Shingles Vaccine Is The Best Prevention
The best way to prevent shingles, including shingles of the eye, is with a shingles vaccine. The Zostavax live shingles vaccine is no longer used in the US. Shingrix is a newer, more effective, and non-live shingles vaccine. Shingrix is a two-dose vaccine recommended for adults over age 50. It is more than 90% effective at preventing shingles. Unfortunately, the shingles vaccine does not treat shingles or post-herpetic neuralgia the vaccine is effective only as a prevention strategy.
Shingles Of The Eye Can Cause Lasting Vision Impairment
- By Miriam Barshak, MD, Contributor
Shingles, or herpes zoster, is a viral infection known for its characteristic painful, burning, or itchy rash. This rash appears along a particular affected nerve, for example in a band on one side of the chest or abdomen that extends around to the back. In fact, the name shingles comes from cingulum, the Latin word for girdle, belt, or sash.
Shingles is caused by reactivation of the varicella zoster virus, the virus that causes chickenpox. After the initial chickenpox infection resolves the virus lives on in nerves all over the body, but is kept in check by the immune system. The risk of shingles therefore increases with any process that can weaken the immune system, including age, illness, and immune-suppressing medications. About one million cases of shingles occur in the US each year.
Up to 20% of shingles episodes involve nerves of the head, where the infection can affect various parts of the eye, including the eyelid, the eye surface, and the deeper portions of the eye. Viral infection of the eye can cause pain, drainage, redness, and sensitivity to light. In some cases it can lead to vision impairment, including blindness.
Can You Get Shingles In The Eye
Its most common to get the shingles rash on your chest, back or legs but you can get shingles on the face and eye, Rapuano says. About 15% of cases involve shingles in the eye area, he says.
However, theres a difference between having shingles around the eye and having shingles in the eye, which doctors refer to as eye involvement, Rapuano says. A patient can have shingles around the eye area without the eye itself being involved, he says.
About half of people who have shingles on the forehead or nose will also have eye involvement.
Ocular shingles typically occurs in one eye on the same side of the face as the rash. It typically occur after the shingles rash on the body has resolved, Rapuano says.
A patient who has had shingles on the face may feel like theyre healing well but then notice a symptom such as redness in the eye. When this happens, patients need to see an eye doctor right away, Rapuano says.
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Oral Pain Relief Medicines
e.g. paracetamol , aspirin ibuprofen
e.g. paracetamol, ibuprofen diclofenac , naproxen
- paracetamol, aspirin and non-steroidal anti-inflammatories , which include ibuprofen, diclofenac and naproxen, relieve pain and reduce fever
- paracetamol is a safe choice for most people, but it is important not to take more than recommended. Paracetamol is an ingredient in many cold and flu remedies, so be careful not to double dose
- the maximum daily dose of paracetamol for an adult is 4 g , and no more than 1 g every 4 hours.
- aspirin and NSAIDs are not suitable for everyone. Children under 16 years old must not take aspirin because it can cause Reyes syndrome, which is a serious condition. It should also be avoided by adolescents under 16 years old who have a viral illness
- check with your pharmacist before taking aspirin or NSAIDs if you:
- have a history of stomach problems, such as ulcers or indigestion
- have asthma some asthmatics find their condition is made worse by these types of medicines
- have kidney problems or a heart condition
- take other medications
- have bleeding or bruising problems
- have an allergy to aspirin or NSAIDs
- are pregnant or breastfeeding
- are elderly you may be at more risk of side effects
- are dehydrated
- are due to have any type of surgery within the next couple of days
Apply A Cool Compress To Irritated Areas
This is a simple and easy way to provide temporary relief to especially bothersome areas of the skin. Seniors should be sure to wash any towels or washcloths that come into direct contact with the rash before using them again.
Home remedies should be used to relieve and limit the pain of shingles. While some of the treatments listed above are effective in alleviating pain, they should not be used in place of the medications recommended by a physician. Shingles are common, but the virus can cause further help complications if it is not treated properly and the pain isnt managed. Seniors should seek the advice of a physician if they believe they are developing symptoms of shingles.
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Spinal Cord Or Peripheral Nerve Stimulation
These are often used to treat several different types of neuropathic pain. Electrodes are placed underneath the skin along the affected peripheral nerves. Before using this technique, doctors will do a test using a wire electrode to get a sense of how the patient will respond.
After the electrodes have been placed above the peripheral nerve, a weak electrical current is sent to the nerve. By stimulating a sensory pathway that doesnt cause pain, experts believe that this electrical signal to the brain can trick the brain into turning off the painful signal, bringing relief to the patient.
Dr Ellie Cannon: How Long Will It Be Before I’m Free From The Pain Of Shingles
I had shingles a few months ago and was given tablets. The blisters have gone but I still have pain across the side of my ribs where they were. Will it go away?
Something I noticed, during lockdown was a larger-than-usual number of my patients getting shingles.
Its a nasty condition caused by the same virus as chickenpox, which lives, dormant, in our bodies after we first get it as youngsters.
It can, for a variety of reasons, become reactivated.
Most people will suffer for a few weeks but for some it may go on as long as a year and it is hard to say why it persists, writes Dr Ellie Cannon
No one knows for sure why it happens but its thought its linked to a lowered immunity.
Stress, sun exposure, illnesses or medicines that suppress the immune system, and simply older age, are also thought to raise the risk.
The virus varicella zoster lives in the nerves and so the blisters usually appear along a line the nerve supplies.
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Is There A Way To Prevent Shingles
Fortunately, a vaccine is available for older adults that can prevent shingles and reduce the incidence of postherpetic neuralgia. The Zostavaxshingles vaccine was approved in 2006. In 2017, the U.S. Food and Drug Administration approved a newer vaccine, Shingrix, as the preferred vaccine. The older Zostavax is a live vaccine given as a single injection, and the newer Shingrix is a nonliving vaccine. The newer Shingrix vaccine is given in two doses two to six months apart. Shingles vaccination is recommended for use in people over 60 years of age.
Antiviral medications, including acyclovir and valacyclovir , when administered early enough in the course of the disease, can decrease the severity and duration of the outbreak, reduce the risk of eye damage if the eyes are involved, and reduce the likelihood of developing postherpetic neuralgia. It is recommended that antiviral drugs be given within 72 hours of the onset of symptoms for the best outcome.
Pain medications can also be effective in controlling shingles pain. These may be applied to the skin, like the capsaicin topical patch or lidocaine . Oral medications that can help with pain control in people with shingles include tricyclic antidepressants such as amitriptyline and certain antiseizure medications such as gabapentin .
Can You Take Sleeping Pills When You Have Shingles
Mild and severe pain can be treated with medication, but the most severe cases can result in insomnia, weight loss, depression, and disability. It is possible for the body to feel tingling, coldness, or a loss of feeling as well. Approximately 20 percent of people over 70 who develop shingles may experience long-term pain after they develop them.
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How Do Dermatologists Diagnose Shingles
A dermatologist can often diagnose shingles by looking at the rash on your skin.
If there is any question about whether you have shingles, your dermatologist will scrape a bit of fluid from a blister. This will be sent to a lab where a doctor will look at the fluid under a high-powered microscope.
When you have shingles, the fluid contains the virus that causes shingles. Seeing the virus confirms that you have shingles.
Your dermatologist will also ask about your symptoms. Shingles tends to be painful.
When the shingles rash spreads to an eye, it can affect your eyesight
You can reduce this risk by seeing an ophthalmologist immediately.
When To Seek Medical Advice
Shingles is not usually serious, but you should see your GP as soon as possible if you recognise the symptoms. Early treatment may help reduce the severity of your symptoms and the risk of developing complications.
You should also see your GP if you are pregnant or have a weakened immune system and you think you have been exposed to someone with chickenpox or shingles and haven’t had chickenpox before.
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The 5 False Facts Your Doctor Mistakenly Promotes Nerve Pain Due To Shingles
The medical community is largely responsible for this misinformation being passed on to the suffering patient. In my view it is the job and responsibility of the family doctor to teach the patient about their neuropathy problem. It is also the doctors job to train the patient in what they can do to improve and manage their neuropathy case successfully.
Many neuropathy patients, suffering with foot or hand pain, tingling, numbness, burning, and other evasive and hard to describe neuropathy symptoms, dont even know the name of their condition! And while others do, that is essentially all they know. With this in mind I want to address some of the most commonly INCORRECT facts that suffering neuropathy patients have been told, or come to understand, due to the lack of patient education by the medical community.
1. Neuropathy comes with age, and there is nothing you can do about it.This statement is only partially correct, inasmuch as aging can contribute to the increased onset and intensity of the neuropathy condition. There are however, many simple techniques and procedures that any person can learn which will offset many of these effects of aging as they relate to peripheral neuropathy.
4. Neuropathy just gets worse with time, and you have to accept that you are stuck with it.
How Is Shingles Treated
Specific treatment for shingles will be determined by your healthcare provider based on:
- Your age, overall health, and medical history
- How long the shingles have been present
- Extent of the condition
- Your tolerance for specific medicines, procedures, or therapies
- Expectations for the course of the condition
- Your opinion or preference
There is no cure for shingles. It simply has to run its course. Treatment focuses on pain relief. Painkillers may help relieve some of the pain. Antiviral drugs may help lessen some of the symptoms and reduce nerve damage. Other treatments may include:
- Creams or lotions to help relieve itching
- Cool compresses applied to affected skin areas
- Antiviral medicines
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So What Is Postherpetic Neuralgia Exactly
Most people with shingles will not develop PHN but certain factors, like age, may place you at a higher risk of developing it.
If you’re still experiencing the pain of active shingles, sans rash, you’re likely experiencing PHN, a complication of shingles. Pain in the aftermath of shingles that persists for longer than 3 months, is PHN. Unfortunately, for some people that pain is chronic and can linger for years.
According to the Centers for Disease Control and Prevention , an estimated 10% to 18% of shingles patients will develop PHN.1 You may be at higher risk of developing it if you have one or more of the following risk factors:
Risk Factors for Developing Postherpetic Neuralgia
- Age: People older than 60 years of age are at increased risk of developing PHN and experiencing longer lasting, more severe pain. According to the CDC, about 10% to 13% of adults aged 60 years or older with shingles develop PHN, whereas PHN is rare in people younger than 40 years old. 1 Older people who have shingles have about a 50% chance of developing PHN.
- Severity of your shingles symptoms: If your shingles symptoms are severe, or if shingles affects your eyes, you’re more likely to develop PHN.
- Other health conditions: People who have suppressed immune systems are more likely to get PHN.2,3
Best Pain Doctor For Shingles Pain Treatment Is Roziermd
If you have shingles pain, you should immediately seek the care and treatment of a reputable pain doctor.
Dr. Antonio Rozier is a highly experienced and reputable pain management doctor. He is the best pain doctor for shingles pain treatment. He is equipped with different interventional techniques and treatments for various types of pain including shingles pain.
If you have shingles pain or you are searching for a doctor that is very experienced in the treatment of shingles pain, Dr. Rozier is highly recommended.
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Help Is Available For Phn
Fortunately,early treatment for shingles can lower your chances of getting PHN.
For some people, the pain becomes refractory, or resistant to treatment, explains Dr. Rosenquist. So we want to treat shingles as fast as we can ideally as soon as somebody feels a tingling or burning sensation, even before a rash develops.
Sheadds that whenever nerve pain is involved, some people respond to treatment andsome dont.
However,medications taken orally or injected that can target the affected nerves may beable to stun the nervous system into behaving properly. That meanstransmitting the appropriate signal to the brain.
Characteristics Of Shingles Pain
The varicella-zoster virus lies dormant in your nerve cells after you have chickenpox. If it reactivates, the virus travels through a nerve path in your body. Common descriptions of shingles symptoms include sensitivity to touch, itching, and nerve pain.
Cases of shingles often begin with a strange, tingling sensation in your skin. Then, oozing blisters develop. You can transmit the virus to people who havent had chickenpox at this stage if they come in contact with the blisters.
Once the blisters crust over, others cant get the virus. People who have had chickenpox cant catch the virus from others, because its already in their bodies.
The blistering patches characteristic of shingles usually appear on one side of your torso, wrapping around your waist. In rare cases, the rash may develop on one side of your face. Pain and blistering may last for several weeks.
Over-the-counter medications are generally ineffective for shingles. Depending on the severity of your condition, steroid or antidepressant medication can help manage symptoms until the blisters clear up.
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Who Is At Risk From Shingles
Anyone who has had chickenpox is at risk of getting shingles later in life. About one in three people who have not been immunised against chickenpox or shingles will get shingles in their lifetime.
Shingles usually affects older people. The older you are if you get shingles, the higher your risk of getting serious disease. People who have a weakened immune system are also at risk of getting more severe disease, even if they are young.
How Is Shingles Diagnosed
Your healthcare provider will do a complete physical exam and ask about your medical history, specifically about whether you have ever had chickenpox.
Your healthcare provider will likely know right away that it is shingles based on the unique rash. The rash usually appears one area on one side of the body or face. It appears as red spots, small fluid- or pus-filled vesicles, or scabs.
The healthcare provider may also take skin scrapings for testing.
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Key Points About Shingles
- Shingles is a common viral infection of the nerves. It causes a painful rash or small blisters on an area of skin.
- Shingles is caused when the chickenpox virus is reactivated.
- It is more common in people with weakened immune systems, and in people over the age of 50.
- Shingles starts with skin sensitivity, tingling, itching, and/or pain followed by rash that looks like small, red spots that turn into blisters.
- The rash is typically affects just one area on one side of the body or face.
- Treatment that is started as soon as possible helps reduce the severity of the disease.
The Details: Here’s Where Postherpetic Neuralgia Gets Complicated
Postherpetic Neuralgia Causes
To help you understand how shingles can cause PHN, you need to know how you can get shingles. Shingles is caused by a viral infection called herpes zoster. The virus that causes herpes zoster is called the varicella-zoster virus, and it is the same virus that causes chicken pox in childhood. After a person recovers from chickenpox, the virus can enter the nervous system and remain dormant for many years. In some people, the virus will reactivate years later and produce shingles.4
Researchers aren’t exactly sure what triggers the herpes zoster virus to re-emerge after all those years, but they think it is related to age, illness, and stress.3 Shingles can be very painful, and when the virus reaches the skin, it can cause blistery rashes. These rashes usually heal in less than 3 months.
And this chain of events can lead to PHN. If the pain of shingles lingers longer than 3 months, you may have PHN.
During your bout with shingles, the virus you were fighting injured nerves in and around the skin where the rash and blisters once existed. As your immune system eventually suppressed the virus, your rash and blisters disappeared. You may have even felt less pain, and you assumed that you had won the battle with shingles.
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