Shingles And Pain. How To Recognize The Symptoms And What To Do To Prevent It?
In my clinical experience, patients often present with a painful rash, unaware they have shingles. The rash typically affects the nerve endings on one side of the body is often described as burning or tingling and can be sensitive to touch.
Clinical Cases:
A patient visited the clinic complaining of pain on the right side of their face. The discomfort was so intense that it caused tooth pain and radiated to their right ear. They were initially treated for an infection. However, a few days later, a blistering rash appeared on the right side of their face, leading to a diagnosis of shingles.
In another case, a patient came to the clinic with burning pain on the left side of their chest, fearing they were having a heart attack. An EKG and lab tests ruled out cardiac issues, and they were scheduled for a nuclear stress test and a consultation with a cardiologist. The next day, the patient developed a rash and returned to the clinic, where they were diagnosed with shingles.
What is Shingles?
Shingles, also known as herpes zoster, is caused by the varicella-zoster virus—the same virus responsible for chickenpox. After a person recovers from chickenpox, the virus lays dormant in the body and can reactivate years later, leading to shingles.
The virus can cause significant discomfort and, in some cases, lead to serious complications.
While anyone who has had chickenpox can develop shingles, it is more common in older adults and individuals with weakened immune systems.
Recognizing Shingles:
Recognizing the signs and symptoms of shingles is crucial for prompt treatment.
Pain, sensitivity, or tingling: These sensations typically occur on one side of the body and may precede the rash by several days.
Rash and Blisters: Redness and fluid-filled blisters are common as the rash progresses.
Additional Symptoms: Fever, fatigue, or headache may accompany the condition.
Treatment Options:
If you think you have shingles consult your healthcare provider. Early treatment can help reduce symptoms and prevent complications.
Effective treatment includes:
Antiviral medications: These are most effective when started within 72 hours of symptom onset. They can shorten the duration of the virus and reduce its severity.
Pain management: Over-the-counter pain relievers and prescription drugs can help alleviate discomfort.
Prevention Through Vaccination:
The best way to prevent shingles is vaccination. The latest shingles vaccine, called Shingrix is highly effective. It is a 2-dose series, 2-6 months apart, and is recommended for:
Adults over 50 and older.
Individuals with weakened immune systems.
You can get the Shingrix Vaccine even if you’re unsure whether you’ve had chickenpox.
Important Considerations and Precautions:
You cannot get shingles from someone who has shingles. However, someone who has never had chickenpox or the chickenpox vaccine could develop chickenpox if exposed to shingles.
If you have shingles avoid close contact with:
Pregnant Women
Babies under 12 months who have not been vaccinated
Individuals who have not had chickenpox or the vaccine.
If you develop shingles rash on your face, especially near the eyes, it can affect vision and requires immediate medical attention.
Stay Informed and Protect Your Health:
Understanding the symptoms and risks of shingles, along with taking preventative measures such as vaccination, can help minimize the impact of this condition. If you suspect you have shingles, seek medical advice promptly to ensure effective treatment and recovery.