What is it?
Shingles is caused by the reactivation of the
varicella-zoster virus, the same virus that causes chickenpox. After a person
recovers from chickenpox, the virus lies dormant in nerve tissue and can
reactivate years later. When it does, it typically causes a burning or
tingling sensation in a localized area, followed by a painful, blistering
rash.
This rash often forms a band-like pattern along the
path of a nerve, usually on one side of the torso, face, or neck.
Additional symptoms may include fever, fatigue, and
sensitivity to touch. Older adults and individuals with weakened immune
systems are more likely to experience severe cases and complications.
How is it treated?
The goal of treatment
is to reduce the severity and duration of the outbreak and to prevent
complications like postherpetic neuralgia (PHN)—a lingering nerve pain that can
persist after the rash resolves.
Antiviral
medications such as acyclovir, valacyclovir, or famciclovir are most effective
when started within 72 hours of symptom onset.
Pain management strategies may include
nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, or
nerve-specific medications like gabapentin. If symptoms are severe or affect
sensitive areas such as the eyes, urgent care is recommended. Charlotte
Dermatology providers also discuss vaccination options like Shingrix for
long-term prevention, particularly in adults 50 and older.
THE TREATMENTS BELOW CAN HELP WITH HERPES ZOSTER (SHINGLES):
view all