Avoid the Pain of Shingles
Anyone who has recovered from chickenpox can develop shingles
The same virus that causes chickenpox causes shingles. Shingles is a painful recurrence of the original chickenpox infection. Yet not everyone who had chickenpox will develop shingles.
Some people have the virus hiding in their nerve tissue. If conditions are right, the virus "awakens." This may cause a few blisters on the skin or a big rash that is typically on one side of the body. The rash can occur on any part of the body. For most people, the rash usually goes away in a few weeks, but the pain can last longer. Pain that lasts after the rash has cleared is called postherpetic neuralgia.
What are the risk factors for shingles?
Anyone who has had chickenpox can develop shingles and possibly postherpetic neuralgia. But your risk is greater if any of these are true:
You are age 50 or older.
You have an illness that weakens your immune system.
You take medicines that suppress your immune system.
How do you know when shingles is coming on?
The early signs of shingles can easily be mistaken for another illness. You may be familiar with some of them:
Burning or shooting pain in the skin
A numb or tingling feeling
Mild flu-like symptoms
A rash or cluster of blisters (seen later)
For most people, shingles will disappear without major problems, but there is a chance you can develop postherpetic neuralgia.
What causes postherpetic neuralgia?
After-shingles pain occurs because the virus that causes shingles damages specific nerves in your body underneath the skin. Severe pain can occur on or around the rash. It's often described as burning, aching, itching, or sharp. The pain can last for a long time, even months or years after the infection resolves.
How serious is postherpetic neuralgia?
Postherpetic neuralgia may cause your skin to become sensitive to changes in temperature. You may find the feeling of clothing painful. Daily tasks such as bathing, dressing, and grooming may be unpleasant. Severe after-shingles pain can limit activities like shopping, cooking, traveling, and sports.
Can shingles be prevented?
Shingles vaccination is the only way to protect yourself against this painful disease. Vaccination is over 90% effective at preventing shingles and postherpetic neuralgia in adults 50 years and older with healthy immune systems. Adults who have weakened immune systems are at higher risk of complications and should also get vaccinated.
Learn more about the shingles vaccination on the CDC website
What is the treatment for shingles?
Quick treatment with an antiviral drug decreases the severity and length of time of acute pain. Antivirals work best when taken 24 to 72 hours after the rash appears. Corticosteroids and pain relievers may provide pain control.
Is there a treatment for postherpetic neuralgia?
The good news is help is available. Effective treatment choices, including getting enough rest and taking medications, may relieve after-shingles pain. Each medication works differently and has its own benefits.
If you’re suffering from shingles or after-shingles pain, it’s important to schedule an appointment with your health care provider. Make sure to reach out to your doctor using Secure Messaging if you need to talk about managing the pain.
Learn more about managing appointments
Learn more about Secure Messaging
Sign in to manage your health care
After January 2025, you'll need to use a Login.gov or ID.me account to sign in to My HealtheVet and other VA tools.
You must be a VA patient to access some parts of your VA health record. If you’re not enrolled in VA health care, you can apply now.
Learn how to apply for VA health care
Please vote in our unscientific poll. All responses are anonymous.