How long does shingles last? Timeline and treatment

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Shingles causes a painful rash, itching, and burning skin followed by oozing blisters. Shingles lasts 3–5 weeks in most cases, and the blisters usually take around 10 days to heal. After it heals, most people will not have shingles again.

Shingles is a viral infection that affects approximately 1 in 3 adults in the United States. Around half of all shingles cases occur in adults over 60 years old.

It can occur in anyone who has had chickenpox, as both shingles and chickenpox are caused by the varicella-zoster virus (VZV). This virus remains in the body after chickenpox has cleared and can reactivate at any time, leading to shingles.

Shingles symptoms tend to develop on one side of the face or body. They often affect just a small area. The most common location is on the side of the waist, although they can occur anywhere.

Share on PinterestA red rash usually forms after several days of early symptoms.

Several days before a rash appears, shingles may cause skin sensitivity or pain. Further early symptoms include:

• general discomfort
• hot skin
• irritation
• itching
• numbness
• tingling

Within the next 1 to 5 days, a red rash will normally form around the sensitive area. A few days later, fluid-filled blisters will develop at the site of the rash.

The blisters will ooze before drying up, typically within 10 days of appearing. At this point, scabs will form on the skin, tending to heal within 2 weeks.

There may be other symptoms accompanying the skin sensitivity and rash, including:

• chills
• fatigue
• fever
• headache
• malaise or feeling of being unwell
• nausea
• sensitivity to light

A person’s vision may be affected if the shingles occurs near the eyes.

It should be noted that shingles symptoms range from mild to severe, with some people experiencing itching and mild discomfort and others having intense pain.

Most cases of shingles resolve without causing long-term effects. However, potential complications include:

Post-herpetic neuropathy (PHN)

Post-herpetic neuropathy (PHN) is a common complication of shingles. It refers to nerve damage that causes pain and burning that persists after the shingles infection is gone.

Some sources suggest that up to 20 percent of people who get shingles develop PHN with older adults thought to be especially at risk.

Treating PHN is difficult, and the symptoms can last for years. However, most people fully recover within 12 months.

It is not known why some people who have shingles go on to develop PHN. The risk factors for PHN include:

• a weakened immune system
• having pain during the early stages of a shingles infection
• advanced age
• having severe shingles that covers a large portion of the skin

According to some research, older women who get severe pain and rash symptoms may have a 50 percent chance of developing PHN.

Other complications

Other potential complications of shingles include:

• bacterial infections of the skin
• facial paralysis
• hearing loss
• hepatitis
• loss of taste
• pneumonia
• ringing in the ears
• vertigo, a type of dizziness
• vision problems

Share on PinterestOver-the-counter or prescription medication may be recommended to treat shingles.

It is important to see a doctor as soon as a person notices the symptoms of shingles.

The National Institute on Aging recommend that people seek medical treatment no later than 3 days after the rash appears. Early treatment can limit pain, help the rash heal quicker, and may reduce scarring.

Once a doctor confirms shingles, they may suggest the following treatments:

Antiviral drugs

These ease symptoms, speed up recovery, and may prevent complications. A course of antiviral medications is usually prescribed for 7 to 10 days. Options include:

• acyclovir (Zovirax)
• famciclovir (Famvir)
• valacyclovir (Valtrex)

Antiviral drugs are most effective when taken within 3 days of the rash onset, although they may still be prescribed within the first 7 days of the rash appearing.

Painkillers and antihistamines

Over-the-counter (OTC) or prescription medications may reduce pain and skin irritation. Options include:

• anti-inflammatory drugs, such as ibuprofen (Advil)
• antihistamines for itching, including diphenhydramine (Benadryl)
• corticosteroids or local anesthetics for severe pain
• numbing products, including lidocaine (Lidoderm)

Some of these medications are available for purchase online, including ibuprofen, antihistamines, and lidocaine.

Antidepressants

Certain antidepressant drugs have been proven effective in reducing shingles pain, as well as symptoms of PHN.

Tricyclic antidepressants (TCAs) are most commonly prescribed for shingles pain, including:

• amitriptyline (Elavil)
• imipramine (Tofranil)
• nortriptyline (Aventyl, Pamelor)

It can take several weeks or months before antidepressants work for nerve pain.

Anticonvulsant medications

Although typically used to treat epilepsy, some anticonvulsant drugs may reduce nerve pain. Again, these can take several weeks to take effect. Commonly prescribed anticonvulsants for shingles include:

• gabapentin (Neurontin)
• pregabalin (Lyrica)

In addition to seeking medical treatment, people can take other steps to alleviate their symptoms and reduce discomfort. These include:

• getting enough sleep and rest
• using a wet compress on the itchy and inflamed skin and blisters
• reducing stress through a healthy lifestyle, meditation, and deep breathing exercises
• wearing loose-fitting clothing made of natural fibers, such as cotton.
• taking an oatmeal bath
• applying calamine lotion to the skin

People should avoid scratching the rash and blisters as much as they can. Breaking the skin or bursting the blisters can cause infection and further complications.

Shingles is not contagious but is the reactivation of a virus already present in the body.

However, a person with shingles can give chickenpox to someone who has never had the VZV infection before.

Therefore, people with shingles should avoid contact with those who have never had chickenpox until their rash has completely healed. To catch the virus, someone must have direct contact with the rash.

To avoid spreading VZV, people with shingles should:

• Avoid close contact with people who have never had chickenpox or been vaccinated for chickenpox.
• Avoid close contact with low birth-weight infants and people with a compromised immune system, such as those on HIV medication or who have had an organ transplant.
• Keep the rash covered with loose, natural clothing to avoid others coming into contact with it.
• Wash their hands frequently, especially after touching the rash or applying lotions to the skin.

Share on PinterestPeople over 50 should get a vaccination against shingles.

There is a vaccination available to reduce the risk of developing shingles and experiencing long-term complications, such as PHN.

The Centers for Disease Control and Prevention (CDC) recommends that adults aged 50 years and older have two doses of the Shingrex vaccination over a 2-6 month period. It is believed to be more than 90% effective at preventing shingles and PHN.

People who have already had shingles can have the vaccine to prevent future occurrences.

Up to a third of the population in the U.S. is affected by shingles. Symptoms vary in their severity and duration. Early intervention is key in reducing symptom severity and avoiding complications, such as PHN.

Therefore, people should see their doctor, as soon as possible, if they have heightened skin sensitivity or develop a rash or blisters. Several home remedies can alleviate shingle symptoms when used in conjunction with medical treatments.

People should consider having the shingles vaccination to reduce their risk of getting shingles and long-term nerve pain.

How long does shingles last? Timeline and treatment

We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission Here’s our process.

Medical News Today only shows you brands and products that we stand behind.

Our team thoroughly researches and evaluates the recommendations we make on our site. To establish that the product manufacturers addressed safety and efficacy standards, we:

• Evaluate ingredients and composition: Do they have the potential to cause harm?
• Fact-check all health claims: Do they align with the current body of scientific evidence?
• Assess the brand: Does it operate with integrity and adhere to industry best practices?

We do the research so you can find trusted products for your health and wellness.

Read more about our vetting process.

Was this helpful?

Shingles causes a painful rash, itching, and burning skin followed by oozing blisters. Shingles lasts 3–5 weeks in most cases, and the blisters usually take around 10 days to heal. After it heals, most people will not have shingles again.

Shingles is a viral infection that affects approximately 1 in 3 adults in the United States. Around half of all shingles cases occur in adults over 60 years old.

It can occur in anyone who has had chickenpox, as both shingles and chickenpox are caused by the varicella-zoster virus (VZV). This virus remains in the body after chickenpox has cleared and can reactivate at any time, leading to shingles.

Shingles symptoms tend to develop on one side of the face or body. They often affect just a small area. The most common location is on the side of the waist, although they can occur anywhere.

Share on PinterestA red rash usually forms after several days of early symptoms.

Several days before a rash appears, shingles may cause skin sensitivity or pain. Further early symptoms include:

• general discomfort
• hot skin
• irritation
• itching
• numbness
• tingling

Within the next 1 to 5 days, a red rash will normally form around the sensitive area. A few days later, fluid-filled blisters will develop at the site of the rash.

The blisters will ooze before drying up, typically within 10 days of appearing. At this point, scabs will form on the skin, tending to heal within 2 weeks.

There may be other symptoms accompanying the skin sensitivity and rash, including:

• chills
• fatigue
• fever
• headache
• malaise or feeling of being unwell
• nausea
• sensitivity to light

A person’s vision may be affected if the shingles occurs near the eyes.

It should be noted that shingles symptoms range from mild to severe, with some people experiencing itching and mild discomfort and others having intense pain.

Most cases of shingles resolve without causing long-term effects. However, potential complications include:

Post-herpetic neuropathy (PHN)

Post-herpetic neuropathy (PHN) is a common complication of shingles. It refers to nerve damage that causes pain and burning that persists after the shingles infection is gone.

Some sources suggest that up to 20 percent of people who get shingles develop PHN with older adults thought to be especially at risk.

Treating PHN is difficult, and the symptoms can last for years. However, most people fully recover within 12 months.

It is not known why some people who have shingles go on to develop PHN. The risk factors for PHN include:

• a weakened immune system
• having pain during the early stages of a shingles infection
• advanced age
• having severe shingles that covers a large portion of the skin

According to some research, older women who get severe pain and rash symptoms may have a 50 percent chance of developing PHN.

Other complications

Other potential complications of shingles include:

• bacterial infections of the skin
• facial paralysis
• hearing loss
• hepatitis
• loss of taste
• pneumonia
• ringing in the ears
• vertigo, a type of dizziness
• vision problems

Share on PinterestOver-the-counter or prescription medication may be recommended to treat shingles.

It is important to see a doctor as soon as a person notices the symptoms of shingles.

The National Institute on Aging recommend that people seek medical treatment no later than 3 days after the rash appears. Early treatment can limit pain, help the rash heal quicker, and may reduce scarring.

Once a doctor confirms shingles, they may suggest the following treatments:

Antiviral drugs

These ease symptoms, speed up recovery, and may prevent complications. A course of antiviral medications is usually prescribed for 7 to 10 days. Options include:

• acyclovir (Zovirax)
• famciclovir (Famvir)
• valacyclovir (Valtrex)

Antiviral drugs are most effective when taken within 3 days of the rash onset, although they may still be prescribed within the first 7 days of the rash appearing.

Painkillers and antihistamines

Over-the-counter (OTC) or prescription medications may reduce pain and skin irritation. Options include:

• anti-inflammatory drugs, such as ibuprofen (Advil)
• antihistamines for itching, including diphenhydramine (Benadryl)
• corticosteroids or local anesthetics for severe pain
• numbing products, including lidocaine (Lidoderm)

Some of these medications are available for purchase online, including ibuprofen, antihistamines, and lidocaine.

Antidepressants

Certain antidepressant drugs have been proven effective in reducing shingles pain, as well as symptoms of PHN.

Tricyclic antidepressants (TCAs) are most commonly prescribed for shingles pain, including:

• amitriptyline (Elavil)
• imipramine (Tofranil)
• nortriptyline (Aventyl, Pamelor)

It can take several weeks or months before antidepressants work for nerve pain.

Anticonvulsant medications

Although typically used to treat epilepsy, some anticonvulsant drugs may reduce nerve pain. Again, these can take several weeks to take effect. Commonly prescribed anticonvulsants for shingles include:

• gabapentin (Neurontin)
• pregabalin (Lyrica)

In addition to seeking medical treatment, people can take other steps to alleviate their symptoms and reduce discomfort. These include:

• getting enough sleep and rest
• using a wet compress on the itchy and inflamed skin and blisters
• reducing stress through a healthy lifestyle, meditation, and deep breathing exercises
• wearing loose-fitting clothing made of natural fibers, such as cotton.
• taking an oatmeal bath
• applying calamine lotion to the skin

People should avoid scratching the rash and blisters as much as they can. Breaking the skin or bursting the blisters can cause infection and further complications.

Shingles is not contagious but is the reactivation of a virus already present in the body.

However, a person with shingles can give chickenpox to someone who has never had the VZV infection before.

Therefore, people with shingles should avoid contact with those who have never had chickenpox until their rash has completely healed. To catch the virus, someone must have direct contact with the rash.

To avoid spreading VZV, people with shingles should:

• Avoid close contact with people who have never had chickenpox or been vaccinated for chickenpox.
• Avoid close contact with low birth-weight infants and people with a compromised immune system, such as those on HIV medication or who have had an organ transplant.
• Keep the rash covered with loose, natural clothing to avoid others coming into contact with it.
• Wash their hands frequently, especially after touching the rash or applying lotions to the skin.

Share on PinterestPeople over 50 should get a vaccination against shingles.

There is a vaccination available to reduce the risk of developing shingles and experiencing long-term complications, such as PHN.

The Centers for Disease Control and Prevention (CDC) recommends that adults aged 50 years and older have two doses of the Shingrex vaccination over a 2-6 month period. It is believed to be more than 90% effective at preventing shingles and PHN.

People who have already had shingles can have the vaccine to prevent future occurrences.

Up to a third of the population in the U.S. is affected by shingles. Symptoms vary in their severity and duration. Early intervention is key in reducing symptom severity and avoiding complications, such as PHN.

Therefore, people should see their doctor, as soon as possible, if they have heightened skin sensitivity or develop a rash or blisters. Several home remedies can alleviate shingle symptoms when used in conjunction with medical treatments.

People should consider having the shingles vaccination to reduce their risk of getting shingles and long-term nerve pain.

Treatment of herpes zoster in St. Petersburg. Treatment of herpes zoster type 3 in adults and children.

Everyone knows that in childhood such a disease as chickenpox proceeds quite easily – a few days in green spots and that’s it. But few compare “chickenpox” vesicles with herpes. But this is just a vivid reaction to the first meeting with the type 3 herpes virus. So it turns out that after an illness, we not only acquire immunity to chickenpox (or chickenpox), but also become carriers of the virus. And it is possible that after a few decades you will have to find out what the treatment of shingles is.

“Crawling belt or belt” – so you can literally translate the name of the disease Herpes Zoster. And the use of the word “lichen” is explained simply – this is how any rash in the form of nodules or vesicles is designated. In ancient times, it was believed that this disease either goes away on its own or torments a person for a long time. Now there is an effective treatment for herpes zoster, which, of course, will protect against complications and the transition to a chronic form.

As practice shows, only in exceptional cases the disease is not accompanied by severe pain and ends in a couple of weeks. As a rule, even with adequate treatment and the absence of complications, it takes at least a month to recover.

Symptoms and treatment of herpes zoster

Most often, this virus settles in the nerve cells of the spinal cord, and its favorite location is the thoracic and lumbar regions. If for some reason the virus becomes active, then, multiplying, it reaches the end of the nerve and the organ that this nerve innervates.

Again, the classic picture is that the virus moves along the intercostal nerves, hence both symptoms and treatment of herpes zoster in adult varicella virus carriers in most cases are associated with pain and rashes in the chest, abdomen and lower back.

• It all starts like any viral disease – general weakness, fever and in the very first days no signs of a rash. During this period, the treatment of herpes type 3 is not carried out due to the ambiguity of the picture;
• A distinctive feature of the initial stage is some itching, tingling and pain (often severe) in places where rashes will later appear. These are neuralgic pains that appear due to damage to the peripheral nerves by the virus;
• Often at this stage, errors in the diagnosis occur, since the skin is still clean, and doctors take sharp pains for angina pectoris, pleurisy, or even a lung infarction. Of course, without observing the symptoms characteristic of the disease and the treatment of herpes zoster, doctors do not prescribe;
• Soon, pinkish swellings appear on the skin, and after 3-4 days, rashes characteristic of herpes in the form of bubbles rapidly form on them. In this case, the pain syndrome, as a rule, remains pronounced, and the treatment of herpes zoster in adult patients in this case implies not only exposure to the virus, but also analgesic therapy;
• If the disease proceeds without complications, then after about a week the bubbles “burst” and dry up, as usual, leaving a crust on the affected area. And, as in childhood during chickenpox, these crusts do not need to be removed – the formation of wounds is possible, into which a bacterial infection can easily get. Therefore, experienced infectious disease specialists, when prescribing the treatment of herpes zoster in adults at this stage, include, if necessary, antibacterial agents.

Important to remember!

• Any herpes virus is activated only during periods when a weakened immune system allows it. Therefore, you need to be attentive to the state of your health if you understand that your immunity is not as good as you would like;
• The symptoms and treatment of herpes zoster in adults are well known only to experienced infectious disease specialists, because, despite the widespread distribution of type 3 virus (95% of the population are carriers), about 15 people per 100 thousand of the population suffer from herpes zoster. Therefore, at the slightest suspicion, entrust your health to highly qualified doctors.

Herpes zoster treatment consultation in St. Petersburg ID-CLINIC private clinic

Herpes zoster treatment consultation in St. Petersburg ID-CLINIC private clinic

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Herpes zoster (shingles or Varicella zoster) is an infection of the skin and nervous system that occurs when reactivation herpesvirus type 3 Varicella zoster . The causative agent affects a person even in childhood and becomes the cause of chickenpox, and after recovery remains in the nerve ganglia for life. In most people, the virus does not manifest itself in any way, but with a decrease in immunity, it begins to multiply and causes symptoms similar to Herpes zoster.

The initial period of the disease

The prodromal symptoms of herpes zoster are similar to those of other infections. A person experiences weakness, malaise, decreased performance. The body temperature rises, an increase in one or more groups of lymph nodes is possible. Burning, itching, numbness or tingling is felt on the skin in places of future rashes, and intense pain develops after a few days. The prodromal period lasts up to 7 days.

Typical symptoms

Herpes zoster is manifested by rashes on the body, which are localized on one side and affect a limited area of ​​the skin. The location of the rash corresponds to the zone of innervation of the affected nerve and is accompanied by herpetic neuritis . First, pink spots appear, which quickly transform into small bubbles. Over time, the bubbles open or shrink. Inflammatory elements heal through the stage of crusts and hyperpigmentation.

Possible complications

In herpes zoster, most often there is a lesion of the nervous system in the form of postherpetic neuralgia , herpetic meningoencephalitis, transverse myelitis, paresis of the facial nerve. Bacterial complications include pustular infection of the skin and subcutaneous tissue, with a generalized form of the disease, pneumonia may develop. The risk of complications increases in debilitated and elderly patients.

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Atypical forms

● Abortive – Herpes zoster with minimal symptoms, no skin rash.
● Bullous – skin rash is presented in the form of large blisters with transparent contents.
● Hemorrhagic – blisters on the skin are filled with blood, when they heal, brown crusts form.
● Gangrenous – a deep skin lesion with the formation of poorly healing ulcers, after which scars remain.
● Generalized – rashes spread over a large area of ​​the skin, forming confluent foci.

Doctor’s consultation

It is recommended to visit a specialist already at the first signs of infection, when a person experiences an unpleasant burning sensation and soreness on the skin. With such symptoms, you should contact a dermatologist , and in case of postherpetic neuritis – a neurologist . The ID-Clinic doctor conducts a general examination, collects an anamnesis, and identifies risk factors. If necessary, special diagnostics are prescribed: serological analysis (ELISA), virus DNA isolation using PCR, virological and microscopic methods.

Prevention of herpes zoster

The most reliable way to protect yourself from infection is timely vaccination . Both primary vaccination of herpes zoster in risk groups (older people, debilitated patients, taking immunosuppressive drugs, people living with HIV) and secondary vaccination in patients with recurrent herpes zoster are carried out. For the purpose of specific prophylaxis, the Varilrix vaccine is used, which is administered twice with an interval of 4-6 weeks.

Herpes zoster treatment

Etiotropic drugs
In all cases of herpes zoster, antiherpetic agents of the acyclovir group are used. In addition to them, interferon preparations and interferon inducers may be prescribed.
Pathogenic therapy
The main goal is to relieve pain. For this purpose, NSAIDs, opioid analgesics, anticonvulsants and antidepressants can be used. To eliminate other signs of the disease, antihistamines, antipyretics and anti-inflammatory drugs are used.
Local treatment
To treat areas of rashes on the skin, ointments with antiviral components, alcohol solutions of aniline dyes, and antiseptic solutions are prescribed. If the rash passes to the mucous membranes, astringents and anti-inflammatory drugs are indicated.

Follow-up

Patients who have had uncomplicated herpes zoster and do not have risk factors do not require medical supervision. The remaining groups of patients are on dispensary records for 1-3 years. It is recommended that such people regularly come for examinations to a neurologist, take a set of laboratory tests. Dispensary observation and timely correction of the state of health reduce the risk of Herpes zoster recurrence in high-risk groups.

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Tsareva Julia Gennadievna

Natalia Natalia

This is not the first time the whole family has been contacting us, the main thing is testing, the administrators are always friendly, no queues, unnecessary questions and waste of time. We arrived, handed over, the result was received by mail. Always fast and extremely polite. Prices are not too high. Always on time and even faster. We are very satisfied and will continue to use. If necessary, you can contact narrow-profile specialists. Very pleased that there is a good pulmonologist. For me, this is extremely important.
The location is excellent, no problems with waiting, everything is simple and clear on the call. No vague stories “Go to the site”, everything is decided by phone. No questions in the spirit of “Do you definitely need this, or maybe this and this and that and that and that for reliability . ..?” Simply fast and simple. Pleased with professionalism, competence, tact, level of security.

User (SberHealth)

Found a doctor on the Internet. Anna Borisovna is a professional in her field. The appointment lasted half an hour. At the reception, the doctor consulted and gave recommendations.

Specialist:
Balandina Anna Borisovna

Marina

Yellow fever vaccination and pre-medical examination
Tatyana Sergeevna – she treated the examination very carefully and responsibly. Thanks a lot. It was very comfortable to be at the reception. And a specialist “with a light hand” works in the treatment room. Unfortunately, I didn’t get my last name.

Specialist:
Korneeva Tatyana Sergeevna

Valeria R

Great clinic, amazing doctors who TALKED AND LISTENED to me! I recommend to all! Great room, nice staff. Everything is excellent – I recommend mainly because of the attitude towards patients!

Prodoctors

We visited Tatyana Sergeevna for the first time. We chose her because we had the time we needed to record. In principle, we were satisfied with everything. The doctor examined, advised, prescribed tests. She was able to answer all of our questions and explained everything as it was. It is very comfortable to talk with Tatyana Sergeevna. The consultation itself lasted approximately 50 minutes, maybe an hour. There was enough time. Everyone is happy, no questions. If the need arises, we will contact the doctor again. I can recommend to visit this specialist.

Specialist:
Korneeva Tatyana Sergeevna

Anastasia Torosh

Thank you for understanding) I signed up on the same day I called) I needed it urgently. Served coffee. (Thank you)! Very polite staff. They even helped to charge the phone))) in other clinics today everything was full. Waiting for a doctor)

Natalia (NaPopravka)

I really liked the appointment, the doctor listened carefully about all my sores, gave advice. Conducted a therapeutic consultation before being vaccinated against coronavirus.