What if Pain Persists Even After a Shingles Rash Clears Up?
What does it mean if pain persists even after a shingles rash clears up?
It's common for pain to continue for several weeks after the telltale rash and blisters of shingles have cleared. When pain is still present more than four months later, this is called postherpetic neuralgia (PHN). This condition causes the pain of shingles to last for weeks or months, sometimes years. At this point, there's no rash, only shooting or tingling pain in a particular area. Some people are also sensitive to touch (even the feel of a sheet on the skin) or to light.
PHN is a common complication of shingles -- about 5 to 7 percent of adults under age 60 develop it, and the risk rises with age to about 15 to 20 percent of those over age 80.
To reduce the odds of developing PHN after shingles:
- Get vaccinated for shingles (before it happens). Not only does vaccination make you less likely to get shingles in the first place, but if you do get shingles, you're much less likely to get PHN afterward.
- Get treated with antivirals within three days of developing the shingles rash.
The nerve pain from shingles and PHN can be severe, and often the doctor will need to prescribe strong pain medications. These may include capsaicin cream, a patch that delivers lidocaine, or strong oral pain medicines such as opiates. Some drugs used for depression or seizures are also good at treating PHN, but these can be tricky for older adults -- some of these medicines can cause falls or confusion in a vulnerable elder.
I have had the red burning and bumps with tiny white at top. If opened clear fluid, when I pull the white center out. They are from my neck down both arms and hands to fingertips. It hurts all the way to the bone and clothes or light make it worse. I have been given all sorts of steroids to try. I have nerve damage in my neck plus surgery and they say I need another surgery because my hold nerve cord is being pinched by the level above where the floating plate is. Could this horrible rash be shingles?
IF YOU DEVELOP PHN AFTER A SHINGLES ATTACK, YOU ARE SCREWED !! I'VE BEEN IN AGONIZING PAIN SINCE 1997 IMMEDIATELY FOLLOWING A SHINGLES ATTACK.
I am 75 and have had pain of shingles for two years. I had breast cancer and had chemo. I got shingles two years later. The only thing that has given me relief has been Lyrica. I used to take 50mg three times a day,now I sometimes only need it one time a day. Sometimes the rub of my blouse or sweater on my skin starts it to itch. Lyrica has been a big help. I am sorry for anyone who has this itch or pain for a long time.I know just how you feel. Dove
I had a server case of shinglers I tryed every thing the Doctors could think of I was in bed for 6 months in pain. this is 2 & 1/2 years later I tryed every type of pain pill now I'm on MORPHINE 240 mg A DAY they help but not much This is some BAD stuff! I had the rash on my rib cage going to my spin on one side now it's in my spin it has ruined my back. As of 8 weeks ago I tryed acupuncture give it a try it has helped me alot I know I will never be able to work again or do any thing I loved to do in the passed and I'm still on the meds(not so much) but I can stand the pain and have a better out look on life. Give it a try it helped me alot I won't give up! T/Y And by all means get the shot mine was to late.
I had a shingles attack on the right side of my face and head in December of 1997. I still have the excrutiating pain of PHN now, 13 years later. I expect it is a life sentence. If a patient who has what I have is unfortunate enough to have a doctor who is afraid to give serious pain meds, such as opiates, then severe pain is a life sentence. I've had the seizure meds and the needles in an attempt at nerve block and the topical creams, "they"(who know nothing) recommend. Nothing helps but some degree of morphine which doesn't actually make one pain-free, but knocks it down to a level one can live with. But you don't get this without a doctor who understands how bad it is and is willing to give you what you need.
Try tab.gabapentene300 mg/day along with tab.neurobion forte 1 tablet twice daily
I don't know what Siva's credentials are when he says to take gabapentene 300 mg/day. I looked that up and the medication is "Gabapentin". Also, neurobion forte is Vitamins B1,B6, & B12. I can't find anything that says it helps with itching or nerve pain. I do know that B vitamins help with stress and possibly that is why he recommends using it, to keep the stress at a minimum which will keep the flare ups at a minimum.
Gabapentin does help, it is for nerve pain. I take 300 mg 3 times daily and back when my Rx insurance covered a larger dose I was pain free. Now I itch and burn. some day worse than others.
Higher doses of B12 are supposed to be helpful for nerve pain. I just learned of this recommendation recently - Ithink it was actually on the Dr Oz show during a segment on chronic pain.
I'm am young for shingles...FIRST breakout at age 37. I am now 43. Have tried EVERY MEDICINE known to man, it seems..I'm mildly to severely allergic to over 3/4's of them. My main course of treatment is 200MCG of Fentynal patched switched every two days with 8 hour crossover time and 10 mg of oxicodone every 4-6 hours. I take anti-viral for breakouts. My right leg is paralysed from the knee down and my left leg, with NO involvement from shigles has developed reflex sympathetic disorder and slowly becoming as painful and paralysed as leg that's affect by the shingles. I received ALOT of relief with a SCS implant TRAIL (spinal cord stimulator) it breaks up the messages to the brain from the nerves and back. Hopefully, if the insurance gods approve, I will have permenant spinal cord stimulator implanted and come off my meds. I haven't driven in two years because of narcotics and I have to have hand controls put in vehicle. I pray that there is a cure found for this, as I am pretty much housebound and have been for two years..,,WIND hurts my legs, anything touching my legs hurt, and they are a beautiful blackish blue color due to nerve damage and blood flow...wonderful!
I had shingles when i was 8. I am now 21 and 13.5 years on i still get stabbing pains frm shingle nerve damage although my pain isnt constant but only appears once or twice a month. I hope it doesnt get worse. I had shingles on my right side torso and the shooting pains go through/under my breast and gets unbearable when i bend over. Im worried it will become more constant with age!
You can have shingles without the rash, wife has had it three times, treated with nerve pain meds and vicoden. Beet to all kinds of doctors, finally sent to a pain specialist, ordered antivirals, witin 2 weeks she was greatly improved. Pain specialist stated 2 kinds if shingles without rashes.
I feel bad for all of you. I, too, have shingles. I got it in my right eye. I've had it for almost 4 months. My eye still bothers me and is blurry. The person who said Gabapentine helps the pain and itching is right. I take it when the pain starts and it helps. I'd stay away from anything addictive if possible. It's a tough disease. Those who haven't had it, don't understand what we're going through.
I had shingles on my right side of face including my right ear, now I have to live with the shooting pain specially on my right ear. every place I had shingles now I have the shooting pain and nothing stop it except Amitriptylin 25mg that make me sleepy even the next day. I avoid to take it since I've to work. Now it is three weeks my face is burning (only one side). I hope this does not stay with me for a long time.
I am currently healing from the shingles virus. I took the anit-viral meds and thought everything was going to be okay. I am also experiencing aches and pains in my left hip/groin and knee area (the same place of the shingles rash). I am taking oxycodone for this and wil be seeing a physical therapist shortly. Now, I am feeling stinging, burning pain where my shingles' rash is. The rash itself is scabbing over, but still the pain is making it really difficult to sleep at night. Thank you all for providing me with some insight into this awful virus. I pray we all get some relief soon.
I had shingles on my face and head about 3 years ago....horrible, stabbing pains! I started dabbing colloidal silver on the blisters and they dried up very quickly. I did it 3-4 times per day...worked great. It doesn't help with the pain, but keeping the rash dried up is a plus. Colloidal silver also has antibacterial properties.
I'm 57 and I had an 8 week shingles attack at 51. I haven't been the same since - I have very sharp shooting pains in my back that seem to center around a permanent scab/scar from my first outbreak. Recently developed eczema and am having more shingle pain than ever. I take Lyrica at night, which at least let's me sleep without waking in pain but I haven't found a daytime med that won't knock me out - My first bout was so severe I was hospitalized over night twice with every doctor saying they had never seen such a bad case. 7 years later and I still can't find any answers to this horrible disease. It's important to tell anyone you know about the shot - my father and brother both had shingles and I never listened. The doctors all said I had to be 60 but in hindsight that's bullshit!!! If you had chicken pox and you lead stressful life - GET THE SHOT NOW! And tell all your friends - no one should suffer with the pain of shingles! It changes your entire life!
I got shingles when I was pregnant. I was 30. It was horrible! A 2-3 inch wide band of sores stretched from the middle of my chest, across my right breast, thru my armpit, around to my spine. The pain was unbearable. Being pregnant, I couldn't take hard pain killers so I had little relief. I cried getting dressed, taking a shower, rolling over in bed. I slept very little...i got better sleep with a newborn! Ended up getting an infection in my armpit from the blisters. This might have been from the capsicican (sp?) cream a Dr gave me to put on the shingles. (BTW that is NOT for an active shingles outbreak! !!) Took a steroid to get rid of tue infection. Then that medication for the infection knocked out my immune system and a simple cold I caught next turned into a terrible sinus infection. The immense pain of shingles lasted almost 2 months. Then the skin infection and the sinuses. I was sick for 4 months! It's been almost 3 years and I still have pain weekly in spots that were worse than others. Luckily this is manageable with cool lotion and Tylenol usually. I am now a strong advocate for the shingles vaccine. Too bad it won't help others my age :/
Many have advocated the shingle shot. I had the shingles vaccine and have been suffering for months!! The vaccine is not a guarantee.....in my case a disadvantage as I did not get a rash....just horrendous chest pains....hospitalized for two days suspecting heart issues....a slight rash finally developed a week later......have had a nerve block with some relief. Too late for the antiviral.
I got shingles two weeks ago. Started with stabbing pain for a few days then a rash. It has been almost 2 weeks since getting the rash. First day of seeing the rash I was put on anti-viral. It has been two weeks and the pain is exactly the same unless I take IB, that takes the edge of pain away. The pain is like getting shot about 3-4 times in the side. Pretty amazing pain. Was in the head for two days and it felt like I was getting hit with a hammer every 30 secs. The sensitivity lasted on my scalp (same side as torso breakout) for about 3-4 days then completely went away. Then went to my elbow for a few days (very very sensitive) and then to my knee for a few days. All pain gone in those areas except for my torso. And i'm counting the seconds hoping the pain eventually decreases. The rash seems to be healing and all but the pain is exactly the same. I have told everyone I know to get your as%&*( in to the doc to get the vaccine. what was I thinking ?? I'm 57. hope it helps!! sorry to hear about all those that have PHN. I'm in the clinical drug discovery business so for those curious about studies you can always go to clinicaltrials.gov and search for studies on-going for shingles and phn.
Don't expect the shingles vaccination to be helpful. My mom got this stupid vaccine and four days later ended up with a horrible bout of shingles. Three weeks later she is still in horrendous pain. I am just furious-I do not recommend this vaccination to anyone!
I had shingles in the right eye in Oct 2012. I still am taking 300mg gabapentin 3x day. I am learning to live with it. The biggest problem is sleeping on my right side because it itches if touched so if anybody has any ideas for that please let me know.
The first year was the hardest now I've pretty much accepted it and it does bother me less but thank goodness for the gabapentin!
Hi I am 28 years old. I had the shingles and the pain still lingering after 3 weeks. But more so when I go to bed. Is this some slight sign of relief to come?
I have been diagnosed with Shingles on Nov. 28th, 2015- Here's my timeline. PRESENTLY- I have some shingles on my shoulder, with a 2 and 1/2 inch swollen area underneath the skin- this appeared last nite ( Nov. 30, 2015) - I will be getting this looked at tomorrow...DEC. 2nd, 2015 -------------------- Dr. thought I had ""just a rash"" from bronchitis and possible sinus infection on Wednesday , Nov. 23rd . Nite before, I was at ER on Tuesday nite Nov. 22nd. My head hurt, neck hurt, chills and back pain and ( ER DOCTOR didn't check the rash which was burning and my spinal cord hurt), I had abdominal pain, dizziness, lightheaded, nausea, diarrhea, unwanted periods prior to this ( lasted to long & there were two of them). This was a horrific time for me. Then I went on Nov. 28Th to ER and they found I HAVE SHINGLES and there were other women there with it "as patients" with this. And I CALLED Dr. yesterday ( Nov 30), because Shingles were around my eye and neck and I had drastic head, neck and eye pain-Pulsating pain. Then I saw eye doctor (to get eye drops for my eye and to see if shingles was in my eye) ... almost! Head pains started on Friday ( Friday, November 13 ) with feeling of blacking out 4 days after pain in the back, burning, more dizziness and tingling came upon me. I felt fevered. Rash start appearing Tuesday, Nov. 17Th ( Currently) And also this Shingles has spread in both sides of my body. The eye doctor saw this . In fact, he had stated they had to many in their 40's coming in with Shingles in both sides of the body. And Doctors everywhere are in shock over the fact, that they account for so many shingle patients in less than one week--- 100's. And the ER is receiving more Shingles patients as we speak (DEC. 1, 2015) I ALSO CONTACTED the CDC with my information. Will be getting a phone response soon. Conclusion- Shingles can happen at any age & Statistics only go so far. I & many others are PROOF, that SHINGLES can happen to anyone! and It hurts! and PICTURE LINKS! : https://scontent-ord1-1.xx.fbcdn.net/hphotos-xfp1/v/t1.0-9/12279073_10153742553017232_1994385765998209788_n.jpg?oh=5bfe92d39ef67ff1a97aee2460902056&oe=56D72D45 and https://scontent-ord1-1.xx.fbcdn.net/hphotos-xtf1/v/t1.0-9/12295398_10153742553007232_8905974564216118756_n.jpg?oh=4de281e8c48d46a1a4d2dcdaf4cb8bdf&oe=56E7D50E
Hi fellow sufferers,
I am 23 and i developed Shingles around 6 months ago. I do live have a lot of stress which surrounds me and i think this is one factor along with working in the care sector, how i developed the disease. I didnt get treated straight away and really I did not have a lot of pain at the time, it was manly the itching that was a problem for me and the fact i couldnt work with the elderley for a few days. But the following months since the pain to my right side has develped to the point were it travels down my back, legs and into my shoulder and arm, I feels like the skin is burning and the nerves are being pulled. I sometimes carnt put any weight on my right leg and carnt sit for long periods. Im scared as I am only young and I dont know what pain killers I should be taking as I dont want any side effects. I will be going to see my doctor tomorrow but for now I have been fighting the pain without anything- Someone help!
I have experienced shingles twice the first time I was 30 years old I laughed it of as a harmless experience but recently my spouse was diagnosed with ALS and the stress gave me a bout of shingles that is kicking my butt 3 months later I still have welts and swelling and severe nerve pain it is killing me
I agree with all of these people who say the pain lingers and is horrible and won't stop. I can't go on with this and it has been two months. Beyond belief and no one understands. They say they never heard of this kind of pain and expect me to go on normally. I had the shot and also got to the doctor immediately and did everything he said and no help. All I have to say is HELP
I am 56, and had the Shingles rash about 2 1/2 years ago. To date, the after Shingles pain (PHN) still exist. I have been going to a Pain Management clinic for a little over a year now ... still trying to find the best combination of meds to help the pain. Here is where we're at, which is somewhat tolerable, but still, at times very painful. I am taking 600mg Gabapentin 3x/day, 30mg Duloxetine 2x/day, 7.25/3.25mg Percocet very 4-6 hours as needed. The pain is the worst when I lay down to rest. I sometimes get muscle spams and have to take 800mg Skelaxin (still unsure how effective it is), and 2mg Lunesta if I have a hard time sleeping. We recently added 10mg OxyContin to the mix, to see if an ER opioid would work better. It did help a little more, but I think I'm going to give it more time to really have an opinion on it. Yup, I'm miserable, but am still hopeful that one day I'll wake up, and the pain will be gone. My heart goes out to anyone suffering with PHN ... it basically ruins your quality of life.
Good afternoon, Towards the end of July 2016 some friends and I went to a water park the next day my arm felt like it was burning from the inside out. Unsure of what it could possibly be and joking that I had caught the "funk" from the park I ignored the pain as best as I could. Approx 3 days later I started getting small bumps that were in a circle similar to ring worm across my neck, upper back, down my right arm to my wrist. Still believing I had the funk from the water park I started applying a topical antifungal cream. A week had passed and I couldn't deal with the pain any longer. I went to the doctor and was diagnosed with Shingles. The doctor told me that the possibility of getting the shingles again was very slim. A month later I am still feeling pain in the area the shingle bumps once were that is bearable but annoying. I am only 35 and was hoping to find a solution but by the sounds of the post here I am subject to get the shingles again and the pain could stick around for a while. Thank you all for your honest answers and I pray that we find a cure for this soon. God Bless!
I am a month and a half out from a shingles outbreak at 57. I had it in two nerves, one down onto my left thigh and one around from my back to near my navel. Gabapentin doesn't do much for me but dull the sharp pains along side my back and in my belly. My legs has a spot, recently receding after all this time, that feels burned. I now have to wear lidocaine pain patches while I wait to find out if the 4 month milestone shows any relief. I am truly shocked that modern medicine hasn't done more for shingles sufferers. After all about 96% of the American population over 30 has had shingles! The vaccine is only about 50% effective and you don't know if it worked for you until you get a case of shingles. It was only discovered 50 years ago that chicken pox was the root of the problem.. I was seven years old at the time and had chicken pox when I was six years old. I realize that the unexplained numbness I would occasionally get on my upper left thigh was shingles without the rash. The numbness would last a few days then disappear. I anybody get unexplained numbness like this, go to you doctor immediately and tell him about it and that you believe it might be the prodromal phase of shingles. Don't wait until you get full blown shingles or you may pay the price of permanent pain to deal with.
Excuse me...in my post I stated that about 96% of the population over 30 has had shingles...I meant to say chicken pox, the precursor to shingles. My apologies.
Hi everybody, The attitude of many primary care doctors towards the shingles vaccine and the CDC recommendations for the shingles vaccine is nothing less than scandalous. Most never mention the risk of shingles to their over 60's patients. Even folks who are receiving chemo therapy never hear about it. It's a bad joke. My insurance company has now spent over $100,000 in treating me for shingles and phn. I've tried C2 nerve blocks which were ineffective. I'm going to give R3 stem cell therapy for the affected dorsal root ganglion in C2 that is the source of the pain in my face and around the rt. eye. According to the pain docs, long term shingles pain is all referred pain coming from the dorsal root ganglion of the spinal cord. That is why it is so hard to treat. Wish me luck and God's help Sincerely,
I have never had a shingles vaccination. Recently i came down with a severe case of shingles, went to see an acupuncturist on the first day. He used antiviral shots that are also used effectively in China for cases of shingles, multiple sclerosis, etc) I also took the herbal pills which are antiviral (they're called "Snake and Dragon Teapills and can be found online). The lesions closed up and rash started going away in ten days, but not without experiencing bad nerve pain. Since this is viral no home remedy really works including the baths and topical creams. Only temporary relief (which lasts only a few minutes can be had from Aloe Vera gel or Calamine lotion). I did find a homeopathic cream for pain reflief (called "RubOn Relief and made by "LivingWell" which is effective for nerve pain, but only after the skin lesions have closed up). The Lysine amino acid which you can buy in a vitamin shop for about six dollars is important for stopping reproduction of the virus (don't take other amino acids some of them feed the virus). You should also take Vitamin B12 (supposed to help with the pain as well), and Vitamin C as well as natural immune boosters such as Astralagus, Alpha Lipoic Acid, COQ10, and Monolaurin (since Shingles thrives on a weakened immune system), Since this is a viral affliction so antibacterial medications won't really help. This virus hides out at the base of the spine so you try applingy Oregano oil along with DMSO to help it penetrate at that spot to kill the virus. DMSO applied directly on an active rash is way too strong and may actually aggravate it as it did with me, so I wouldn't recommend trying that. After a week and a half the Shingles rash and pain are subsiding but to prevent possible nerve PNH disease I'm getting acupuncture treatments. Acupuncture would be highly effective throughout the Shingles outbreak.
An added note: because it has had a reputation of effectively killing off viruses, I was thinking of applying MMS (or the CDS form of it) , along with DMSO to help it penetrate topically at the base of the spine as well as taking a small dose MMS or CDS internally to eliminate this nasty virus for good, . but just an experimental stage for me on that one.
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