Capsaicin, an over-the-counter cream containing certain extracts from chilli peppers: when applied to the skin surface, it temporarily removes certain chemicals from the nerve endings and prevents nerves from sending pain messages to the brain. The cream has to be applied regularly. At first it might produce a burning sensation. Unfortunately, this treatment is not yet available in South Africa.
“The shingle attack itself is severe and painful to most people, and then there’s the possibility that the skin lesions clear up but nerve pain continues,” said Dr. Len Horovitz, a pulmonologist at Lenox Hill Hospital in New York City. “That can be really chronic, unremitting and difficult to treat.”
^ a b c Johnson RW, Dworkin RH (2003). “Clinical review: Treatment of herpes zoster and postherpetic neuralgia”. BMJ. 326 (7392): 748–50. doi:10.1136/bmj.326.7392.748. PMC 1125653 . PMID 12676845. Archived from the original on 2008-01-31.
myDrReferences 1. National Health and Medical Research Council (NHMRC). The Australian Immunisation Handbook, 10th Edition. Chapter 4.24 – Zoster (Herpes zoster) [accessed Sept 2015]. Available from: http://www.immunise.health.gov.au/internet/immunise/publishing.nsf/Content/Handbook10-home~handbook10part4~handbook10-4-24
Shingles is a virus condition involving inflammation of sensory nerves that can result in severe pain. It causes localized pain, numbness, and itching, followed by the appearance of clustered blisters in a strip pattern on one side of the body. Sometimes the pain can persist for weeks, months, or years after the rash heals (known as postherpetic neuralgia). The term “shingles” is derived from the Latin word cingulum, meaning girdle — the idea being that shingles often girdles part of the body.
Like every vaccine, Shingrix has the potential for side effects, although so far, none seem particularly worrisome. The new shingles vaccine does appear to be more likely to cause pain during injection and at the site of injection for up to three days afterward than Zostavax does.
^ a b c Pollak, L; Dovrat, S; Book, M; Mendelson, E; Weinberger, M (August 2011). “Varicella zoster vs. herpes simplex meningoencephalitis in the PCR era. A single center study”. Journal of the Neurological Sciences. 314 (1–2): 29–36. doi:10.1016/j.jns.2011.11.004. PMID 22138027.
People with Bell’s palsy usually don’t need medical treatment, however, drugs like steroids, for example, prednisone seem to be effective in reducing swelling and inflammation are used when medical is necessary. Most people with Bell’s palsy begin to recover within two weeks after the initial onset of symptoms. Full recovery may take three to six months.
The C.D.C. committee held off on recommending Shingrix for the immunocompromised, because GSK is still running trials these patients. But since the F.D.A. did not declare Shingrix contraindicated for them when approving it, they can get the vaccine once it’s available.
According to the U.S. Centers for Disease Control and Prevention (CDC), about 20 percent of people with shingles develop a rash that crosses multiple dermatomes. Dermatomes are separate skin areas that are supplied by separate spinal nerves.
Shingles can affect any part of the body, including the face. Classically, the rash caused by shingles often takes the shape of a belt from the midline on one side of the body. The rash forms its characteristic pattern because the virus works down the nerves that branch out from the spinal cord. The chest and lumbar region are most commonly affected.
The shingles vaccine has been tested on thousands of people to ensure its efficacy and safety. Most of the time, the vaccine is safely administered without any side effects. When it does cause reactions, they’re usually mild. People have reported side effects including redness, swelling, itching, or soreness in the area of skin where they were injected. A small number of people have complained of a headache after being vaccinated.
If you have shingles, you’ll most likely see a row of raised dots pop up on one side of your body or face. Your skin will look red in that area. You’ll get a stabbing or shooting kind of pain. You may also feel: