Shingles Without Pain
The pain associated with the shingles virus can be extreme. The amount of pain you experience will depend upon the severity of your outbreak. With a mild case of shingles, you may only have itchy skin and a minor outbreak of lesions. More extreme cases of shingles will have pain associated with the eruption of lesions. However, there are a variety of medications your doctor can prescribe to ease your discomfort.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
What Are Shingles?
Shingles, also known as herpes zoster, is a painful rash caused by the same virus that causes chicken pox. If you had chicken pox during childhood, it is possible for the virus to remain inactive in your system. The virus can become active at any time; therefore, if you have had chickenpox, you are at risk for getting shingles. The rash varies from moderate to extremely painful.
- Shingles, also known as herpes zoster, is a painful rash caused by the same virus that causes chicken pox.
- The virus can become active at any time; therefore, if you have had chickenpox, you are at risk for getting shingles.
Symptoms
The Side Effects of Shingles in the Elderly
Learn More
According to the American Academy of Dermatology (AAD), the rash from shingles is more painful and less itchy than the rash associated with chicken pox. Symptoms include burning, itching and tingling sensations on the skin, typically on only one side of your body. These symptoms remain for approximately one to three days and then a red rash or lesion outbreak will appear on one side of the body. A fever or headache can also accompany the rash.
- According to the American Academy of Dermatology (AAD), the rash from shingles is more painful and less itchy than the rash associated with chicken pox.
- These symptoms remain for approximately one to three days and then a red rash or lesion outbreak will appear on one side of the body.
Pain Associated With Shingles
According to neurologist and pain specialist Dr. Anne Oaklander, shingles can be considered a medical emergency because of the chronic pain associated with the affliction 1. Dr. Oaklander states that the amount of pain you suffer directly relates to how quickly you treat the shingles. The pain usually comes with the outbreak of the rash. Dr. Oaklander recommends seeing your physician immediately when symptoms appear. The sooner you treat the rash, the less likely you are to suffer pain. The doctor also states that there are some milder cases of shingles in which the eruption of lesions is not as severe and the pain is mild to nonexistent.
- According to neurologist and pain specialist Dr. Anne Oaklander, shingles can be considered a medical emergency because of the chronic pain associated with the affliction 1.
Treatment
Pain in Lymph Nodes Shingles
Learn More
According to Dr. Oaklander, milder cases of shingles will be manageable without the use of pain medication 1. However, the majority of cases will need some type of prescription medication to ease the pain associated with shingles. Dr. Oaklander recommends over-the-counter anti-inflammatory medication for less severe pain 1. This includes acetaminophen, ibuprofen or aspirin. If your pain is more severe, physicians typically prescribe one of three anti-viral medications specifically used to treat pain associated with shingles. The generic names for these medications are acyclovir, famciclovir and valacyclovir.
- According to Dr. Oaklander, milder cases of shingles will be manageable without the use of pain medication 1.
- The generic names for these medications are acyclovir, famciclovir and valacyclovir.
Considerations
Depending upon the severity of the rash, you may be left with chronic pain even after the rash has cleared up. Dr. Oaklander explains that this has to do with the nerve damage caused by the shingles. If you have had a mild case of shingles, the nerves will be able to recover. However, if you have had a more extreme case of shingles, you may be prone to chronic pain since the nerve damage will be more extensive.
- Depending upon the severity of the rash, you may be left with chronic pain even after the rash has cleared up.
- However, if you have had a more extreme case of shingles, you may be prone to chronic pain since the nerve damage will be more extensive.
Related Articles
References
- Dr. Anne Oaklander, Neurologist, Pain Medication Specialist
- Centers for Disease Control and Prevention. Shingles (Herpes Zoster) Signs & Symptoms.
- John AR, Canaday DH. Herpes Zoster in the Older Adult. Infect Dis Clin North Am. 2017;31(4):811-826. doi: 10.1016/j.idc.2017.07.016
- Yun H, Xie F, Baddley JW, Winthrop K, Saag KG, Curtis JR. Longterm Effectiveness of Herpes Zoster Vaccine among Patients with Autoimmune and Inflammatory Diseases. J Rheumatol. 2017;44(7):1083-1087. doi: 10.3899/jrheum.160685
- Cohen KR, Salbu RL, Frank J, Israel I. Presentation and Management of Herpes Zoster (Shingles) in the Geriatric Population. P T. 2013;38(4): 217-224, 227.
- Galetta KM, Gilden D. Zeroing in on zoster: A tale of many disorders produced by one virus. J Neurol Sci. 2015;358(1-2):38-45. doi: 10.1016/j.jns.2015.10.004
- Blank LJ, Polydefkis MJ, Moore RD, Gebo KA. Herpes zoster among persons living with HIV in the current antiretroviral therapy era. J Acquir Immune Defic Syndr. 2012;61(2):203-7. doi: 10.1097/QAI.0b013e318266cd3c
- Mallick-searle T, Snodgrass B, Brant JM. Postherpetic neuralgia: epidemiology, pathophysiology, and pain management pharmacology. J Multidiscip Healthc. 2016;9:447-454. doi: 10.2147/JMDH.S106340
- Johnson RW, Bouhassira D, Kassianos G, Leplège A, Schmader KE, Weinke T. The impact of herpes zoster and post-herpetic neuralgia on quality-of-life. BMC Med. 2010;8:37. doi: 10.1186/1741-7015-8-37
- Sampathkumar P, Drage LA, Martin DP. Herpes zoster (shingles) and postherpetic neuralgia. Mayo Clin Proc. 2009;84(3):274-80.
- Pereira LB. Impetigo - review. An Bras Dermatol. 2014;89(2):293-9. doi: 10.1590/abd1806-4841.20142283
- Gershon AA, Breuer J, Cohen JI, et al. Varicella zoster virus infection. Nat Rev Dis Primers. 2015;1:15016. doi: 10.1038/nrdp.2015.16
- Naveen KN, Pradeep AV, Kumar JS, Hegde SP, Pai VV, Athanikar SB. Herpes zoster affecting all three divisions of trigeminal nerve in an immunocompetent male: a rare presentation. Indian J Dermatol. 2014;59(4):423. doi: 10.4103/0019-5154.135548
- Opstelten W, Zaal MJ. Managing ophthalmic herpes zoster in primary care. BMJ. 2005;331(7509):147-51. doi: 10.1136/bmj.331.7509.147
- Jeon Y, Lee H. Ramsay Hunt syndrome. J Dent Anesth Pain Med. 2018;18(6):333-337. doi: 10.17245/jdapm.2018.18.6.333
- Kim SH, Choi SM, Kim BC, et al. Risk Factors for Aseptic Meningitis in Herpes Zoster Patients. Ann Dermatol. 2017;29(3):283-287. doi: 10.5021/ad.2017.29.3.283
- Saxena A, Khiangte B, Tiewsoh I, Jajoo UN. Herpes zoster encephalitis presenting as multiple cerebral hemorrhages - a rare presentation: a case report. J Med Case Rep. 2013;7:155. doi: 10.1186/1752-1947-7-155
- Teo HK, Chawla M, Kaushik M. A Rare Complication of Herpes Zoster: Segmental Zoster Paresis. Case Rep Med. 2016;2016:7827140. doi: 10.1155/2016/7827140
- American Academy of Dermatology. Cellulitis: Overview.
- American Academy of Ophthalmology. Herpes Zoster Ophthalmicus.
- Centers for Disease Control and Prevention. Shingles (Herpes Zoster): Clinical Overview. Feb 21, 2018.
- Mayo Clinic. Postherpetic Neuralgia. Sept 16, 2015.
Writer Bio
Debbie Lamedman is a published playwright and author/editor of eight books for Smith & Kraus Publishers. Her play "Phat Girls," included in "New Playwrights: Best Plays of 2003," has been produced across the country. Lamedman holds an M.F.A. from Brandeis University and is a proud member of The Dramatist Guild. The majority of her articles for Demand Studios can be found on eHow.