Shingles and Postherpetic Neuralgia

 

What You Need to Know About Shingles and Postherpetic Neuralgia

 

You wake up one morning to a red painful rash…

A band of blisters wrapped around your body from the middle of your back around your side to your breastbone.  As if that weren’t bad enough, you may also have

–            Pain, burning, numbness or tingling

–            Fluid-filled blisters

–            Itching

–            Headache

–            Fatigue

–            Body aches

–            Fever and chills

If not for the rash, you might think you were coming down with the flu.  Instead, your first thought is that you’re having an allergic reaction to food, or a new bath soap or even the perfume in your laundry detergent…

But if you are

–            Over 50 years of age

–            Had chicken pox at some point in your life

–            Have an autoimmune disease

–            Have any other health issue or significant stress that weakens your immune system

You probably have a virus called Varicella zoster virus (VZV), more commonly known as shingles. VZV is the same virus that causes chicken pox.  Once you’ve had chicken pox, the virus lies dormant in your system until it’s reactivated by various risk factors and you develop shingles.

And that’s a good news/bad news diagnosis.

Contrary to several old wives’ tales, shingles is usually by itself not life-threatening…that’s the good news.

The bad news is that shingles is extremely painful and you may experience severe and unrelenting nerve pain (Postherpetic Neuralgia) unless you get immediate medical care.

If you think you have shingles or that you might be at risk of developing them, here’s what you need to know about shingles and Postherpetic Neuralgia:

Is Shingles Contagious?

Yes, like chicken pox, shingles is contagious.  You can pass the shingles virus to anyone who hasn’t had chicken pox.  And how’s this for a twist?  The person you pass the virus can develop chicken pox, not usually shingles.

Fortunately, the shingles virus is not an airborne virus.  It’s passed through direct contact with the open sores caused by shingles.  Until your blisters are healed, you are contagious.  Avoid contact with

–            Newborns

–            Pregnant women

–            Anyone with a weakened immune system

How Is Shingles Treated?

Shingles is usually by itself not life-threatening.

However, getting anti-viral medication and supportive care such as laser therapy as soon as your shingles appear (within 72 hours) is the wise (and much less painful) course of action to speed up the healing process and lessen the likelihood of potentially serious complications.

Once a doctor confirms that you have shingles, usually through taking a complete history and physical and sometime cultures from your rash, the standard course of treatment is anti-viral medication to kill the virus and make you more comfortable.

To help the medication work, you need to get plenty of rest, avoid stress and either take a cool bath or use cold wet compresses to ease the itch and pain.

What Are Some of the Complications from Shingles?

While shingles is not a serious illness, some of the complications arising from shingles can be.

Postherpetic Neuropathy

Your blisters go away but the pain remains. Postherpetic Neuropathy is caused by damaged nerve fibers sending exaggerated pain messages to your brain.  Pain medication, antidepressants or even anticonvulsant medications are often prescribed to bring relief from Postherpetic Neuropathy; however, repairing the damaged nerves is more desirable for long term relief.  Contact us to ask about their unique treatment protocol for treating Postherpetic Neuropathy and repairing the damaged nerves.

Loss of Vision

If your shingles erupt around or in your eyes, you can develop serious eye infections that could damage your eyes and result in loss of vision. If you have shingles anywhere on your face, get immediate treatment.

Neurological Problems

Depending upon where your shingles erupt and which nerves they affect, you can develop

–            Hearing or balance problems

–            Facial paralysis

–            Encephalitis (inflammation of the brain)

Skin Infections

If your shingles blisters are not properly treated, you can develop skin infections cause by bacteria.  If the skin around your shingles becomes reddened, warm, firm, or possibly has red streaks spreading out from the affected area, contact your doctor.  You will need antibiotics to stop the infection.

Ramsay Hunt Syndrome

This complication is rare but it does happen.  If cranial nerves are affected by shingles you can develop Ramsay Hunt Syndrome resulting in facial nerve weakness and deafness.  If you have shingles around or inside your ear, seek medical treatment immediately.

How Can I Protect Myself From Shingles?

The best way to protect yourself from shingles is to stay healthy, control stress and exercise on a regular basis.

The shingles vaccine is often recommended for people who are 60 years of age or older and have actually had chicken pox.  Again, this vaccine won’t guarantee that you won’t develop shingles but it could lessen the severity of symptoms. It might reduce your chances of developing Postherpetic Neuralgia.

 

And by all means, if you know someone has shingles, exercise precautions!

We hope this information helps you deal with this very uncomfortable illness and the possible lasting effects of Postherpetic Neuropathy.  Having a bit more background information on your illness will help you participate in your care and give you a better chance of a positive outcome.

Don’t just live in pain. Call us today for information on treating shingles and postherpetic neuropathy with our laser and related therapy.

 


 

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