The symptoms of shingles include: Localized burning, tingling, itching, prickling pain that starts days days to weeks before the rash appears. The pain varies by person but can be constant or come and go.
You will feel pain in the area where the shingles rash developed. The pain can be constant or “come and go.” Some people describe the pain as burning, jabbing or aching. Others (less common) say the affected area feels numb or itchy.
Postherpetic neuralgia occurs if your nerve fibers are damaged during an outbreak of shingles. Damaged fibers can't send messages from your skin to your brain as they normally do. Instead, the messages become confused and exaggerated, causing chronic, often excruciating pain that can last months — or even years.
There is no cure available for shingles. The condition will run its natural course and clear up within 2-5 weeks. For some people, pain can last for months or even years after the rash is cleared.
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.
“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.
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.
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.
Doctors, for example, may prescribe the medication valaciclovir (Valtrex) when you have shingles to help reduce the duration of your symptoms. Valtrex is an antiviral medication that can help stop the shingles virus from replicating. The symptoms of shingles can last anywhere between 3 and 5 weeks .
Most cases of shingles cause severe pain and itching, and can leave scars. Fluid-filled blisters develop, break, and crust over during and a few weeks after an outbreak. You also may feel sick or fatigued, with a slight fever or headache.
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.
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.