how long does it take for shingles to run its course

by Jo Braun 7 min read

How long does shingles last? Most cases of shingles last three to five weeks. The first sign is often burning or tingling pain; sometimes it includes numbness or itching on one side of the body. Somewhere between one and five days after the tingling or burning feeling on the skin, a red rash will appear.6 days ago

What is the most painful stage of shingles?

Typically, the peak pain of shingles is felt within 4 or 5 days after the first symptoms develop, and it comes along with a blistering rash. As the blisters scab over, the pain usually starts to disappear. In some cases, the pain does not go away. This is known as a condition called postherpetic neuralgia.

Does shingles have to run its course?

There is no cure for shingles. It simply has to run its course. Treatment focuses on pain relief. Painkillers may help relieve some of the pain.

How do you know shingles are healing?

The blisters will scab over and begin to heal, which takes from 1 to 3 weeks, unless the rash is on your scalp in which case it can take several months. As they heal, the blisters become smaller and less painful, generally over a period of 3 to 5 weeks.

How long should you stay home with shingles?

Should someone with shingles stay home from work or school? In general, as long as the lesion can be covered, a person with shingles does not need to stay home from work or school. Health care workers and others working with high-risk individuals should remain home from work until the blisters have scabbed over.

How painful is shingles on a scale of 1 to 10?

“Shingles is extremely painful," Wigand-Bolling said. “On a scale from one to 10, most patients will say the pain ranges from six to 10.” Between 1 and 5 days after the first symptoms occur, a rash will develop in the affected area.

What are the stages of shingles?

Shingles' clinical manifestations are divided into 3 distinct phases: preeruptive, acute eruptive, and chronic. The preeruptive phase (or preherpetic neuralgia stage) usually lasts about 48 hours but can stretch to 10 days in some cases.

How long does it take for nerves to heal after shingles?

Postherpetic neuralgia (PHN) can last for weeks, months, or in some people, years after the shingles rash goes away. In most people, shingles pain goes away in one to three months. However, in one in five people, pain lasts more than one year.

Do shingles symptoms get worse at night?

It can be constant or intermittent and may get worse at night or in reaction to heat or cold. The pain can result in fatigue, sleep disturbance, anorexia, depression and, in general, a lowering of quality of life.

Is it normal to be extremely tired with shingles?

You may experience fatigue while you have shingles. However, it's also possible to feel fatigued even after the shingles rash has disappeared. Fatigue may happen indirectly due to PHN, a complication of shingles that involves lingering pain. Many people with PHN experience insomnia.

Can I spread shingles on myself?

Answer: Shingles cannot spread from one person to another. However, the virus that causes shingles (varicella-zoster virus) can spread from a person with active shingles to someone who is not immune to chickenpox (most people have had a chickenpox infection or vaccinated against chickenpox).

Is your immune system weaker after shingles?

Weakened Immune System There is a clear association between shingles and weakened immunity to infection.

What does a mild case of shingles look like?

A mild case of shingles may include a red rash without blisters. The shingles rash and blisters are distinct characteristics of the illness. Mild cases of shingles do not usually cause headaches, fever, or fatigue. Whether mild or severe, pain is the most common symptom of shingles.

What Is Shingles (Herpes Zoster)?

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Shingles, also known as herpes zoster or just zoster, occurs when a virus in nerve cells becomes active again later in life and causes a skin rash. The virus that causes shingles, the varicella-zoster virus, is the same virus that causes chickenpox. It is a member of the herpes virus family. Once you have had chicken…
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Symptoms

  • Shingles usually begins with a burning sensation, a mild itching or tingling or a shooting pain in a specific area of skin. The affected area usually is located only on one side of the chest, abdomen or face or on a portion of an arm or leg. The skin may be extremely sensitive, so that you may not be able to stand clothing touching or rubbing the area. After about five days, the skin becomes r…
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Diagnosis

  • Shingles can be difficult to diagnose before visible signs of the disease appear. Once a rash and blisters appear, your doctor probably will diagnose shingles based on your symptoms and the appearance of your skin. Rarely, when the diagnosis is less certain, the doctor may scrape tissue, collect cells from the affected skin and examine them under a microscope for cellular changes c…
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Expected Duration

  • Shingles usually takes 7 to 10 days to run its course, although blisters may take several weeks to disappear completely. Within 4 weeks, the appearance of your skin most likely will return to normal. Some people are left with dark spots on the skin in the area of the original rash. The duration of pain is highly variable. Most people's pain decreas...
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Prevention

  • The Centers for Disease Control and Prevention (CDC) now recommends that healthy adults over age 50 get two doses of a called Shingrix. Doses are given two to six months apart. Shingrix is said to be more than 90% effective against shingles and postherpetic neuralgia — a painful nerve condition that can arise as a shingles complication. This new vaccine is more effective than Zos…
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Treatment

  • If your condition is diagnosed within 72 hours after the rash appears, your doctor may prescribe antiviral medication. Some antiviral medications used to treat shingles include acyclovir (Zovirax), famciclovir (Famvir) and valacyclovir (Valtrex). Antiviral medications may help to reduce the risk of developing chronic (long-lasting) pain from shingles. The skin rash and blisters should be rins…
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When to Call A Professional

  • Early treatment may help deter long-term complications, so call your doctor immediately if you are experiencing symptoms of shingles.
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Prognosis

  • Most people recover completely from an acute episode with no pain; and skin color returns to normal. Once you have had shingles, it is unusual for the condition to return. Shingles comes back in only about 2% of people, but in up to 20% of people with AIDS. Long-term complications from shingles, such as post-herpetic neuralgia, may continue for months or many years. The disease …
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Further Information

  • Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Medical Disclaimer
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