Shingles is a painful condition marked by a distinctive blistering rash that typically appears on just one side of the face or body. Although it most frequently affects individuals over 50, people of all ages across Texas can experience shingles. This condition results from a reactivation of the chickenpox virus, which stays dormant within the spinal cord after someone recovers from childhood chickenpox. When this virus revives during adulthood, it becomes shingles.
Shingles, also known as herpes zoster, is a painful rash triggered by the same virus responsible for chickenpox, varicella zoster. Anyone who has had chickenpox or, in rare cases, the chickenpox vaccine is at risk for shingles later in life.
Shingles arise when the dormant virus reactivates in certain nerves in the body, most often in people over 50. It can also affect those with weakened immune systems, including individuals with cancer, organ transplants, autoimmune conditions, or HIV. While it is possible to have shingles more than once, it is relatively uncommon.
Shingles itself isn’t contagious. However, if someone with an active shingles rash comes into contact with a person who has never had chickenpox or the vaccine, that person could contract chickenpox.
Shingles symptoms can vary widely, but the condition often progresses through a few key stages. Here are some of the typical signs to look out for:
Pain, itching, burning, or tingling: These sensations are often the earliest symptoms, occurring before the rash appears.
Blisters or bumps: Within a few days, a rash of blisters or raised bumps usually develops on one side of the body. These blisters typically scab over in 7-10 days and fully heal within 2-3 weeks.
Additional symptoms: In some cases, people may experience fever, chills, abdominal pain, swollen glands, or headaches.
Eye complications: When shingles affect a facial nerve, it can also impact the eye, making prompt treatment essential to help prevent vision problems.
Chronic pain post-rash (postherpetic neuralgia): Persistent pain in the area where the rash appeared is more common in older adults and those who experienced severe symptoms. This long-lasting nerve pain can be challenging to manage.
Prescription antiviral treatments, like valacyclovir or acyclovir, are commonly used to manage shingles. Starting treatment within 72 hours of the first symptoms can help reduce the duration and severity of the rash, as well as lower the risk of complications, such as long-lasting nerve pain. Other curative methods include:Â
Specialist referral for facial shingles: If shingles appear on the face, your provider may refer you to an eye specialist to check for any potential impact on the eyes.
Shingles vaccine for high-risk groups: The shingles vaccine is recommended for individuals at higher risk, including those over 50 and immunocompromised patients. This two-dose vaccine is available through clinicians and pharmacists.
If you suspect you may have shingles, reach out to our office to schedule an appointment with one of our dermatologists for prompt evaluation and care.