a stroke. We can’t make the nerve damage better, but we can treat the disability. And for PHN, pain is one of those disabilities.”

What helps? Rice’s team found good evidence supporting:

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What Are The Symptoms Of Shingles

The initial symptoms of shingles include:

a burning, tingling or itching sensation
a stabbing sensation
numbness in the affected area of the body
sensitivity to light
fever and/or headache

Two to 3 days after these symptoms appear, a painful rash will appear on the sensitive area of skin, usually on one side of the body in the area of one skin nerve .

At first this rash consists of painful red bumps that quickly develop into fluid-filled blisters, which will eventually have a crusty surface. The rash can last for 10 to 15 days.

Symptoms During The Prodromal Stage

How to treat shingles

Among the systemic symptoms that may appear in the first few days of the prodromal stage of shingles are:

Sensitivity to light

Whether or not it feels like flu in the very beginning, the most telling first symptom of shingles typically is the pain. Often excruciating, the discomfort has been described as burning, stinging, tingly, prickly, itchy, numbing, achy, or shooting. It can be persistent or intermittent but will be limited to one side of the body. This symptom can be deceiving, though.

Because the pain from shingles is localized, it can be mistaken for other conditions depending on where its focused. For example, a stabbing or persistent pain on one side of the lower back may be attributed to sciatica or a kidney problem when, in fact, its the early sign of a shingles outbreak in that area. Similarly, shingles pain around the lips could suggest a cold sore coming on, while pain focused on the eye or ear might seem like the start of a migraine.

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Can I Give Shingles To Others

No one can catch shingles from you, but they can catch chickenpox if they have not already had it or had the shot. The chickenpox virus lives in the spots from shingles, and the virus can be spread until the spots are completely dried up. If you have shingles, you should stay away from babies younger than 12 months and pregnant women.

What Increases The Risk Of Long

The risk of developing post-herpetic neuralgia increases with age. Four weeks after getting shingles,

27% of 55- to 59-year-olds and
73% of over 70-year-olds had nerve pain.

Women seem to be more likely to have longer-lasting nerve pain than men. Post-herpetic neuralgia is also more likely to develop if your eyes were affected by shingles.

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Preventing Nerve Pain After Shingles

But if you’re worried about PHN, don’t despair. There are medications that can cut your risks of getting the condition. There are three antiviral drugs used: famciclovir , valacyclovir , and acyclovir . These medications need to be started within two to three days of the onset of shingles.

“If you look at the clinical trials with any of these drugs in people over 50,” says Dworkin, “they cut the rate of pain at six months in half. That’s a very significant improvement.” They are also very safe and have few side effects, he says.

But who needs the drugs? Dworkin says there’s not a clear consensus yet.

There are some obvious cases. “I think everyone would agree that someone who is over 50 and has severe symptoms should get preventative treatment,” he tells WebMD.

But for younger people or those with fewer risk factors, the course is less clear.

“Some people think that everyone who gets shingles should get preventative treatment with antiviral medicines, because the medicines are so safe and have such few side effects,” he says.

Others argue that preventative treatment should only be given to those at greater risk. The main reason for this, Dworkin says, is cost.

“A full course of treatment could cost anywhere between $100 and $160,” he says. “That can add up, and insurance companies might not want to pay if the risks are very, very low.”

Key Points About Shingles

Shingles is a common viral infection of the nerves. It causes a painful rash or small blisters on an area of skin.
Shingles is caused when the chickenpox virus is reactivated.
It is more common in people with weakened immune systems, and in people over the age of 50.
Shingles starts with skin sensitivity, tingling, itching, and/or pain followed by rash that looks like small, red spots that turn into blisters.
The rash is typically affects just one area on one side of the body or face.
Treatment that is started as soon as possible helps reduce the severity of the disease.

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Can Shingles Be A Symptom Of Something Else

Especially if you haven’t seen shingles pictures, you could easily mistake a shingles rash for another health condition that affects the skin. The shingles virus causes an outbreak of a red rash and blisters across the face and body, like many other skin conditions psoriasis, allergies, eczema, and hives among them.

Coping With Shingles Pain

If you have shingles, you may be wondering how to cope with the pain:

Be sure to get plenty of sleep and eat a healthy diet to help boost your immune system.
Wear comfortable, loose clothing with natural fiber .
Establish or maintain a regular exercise routine.
Utilize home remedies to help soothe pain from blisters.
Engage in activities that help take your mind off of the pain.
Establish a routine to help manage stress.
Seek out support when needed from family and friends as well as professional supportive services.

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How Is Shingles Treated

There is no cure for shingles, but antiviral medicine may relieve the symptoms and help prevent complications. See your doctor for a prescription of antiviral medicines as soon as possible after symptoms develop. Treatment should be started within 3 days of the shingles rash appearing.

If you are pregnant, talk to your doctor about whether antivirals are right for you.

Over-the counter medicines, such as paracetamol and non-steroidal anti-inflammatories, can be used for pain relief. If over-the-counter medicines are not controlling your pain, your doctor may prescribe other medicines.

There are several things you can do to help manage the condition. They include the following.

Stay Away From Certain Groups Of People If You Have Shingles

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You cannot spread shingles to others. But people who have not had chickenpox before could catch chickenpox from you.

This is because shingles is caused by the chickenpox virus.

Try to avoid:

pregnant people who have not had chickenpox before
people with a weakened immune system like someone having chemotherapy
babies less than 1 month old unless you gave birth to them, as your baby should be protected from the virus by your immune system

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How Is Shingles Diagnosed

Your healthcare provider will do a complete physical exam and ask about your medical history, specifically about whether you have ever had chickenpox.

Your healthcare provider will likely know right away that it is shingles based on the unique rash. The rash usually appears one area on one side of the body or face. It appears as red spots, small fluid- or pus-filled vesicles, or scabs.

The healthcare provider may also take skin scrapings for testing.

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Risk Factors For Nerve Pain After Shingles

Researchers have long known that older people are more likely to get PHN, the nerve pain after shingles, but recent studies have found other factors that increase risks.

In one study published in the journal Neurology, researchers including Dworkin looked at data from 965 people with shingles. The researchers identified five risk factors for developing PHN in people who had been recently diagnosed with shingles:

Presence of symptoms before the rash appeared, like numbness, tingling, itching, or pain
Severe pain during the illnesss initial stages

Importantly, the researchers found the more risk factors you have, the greater the risk of developing PHN.

For instance, 17% of women with shingles and 26% of those who had severe pain went on to get PHN. But 50% of women who were over age 60 and had symptoms before the rash, severe rash, and acute pain went on to get PHN.

Preventing The Virus Spreading

The Pain After Shingles: Post Herpetic Neuralgia

If you have the shingles rash, do not share towels or flannels, go swimming, or play contact sports. This will help prevent the virus being passed on to someone who has not had chickenpox.

You should also avoid work or school if your rash is weeping and cannot be covered.

Chickenpox can be particularly dangerous for certain groups of people. If you have shingles, avoid:

women who are pregnant and have not had chickenpox before as they could catch it from you, which may harm their unborn baby
people who have a weak immune system, such as someone with HIV or AIDS
babies less than one month old, unless it is your own baby, in which case your baby should have antibodies to protect them from the virus

Once your blisters have dried and scabbed over, you are no longer contagious and will not need to avoid anyone.

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