Herpes Zoster (Shingles)
I. Definition:
Shingles (herpes zoster) is a nerve infection caused by the chicken-pox
virus. Shingles results from reactivation of the chicken-pox virus that remained in your
body since you had chicken pox--perhaps many years ago.
II. Causes:
- Herpes zoster (shingles) is caused by the chicken-pox virus.
III. Symptoms:
- The rash of shingles begins as red patches that soon develop blisters,
often on one side of the body. The blisters may remain small or can become large. They
heal in two to four weeks. They may leave scars.
- Many patients mistakenly believe that "nervousness" causes
shingles. this is wrong; shingles is a viral infection of a nerve and has nothing to do
with being "nervous."
- Shingles is often painful, this is because the virus travels along the
nerve to get to the skin resulting in inflammation and damage to the nerve.
III. Treatment:
- Many patients have experienced success with natural treatments such as Heal Shingles, a special solution that can treat the problem effectively and in a short period of time.
- Acyclovir helps to control the skin eruption. It is not a cure, but helps
to heal the rash, provided treatment is started early. Acyclovir is taken by mouth.
- Even taking acyclovir may not eliminate discomfort, burning sensations,
or pain. If the discomfort is mild, take Tylenol or a similar mild painkiller.

- If you have too much pain, we can order a prescription painkiller to take
until the pain subsides. The pain is caused by inflammation of a nerve. Cortisone taken by
mouth is sometimes used in treating the nerve inflammation.
- The blistering rash usually clears in a few weeks. The discomfort may
persist longer.
- Treat your rash gently. Don't open your blisters. As long as there is
blistering or crusting, compresses with dilute vinegar will make you more comfortable.
Compress the blisters or crusts for 10 minutes twice daily with a mixture of one-quarter
cup of white vinegar and two quarts of lukewarm water. Stop the compresses when the
blisters have dried up.
- Later, when the crusts and scabs are separating, your skin may become
dry, tense, and cracked. If that happens, rub on a small amount of white petrolatum (plain
Vaseline) three or four times a day.
IV. Postherpetic Neuralgia (Pain After the Rash is
Gone):
- Shingles is often painful, this is because the virus travels along the
nerve to get to the skin resulting in inflammation and damage to the nerve. The pain can
last up to six months because nerves heal very slowly.
- The best treatment for the pain after the rash is gone is a cream called
Zostrix. This cream can be bought from your pharmacy without a prescription. To use
Zostrix Cream one must apply it five-six times a day. It will take two to three weeks of
use before the cream will start to work. This takes tremendous patience. If you persist
though, the benefit of reduced pain will pay off.

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