Shingles
Homeopathy is based on the principles of similarities or similia. The origin of the coinage is Greek: homios means ‘similar’ and pathos means ‘suffering.’ It was developed in the late 1700s by Samuel Hahnemann who claimed that ailments could be cured with substances similar to the illness, in larger amounts, in order to provoke the appropriate response from the immune system. These substances, however, are natural and never synthetic.
In layman’s terms, - Arsenicum album
- Cantharis (Spanish fly)
- Sulfur
- Clematis erecta (Clematix)
- Mezereum (spurge olive)
- Aconite (wolf’s bane)
- Rhus Toxicodendron (poison ivy)
- Spigelia
- Iris versicolor (harlequin blue flag)
- Mercuris
- Ranunculus bulbosus (bulbous buttercup, St. Anthony’s turnip)
- Apis mellifica (honey bees, crushed)
Using Olive Leaf Extract to Cure Shingles
Olive leaf extract contains an extremely potent polyphenolic compound that goes by the name of oleuropein. The therapeutic properties of oleuropein can be found in olives and argan oil too. Little research has been done, but preliminary findings are promising. Oleuropein has anti-oxidative, antiviral, and anti-inflammatory qualities. Additionally, oleuropein also strengthens immunity, making the shingles sufferer better prepared for future illnesses.
Olive leaf extract cures shingles by erecting an indestructible shield around the virus, thereby stopping it from reproducing and outspreading.
Pick it up from a health food shop and start with a heavy regimen of four per dose, four to six doses daily. Don’t worry about the high dosing, oleuropein isn’t toxic.
Achieving Shingles Pain Relief with Apple Cider Vinegar
Were you aware that you can keep your herpes zoster under control with a common household formula? Found on countertops in most kitchens, apple cider vinegar can be the answer to your woes. [RELATED] Achieve shingles pain relief with apple cider vinegar by making a soothing compress to apply to your sore wounds. Follow this easy recipe:- Mix two cups of cool, filtrated water with just half a cup of apple cider vinegar.
- Grab a washcloth and fully submerge it in the mixture.
- Wring off excess moisture.
- Firmly press the compress on the affected skin for 10 to 15 minutes at a time every four hours or pro re nata (PRN).
Article References:
- https://www.webmd.com/balance/what-is-homeopathy
- https://www.uofmhealth.org/health-library/hn-2257003
- https://www.homeopathycenter.org/shingles
- https://www.britishhomeopathic.org/charity/how-we-can-help/articles/conditions/s/shingles-and-post-herpetic-neuralgia/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5392257/
What Are the Early Shingles Symptoms?
Early shingles symptoms do include the aforementioned erythema which can best be described using some unpalatable words, but before it hypostatizes, there are a couple of other things to be on the lookout for.
In the abdominal region and/or the face, you may start feeling a burning, prickly, or tingly sensation. The same area could begin feeling numb as well. To the touch, the skin could be hypersensitive and it’s not uncommon for these sensations to intensify with time. The skin might become overwhelmingly itchy, too.
Such sequelae may occur for days before the skin starts mutating.
What Are the Internal Shingles Symptoms?
Prior to rash development, the patient may complain about feelings of general unwellness. Aside from overall dread, other obscure, intangible internal shingles symptoms include:- Pyrexia (fever)
- Shivering
- Cephalalgia (headache)
- Nauseousness
- Muscular achiness
Shingles Rashes
We’ll get the nitty gritty, repugnant details out of the way now. Earlier we discussed the terms synonymous with the condition, but an interesting point is that shingles, like many English words in medicine, is derived from Latin—cingulum—meaning belt. Reason being, the trademark rash usually exhibits a striped pattern. [RELATED] Usually, the rash takes shape unilaterally, but in stranger cases, it forms bilaterally. In a day or five, you’ll start noticing some painful, itchy sores and blisters in large clusters in the affected zone. A week or 10 days later, these macules and papules will form crusty scabs before eventually vanishing altogether. Sometimes the blisters will exude fluid discharge, which is infectious (more on that in a moment), so it’s imperative to maintain a hygienic constitution. Imperious treatment will speed up the rash’s healing process as well as prevent it from spreading to unaffected regions.Can You Experience Shingles Symptoms with No Rash?
It’s extremely uncommon, but you can have shingles symptoms with no rash. However, this is a very challenging confirmation to make for physicians as the rash is the giveaway sign.
When no rash is present, it’s zoster sine herpete (ZSH), an entirely different ICD 10 code, which is a different virus than what incites customary shingles. Similar preceding symptoms occur to the early signs of shingles, thrown in with some fatigue and radiating spinal excruciation.
The pain without the presence of a rash is often easily mistaken for other issues, such as dealing with the heart or the kidneys, perhaps the lungs as well, since it’s impossible to compare the symptoms with pictures of classic rashes.
To differentiate between shingles and an alternative issue, several methods may be exercised. This includes a spinal tap (lumbar puncture) to withdraw cerebrospinal fluid for testing, or hematology or saliva pathology tests.
What Causes a Shingles Rash?
A shingles rash is caused by what herpes virus that causes shingles—herpes zoster. It’s not the same as the earlier mentioned STI, which is HSV-1, Herpes Simplex Virus Type 1. [RELATED] Herpes zoster is analogous to shingles, and it’s the latency of VZV (varicella zoster virus) that lingers in the system after being exposed to the chickenpox. This virus essentially never goes away—and it’s completely incorrigible, however, it’s manageable with the right antiviral drugs.Can Stress Cause Shingles?
Once VZV is hanging around your system, many factors come into play that can cause shingles to materialize. One of those includes tension, anxiety, and disquietude. So, can stress cause shingles? Absolutely.
Other circumstances that can predispose you to herpes zoster are compromised, weakened immune systems, an HIV or AIDS prognosis, high levels of chemotherapy or radiotherapy for cancer treatment, organ transplantations, and high levels of corticoid steroids.
Is Shingles Contagious?
Shingles is most certainly contagious, however, not in the way you’d normally assume. The virus can only spread via contact with the liquid inside the blisters. Pre and post blister phase, the bearer of shingles is not infective at all. Even though it’s the identical virus as the chickenpox, it’s actually far less infectious. Not the rash, but the virus itself can be transmitted to someone who has not yet battled with the chickenpox. However, if they have, they’re pretty safe. Still, heed precaution and keep your rashes clean and covered. Abstain from excoriating or handling the blisters, ignore the urges to pick.Article References:
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2664599/
- https://www.healthline.com/health/early-symptoms-shingles
- https://www.mayoclinic.org/diseases-conditions/shingles/symptoms-causes/syc-20353054
- https://www.webmd.com/skin-problems-and-treatments/shingles/ss/slideshow-shingles-pictures
- https://www.healthline.com/health/shingles-without-rash
- https://www.cdc.gov/shingles/about/transmission.html
Origins and Why You Need an Immediate Diagnosis
The shingles condition, also known medically as herpes zoster (usually abbreviated to just zoster), arises thanks to the varicella-zoster virus. If you’re curious where you may have heard about that name, well, it’s because you’ve heard of chickenpox. [RELATED] Once the chickenpox infection terminates, the varicella-zoster virus tends to lie lurking deep within the nerves patiently waiting for an opportunity to strike. Once the virus reemerges, shingles attacks like the proverbial Greek Trojan stallion. When this happens the nerves, skin, and tissues lying in close proximity swell up. Extensive injury to nerve tissues occasionally leads to an affliction called postherpetic neuralgia.
Your T cells in the immunity system play a key role in shielding you from the dreaded shingles virus. Therefore, when vulnerable to a condition inhibiting their functioning, there’s a high chance that you might succumb to shingles.
It’s impossible to contract shingles from proximity with a rash. The virus can only spread via direct physical contact with the infectious fluid emanating from the actual rash blisters caused by the malaise. Once you get shingles, you remain contagious until all the blisters become scabbed.
Symptoms of Shingles on Back
Shingles can manifest at the lower back region. When that happens, you may notice tiny blisters which mature into a reddish rash on your back. This tends to portend to the fact that the disease has taken hold of your immunity. Before that happens, you may discover that a couple of weeks before the disease becomes obvious, you have other symptoms of shingles on the back. Patients normally report to experiences of burning, itchy, tingly, achy, or painful sensations. Occasionally, further symptoms like chills and headaches, fevers and stomach upsets also happen.Shingles Back Pain Treatment
To address ailments concerning a body component as important as the back needs some care. The best way to combat this particular back pain is by using antiviral medicines in order to lower the pain. This reduces the imminent probability of secondary issues like postherpetic neuralgia from developing further. Popular anti-inflammatories like prednisone plus some antiviral medication can play a significant role toward full recovery. [RELATED] Acyclovir (trademarked as Zovirax), is considered among the best antivirals available on the market. The only caveat is needing to take the medication about 5 times a day. Alternatively, you can try out the pricier Valacyclovir (Valtrex) which only requires you to pop pills three times a day. You need to start shingles back pain treatment as soon as you spot the symptoms. Doing this will boost the likelihood of you making a complete recovery in good time.Shingles Pictures on the Back
Shingles is not a pretty sight to look at once it fully matures. A couple of days before it becomes full-blown and the rash develops, you may get muscle aches, some nausea, and a scratchy sensation.
Shingles pictures on your back can seem inflamed and have specific patterns going. This attribute is commonly situated around the ab region. In medical circles, the phenomenon is occasionally referred to as “shingles band” because of the striped configuration.
If left untreated, the rash may morph from red patches into fluid-filled blisters which may ooze. With time i.e. 7–10 days, the blisters may scab and the rash may clear up in 2–4 weeks.
Shingles Chest Pain
As shingles starts out, you may experience excruciating pain around the nerves of the chest. At times, the discomfort may be accompanied by paresthesia. As time flies by, a skin rash may result. Research conducted by the University of São Paulo (USP), provided a study which looked into how immunity systems are triggered after viruses are introduced in the body. In their findings, they detailed how they had developed methodologies to combat soreness and stop it from becoming chronic. They recommended using an inflammatory mediator like Tumor Necrosis Factor (for short, TNF) which is more effective in treating shingles chest pain.Pictures of Shingles Rash on Chest
If you’re unsure about how a picture of a shingles rash on the chest would look, then you should envision a characteristic cluster of liquid blisters.
The name shingles derives from Latin's belt. You can expect to see a reddish banded spots pattern around the chest. This rash will be sore and itchy.
Cancer medication, stress or trauma, and steroid medicines increase your prospect of contracting the ailment. To picture shingles on the chest, you need to imprint a reddish hue in your mind’s eye.
Shingles is often painful to deal with which means that it’s advisable to seek medical attention right away.
Shingles on the Stomach
The tummy region is a popular region that shingles is spotted. Shingles on the stomach usually happen after you experience some slight headache or feel a tad bit unwell. [RELATED] Later on, a rash pops up as bright reddish blotchy patches on the skin, typically on only just a half side. When you spot a rash on both sides, there’s a fairly good chance that what you’re seeing isn't shingles. With proper medication, you'll be back on the mend and make a complete recovery. We’re certain our guide helped you spot shingles early and make the right judgment call on when to see a physician once you start exhibiting the aforementioned symptoms.Article References:
- https://www.nhs.uk/conditions/shingles/
- https://www.mayoclinic.org/diseases-conditions/shingles/symptoms-causes/syc-20353054
- https://www.health.harvard.edu/newsletter_article/Should_you_get_the_shingles_vaccine
- https://www.webmd.com/skin-problems-and-treatments/shingles/picture-of-shingles
- https://www.medicalnewstoday.com/articles/314047.php
What Are the Best Prescription Drugs for Shingles?
As HZ is a virus caused by VZV, it’s obvious that antiviral drugs are going to render the most efficacious results. In case you didn’t notice, it’s in the name—anti denotes contra, which fundamentally implies opposition. The duplet fronting this drug list are some of the celebrated names in antivirals—acyclovir and valacyclovir. The consequent medicines, though, can also treat the inconvenient, nettlesome virus. [RELATED] Prevention is essentially useless, as once infected with the chickenpox, VZV lives internally forever. While sometimes it never becomes reactivated, one in three people will encounter a bout with shingles in this mortal coil. An obligatory disclaimer is necessitated since controlled substances, always use prescription meds as recommended. Adhere to dosage instructions carefully and follow through with the entire course, even if your perceptible symptoms have subsided.Acyclovir for Shingles
Zovirax is the household name, acyclovir the generic, chemical name. Acyclovir for shingles is likely the most prescribed treatment medicine for shingles. Specifically designed to combat infections that are caused by the herpes virus, acyclovir heals many varieties of herpes viruses (herpesviridae), not just HZ. Herpes simplex, herpes labialis or orolabial herpes, and genital herpes.
Not only does acyclovir treat the infection and halt the virus from moving about and taking up new residence on other areas of the skin, but it also effectuates speedy healing of already formed sores and rashes.
Valacyclovir for Shingles
Second only to acyclovir, valacyclovir for shingles is the next most famous drug for shingles treatment. The trade name may sound more familiar though—VALTREX, branded in all caps to enforce its efficacy. VALTREX for shingles has the identical mechanism of action as the aforementioned med, but with a different active ingredient. When prescribed VALTREX for shingles, you can expect to stop seeing the formation of new lesions, while the existing sores retreat. Have patience though, as it can take longer than a week for positive results to be noticed. [RELATED] As with the previous, the sooner you start the medication, the more responsive it will be. If possible, begin the course within the first 72 hours of an outbreak to intercept the virus in its tracks.Gabapentin for Shingles
Gabapentin belongs to a classification of drugs of anticonvulsants and antiepileptics formulated to combat seizures. Because it targets neuropathic pain, gabapentin for shingles is an excellent option for managing the symptoms of PHN—postherpetic neuralgia. PHN is a tiresome, yet commonplace, complication of zona and the persistent jabbing, burning symptoms can linger for months or years. There are different variations of release, like immediate, sustained, and enacarbil sustained, so ensure to stick to the exact dosage guidelines and instructions issued by your prescriber. Drastic side effects may ensue while taking this medicament, however, don’t let these deter you. If your doctor has ordered gabapentin for your nerve pain, they’ve considered the pros and cons and have decided the former outweighs the latter. Some patients experience coordination loss, the shakes or tremors, disorientation and dizziness, and excessive tiredness. Visual distortion, seeing blurriness, and strange ocular movements also may occur. However, not everyone experiences such scary aftereffects. Gabapentin is also offered under the brand Neurontin—from Pfizer, the same company who delivered the famed little blue pill for erectile dysfunction, Viagra to the world—among over 300 others, such as Gralise.Lysine for Shingles
Lysine is one of the basic components of protein, promoting biosynthesis. An amino acid, lysine for shingles is effective as it prevents herpes from continuing to grow. While it has been known to enhance athletic ability too, lysine is also prescribed to treat herpetic cold sores.
Speeding up the healing process of sores, and lessening the rate of recurrence, Lysine is thought to have some other remarkable benefits such as lowering anxiety levels and aiding healthy digestion. As the GI tract eats up more calcium, more of the vitamin is deposited into the skeletal foundation, making it stronger and more robust.
Over the Counter Medications for Shingles
Select a helpful ointment from the pain relievers aisle at your everyday go to drug store. There are a couple of options to choose from, like an OTC analgesia topical cream such as lidocaine for numbing the area of struggle. Benadryl lotions will provide temporary alleviation from itchiness. [RELATED] NSAIDs and pain relief in the form of your typical headache tablets will also provide some abatement from the stressors of shingles.Supplemental Relief at Home
Further pain management matters can be taken into your own hands at home. Many shingles victims rave about the wonders of chilly, moistened compresses that deliver soothing effects to the irritated skin. Bathing in oatmeal is another fantastic, DIY remedy. Many people keep a box of baking soda on hand, from which a demulcent paste can be mixed and applied to the rash. The cleansing properties will assist in controlling the eager infection.Article References:
- https://www.healthline.com/nutrition/lysine-benefits
- https://www.rxlist.com/consumer_gabapentin_neurontin_gralise/drugs-condition.htm
- https://www.ncbi.nlm.nih.gov/pubmed/9686247
- https://www.mayoclinic.org/diseases-conditions/postherpetic-neuralgia/symptoms-causes/syc-20376588
- https://www.webmd.com/vitamins/ai/ingredientmono-237/lysine
- https://www.healthline.com/health/lysine-for-shingles
- https://www.webmd.com/drugs/2/drug-940/zovirax-oral/details
Shingles—What Exactly Is it?
Shingles, as a disease that is ultra well understood and has been long researched, isn’t well enough fathomed by the bulk of millennials, generation Z, and even gen X. Yet, it’s growingly more probable that it affects persons younger than the customarily affected maturer, ripened, and seasoned age bracket. [RELATED] If you’re like most of living humanity, you’ve had chicken pox at some period in your lifetime. Otherwise, you’re immunized to it by injection. Herpes zoster (shingles) stems from the identical virus termed Varicella Zoster Virus (VZV) that stays inactive, slumbering, and comatose in your body. When your immune system and defenses are lowered by, for example, age and sicknesses, it resurrects as zoster. However, patients who are vaccinated against chicken pox are still susceptible to zona. It emerges as an excruciatingly agonizing, heartrending, and biting rash, usually on one of the two parties of your corpus humanum.Can You Get Shingles on Your Arms and armpits?
Technically, you can get herpes zoster anyplace on your makeup since it’s tightly related to your systema noversum and human beings contain nerve endings everywhere. Nonetheless, it’s more likely to show manifestations on the torso and armpits, due to it’s proximity to the spinal cord and the cerebrum.
Nevertheless, with climbing numbers of cases, also scarcer common regions like arms and legs are being reported more. Thus, answering the question—yes, you can get shingles on your arms and armpits.
Can You Get Shingles Under Both Armpits and on Both Arms?
Standardly, zona emerges on one half of the anatomy but occasionally can occur bilaterally. Staggeringly unlikely though, this could be an implication for an underlying predicament, like a compromised immune system or an autoimmune disease like Hashimoto thyroiditis or AIDS. Hence, keeping a close eye on a shingles outbreak under both armpits and paying a visit to your physician is of the premier momentousness.Symptoms of Shingles on Your Arms
The indications on the limbs are pretty straightforward and mainly comprise of pain, hurt, discomfort, a red rash on the arms or hands, blisters, burning, tingling, cephalgia, queasiness and vomiting, and feverishness. Other uncommon symptoms of shingles on your arms are chronic pain called postherpetic neuralgia (PHN) and depression. Having a look online and Googling the pictures of shingles on the arms is an additional aiding tool in figuring out what the skin eruption is.Shingles Symptoms on the Armpits
The signs are largely the same, however, often go unnoticed due to the susceptibility of the area to other irritations from hair removal or similar. Regardless, the sector is delicate and the aching, pounding, and excruciating throb associated will is barely tolerable.
Due to the easily misunderstood nature of shingles symptoms on the armpits, it’s eminently invaluable to monitor supplementary warnings and in the worst case scenario, hit up your local GP.
Is it Contagious?
Herpes zoster is easily transmittable, thus requires paramount levels of caution. When a patient is demonstrating live breakouts with blisters, epidermis contact with others who haven’t contracted chicken pox yet should be avoided. This is due to zona developing from the dormant VZV and thus transmitting the virus, inducing chicken pox. Humans with conditions that preclude them from obtaining vaccinations, therefore, are threatened.The Diagnosis Process of Shingles
A doctor will examine you visually, closely observe the rashes and inquire about extra indicators, Spasmodically, they’ll take samples to fathom if it’s not instantaneously comprehendible what the causation of the breakout is.The Treatment for Shingles
The treatments are adequately untroublesome and mostly include skin creams, antiviral medication like acyclovir (Zovirax), analgesics, corticosteroids like prednisolone, and antidepression meds. [RELATED] Patients enduring the agonizing PHN can work with the medical staff to medicate them with intenser pain relief drugs and therapies, like gabapentin (Neurontin) and Thoracic epidural injections. The pain, however, can return, thus making it essential to diagnose shingles early on. A shingles vaccination exists and is tremendously endorsed, supported and propagated by the medical community around the globe. Senior citizens above 60 and below 80 are qualified for the jab.Pictures of Shingles on the Arms
To diagnosticate promptly and rapidly, catching a glance at some pictures of shingles on the arms is a helpful tool to navigate this sea of confusion. Below, you can browse through some examples. If you suspect that you caught shingles, please approach your local GP ASAP to minimize pain and avoid any further complications.Article References:
- https://www.mayoclinic.org/diseases-conditions/shingles/symptoms-causes/syc-20353054
- https://www.cdc.gov/shingles/surveillance.html
- https://www.nhs.uk/conditions/shingles/
- https://www.webmd.com/skin-problems-and-treatments/shingles/ss/slideshow-shingles-pictures
- https://www.nia.nih.gov/health/shingles
Prescription Medication For Shingles Nerve Pain
Traditional, and arguably the most effective, medication for shingles nerve pain comes via a formally prescribed order from the dermatologist. Such medications have multiple purposes, like infection controlling, pain relieving, and inflammation reduction. [RELATED] Beginning with oral meds, we’ll cover all the popularly prescribed routes.Oral Antiviral Medication for Shingles
There are three oral antiviral medications for shingles that doctors rely on for their unwavering effectivity.Acyclovir
Acyclovir is sold most commonly by GlaxoSmithKline (GSK) pharmaceuticals under the brand name Zovirax but is also produced by Vectans Pharma as Sitavig.
Acyclovir, like the other antivirals in this list, treats outbreaks but cannot cure shingles—as yet, it’s an incurable condition. By lessening the severeness of the rash, acyclovir prevents new blisters from developing and aids the quick healing of existing sores. It decreases pain levels and isolated the virus, stopping the infection from popping up on other surfaces of the skin.
Famciclovir
Generic famciclovir is manufactured by Novartis and branded as Famvir in the United States. Painful burning sensations from shingles are most effectively relieved with famciclovir if the course begins within the first 48 hours of an outbreak. To maximize the benefits of famciclovir, ensure that drugs levels remain constant in the system by strategically ingesting the medication at strict intervals. Skipping doses diminishes the efficaciousness of famciclovir.Valacyclovir
Valacyclovir is more well known as VALTREX, which, like acyclovir, is also brought to us by GlaxoSmithKline. This drug has gained international notoriety for treating genital herpes. However, it’s also useful for shingles. This antiviral treatment also lessens both the lengthiness and acerbity of a shingles outbreak. The mechanism of action of DNA Polymerase Inhibitors, such as the trio in this index, is to thwart the replication of the viral pathogens that induce blisters and rashes on the epidermis and provide shingles nerve pain relief.Are There Prescription Strength Topical Treatments for Shingles?
Some of the antiviral meds above also have topical administrations as well, such as acyclovir ointment for shingles, but they’re unpopular. The most relied on topical choice by physicians remains a capsaicin 8% patch called Qutenza.
Qutenza serves to relieve the pain associated with postherpetic neuralgia (PHN), which is the nerve pain that occurs after shingles.
Over the Counter Medication for Shingles
The easiest and most accessible alleviation of adult-onset VZV excruciating pain comes via over the counter medication for shingles. There are several shingles treatment creams that can be purchased at the pharmacy around the corner from your house. Some reliable ointments from shingles include:- Calamine lotion: a bubblegum pink antipruritic astringent liquid that manages irritation and itchiness
- Lidocaine: a mild anesthetic that numbs the area it’s applied to
- Hydrocortisone cream: an antihistamine to stop the itching
Homemade and Natural Remedies for Shingles Pain
Some traditional, time-honored home remedies have proven to offer constructive pain relief for shingles patients.
A cold compress applied intermittently for five or 10 minutes at a time provides relief to the extreme skin sensitivity that often comes with a shingles rash. The compress shouldn’t be too freezing, the temperature of your refrigerator should fit the bill. Wrap the compress in cloth to make a shield between it and your delicate, fragile skin. Be gentle, overly extreme coldness can worsen the condition.
You can also draw a healing bath using different recipes. Keeping the afflicted skin clean is a good measure toward healing. First, there’s the conventional oatmeal bath of ground up or colloidal oatmeal added to lukewarm bathwater.
[RELATED]
Second, you can try baking soda or sodium bicarbonate. This natural compound yields thousands of uses and is an effective cleanser. Third, cornstarch, as strange and unconventional as it may seem, can also be added to the bathtub for itching relief. Whichever ingredient you choose, be sure to avoid hot water at all costs, which can stimulate blood flow and aggravate your blisters.
Find shingles pain relief with the apple cider vinegar that’s found in your cupboard. Like baking soda, ACV, or apple cider vinegar, also have many health benefits, so it’s not surprising that it helps with shingles pain relief. Apple cider vinegar mixed with warmed honey creates a paste that can be directly spread on the sores. The healing properties of honey and apple cider vinegar work wonders on skin wounds.
Until the outbreak clears, only wear loose clothing made of linen or light cotton and always resist the compulsion to scratch at your rashes.
Article References:
- https://www.webmd.com/skin-problems-and-treatments/shingles/understanding-shingles-treatment#1
- https://www.drugs.com/ingredient/acyclovir.html
- https://www.mayoclinic.org/drugs-supplements/famciclovir-oral-route/description/drg-20063776
- https://pubchem.ncbi.nlm.nih.gov/compound/Valacyclovir
- https://www.aad.org/media/news-releases/dermatologists-share-tips-for-treating-shingles
- https://www.webmd.com/skin-problems-and-treatments/shingles/qa/what-overthecounter-medications-can-treat-shingles
- https://www.health.com/shingles/home-remedies-for-shingles
- https://www.healthline.com/health/shingles-natural-treatment
What Is Shingles?
Shingles is an infectious virus of the Herpesviridae family, specifically called the varicella zoster virus (VZV) that most typically affects the geriatric population, however, anyone at standard retirement age should be wary of the condition, particularly if you’ve been exposed to the chickenpox in the past and/or have not been inoculated. VZV has many nicknames worldwide—chickenpox, shingles, zoster virus, human herpesvirus 3 (HHV-3), varicella virus, and so on. [RELATED] VZV as shingles in adults presents as a vesicular rash and can develop virtually in any location of the body. Other macabre examples of rashes with vesicles include, but are not limited to, acrodermatitis enteropathica, congenital porphyria, and pemphigus vulgaris. Once the chickenpox strikes (typically in childhood), while the rashes will ultimately subside, the virus remains latent in the body for years. Triggers like illness and stress are classical causes for to reappear. It travels along the sophisticated and complex network of sensory nerves before making its debut (once again) on the skin. It’s intrinsically unpredictable and difficult, if not impossible, to determine where exactly it may or may not show up.Where Does Shingles Usually Appear?
Shingles usually turn up on the torso, in stripy patterns of blister ridden, maculopapular lesions which mature and form vesicles as the rash advances. Notably, this often occurs on just one side of the body, which is a rather aberrant feature of this viral infection. The entire trunk of the body could be affected, front and back, including the chest, ribcage, and waist.
In occasional cases, the rash will surface in other regions, like the extremities, or even the head and neck. It can curiously materialize on the eye, which poses certain unique threats that are potentially detrimental to the overall wellbeing of the patient.
Why Shingles Near the Eye Can Be Dangerous
When shingles occurs on such sensitive facial regions as the eyes, the results can be quite grave—hence the urgency in attending to the rash immediately. Herpes zoster ophthalmicus, just as with any sign of shingles on the face, requires immediate medical attention, as this condition is considered to be incredibly severe and treacherous. Complications related to the menacing shingles symptoms near the eye and on the face escalate quickly. Not to mention the eye pain from shingles is severe and troubling.Symptoms of Shingles Near the Eye
The standard painful symptoms of shingles apply here, along with some nasty other particulars. An episode of shingles on the eye yields some rather unpleasant symptoms that could well scare you if you’re unfamiliar with what lies ahead. For starters, the first symptoms of eye shingles will be the signature rash that comes along with all variations of shingles, irrespective of their locality. The rash, accompanied by their distinctive blisters of fluid, will appear on the forehead, the temples, along the eyebrows, cheekbones, on the bridge of the nose and in the tender, soft, under-eye areas and eyelids as well.Eye Pain from Shingles
As if that wasn’t abhorrent enough, auxiliary painful symptoms are in tow, to boot. These include eye puffiness, droopiness, irritation, and redness, as well as a fiery burning or throbbing sensation. Epiphora, the phenomenon of excessively watery, teary eyes that’s often mistaken for crying by your peers, is also not an uncommon symptom of eye shingles. Many patients also complain of extreme photosensitivity, or the inability to withstand even dim lighting.
Vision problems eventually ensue, starting with a loss of mobility in the eye. It gets worse, if left untreated, shingles can permanently damage your eyesight. It begins with blurred vision until a total loss is achieved. While going blind is rare, it’s still possible.
Preexisting eye diagnoses, such as glaucoma, could be harmful as well, as shingles symptoms may go unnoticed, or chalked up to the existing condition instead.
Treatment of Shingles in the Eye
The only option for managing eye shingles is the hasty commencement of an aggressive treatment plan. [RELATED] Dilated eye exams need to be performed by an ophthalmologist to monitor eye health, they will closely inspect the cornea, lens, and retina, as well as the surrounding skin. After a diagnosis has been made, it’s likely oral antiviral medications will be prescribed, as well as eyedrops to manage the disabling condition. Have patience during recovery, and trust your ophthalmology specialist.Is Shingles of the Eye Contagious?
Shingles is contagious only to those who have not yet be infected with VZV. When someone who has already battled the chickenpox is exposed to a peer with shingles, they are safe, as the infection in question already resides within them in a dormant state.
The same goes for shingles of the eye, it’s contagious only to those who’ve not dealt with the virus.
Actively Preventing Shingles
Shingles can only be effectively prevented with a vaccination. There are two popular options available for vaccinating—Shingrix and Zostavax, though the former is pushed more frequently by the CDC. Should VZV rear its ugly head on your face, make no hesitation in seeking emergency medical treatment. Effective and hasty shingles in the eye treatment will obscure the scary pictures of blindness into oblivion.Article References:
- https://www.medicalnewstoday.com/articles/322870.php
- https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-minute-what-are-eye-shingles/
- https://www.healthline.com/health/eye-health/shingles-in-the-eye
- https://www.healthline.com/health/shingles-contagious
- https://www.healthline.com/health/shingles-contagious#how-it-spreads
- https://consumer.healthday.com/infectious-disease-information-21/chickenpox-news-123/eye-shingles-no-laughing-matter-512212.html
What Is Shingles?
If you’ve asked yourself this, you’re in the same boat as many others. Herpes zoster (shingles) is an infectious virus that can be transmitted easily via physical touch and it’s seriously contagious. It standardly exteriorizes as a rash usually on one half of the physique. The spots are inordinately throbbing, tender, and gut wrenching. [RELATED] The varicella-zoster virus (VZV) is the same agent that causes chickenpox. Patients with shingles have previously been infected with chickenpox, where the virus lays dormant and at a later age reemerges as shingles. Shingles sufferers are likely to give the VZV to others who aren’t immunized to chickenpox. The virus will take form as chickenpox and not shingles, at least until they’re elderly.Can You Get Shingles on Your Legs?
Most of the time shingles occurs around the torso and facial region due to the virus’ close connection with the central nervous system (CNS). Nonetheless, shingles can materialize virtually anyplace on a framework answering the query with—yes, you can get shingles on your legs.
It assuredly is one of the most undisguised sections for zona to emerge, making it crucial to be addressed and handled accurately.
Shingles on Both Ankles
The reasons for ankle rashes vary vastly from eczema to skin cancer. However, since nerve endings are present in feet, shingles on both ankles are possible, yet unlikely. The rash normally manifests unilaterally. Nevertheless, this is a remarkably vulnerable zone because of soreness having an effect on a person’s capableness to be fit, mobile, and afoot.Shingles on the Inner Thigh
It’s pivotal to keep an eye on the thighs, especially the back of your legs. It’s very hard to see this by yourself and many nerves endings exist there. Routinely undergo checkups to avoid the amount of ache that comes with having shingles on the inner thighs.The Pain from Shingles on the Legs
If you’ve ever queried what it looks like and viewed pictures of a shingles rash on the legs you already grasp that it looks terrifyingly, exceedingly, and horrifically arduous. Sometimes, the pain from shingles on the legs is so severe that patients can’t wear trousers because of the slight chafing of the dermis by fabric.
You can also get postherpetic neuralgia (PHN) after the outbreak has dematerialized. It’s long term pain caused by the CNS being permanently affected by the shingles rash. If the pain lasts post-shingles rash on the leg, telephone your primary care physician.
Symptoms of Shingles on the Legs
It’s essential to catch the signs of shingles early so no complications transpire. The most accessible methodology to spot it is by Googling pictures of shingles rash on the legs. The results won’t be super appetizing but are an excellent guide. Other symptoms of shingles on the legs are relentless soreness, blisters, a rash, prickly pringling, high temperature, tiredness, and migraines.How Is Shingles Diagnosed?
The diagnosis is proportionately elementary. Your MD will be able to identify it from the locality and appearance of the rash. Infrequently, a specimen will be extracted for further testing, especially in people whose rash is more ambiguous.What Is the Treatment for Shingles?
Momentarily, the remedies are limited and far between. Customarily, keeping the skin void of moisture, lack of tight clothing, and topical cremes. Antiviral drugs, like Zovirax (acyclovir) and Valtrex (valacyclovir), can often aid in recovery. The treatment for shingles leg pain is usually just analgesics like paracetamol and ibuprofen. With more severe pain and PHN, intenser analgesic meds can be prescribed and even corticosteroids and antidepressants. [RELATED] Treatment can vary though, depending on each case. Some individuals are more likely to get shingles and are prone to more complications, especially people with suppressed immune systems. These can include cancer, lupus, and acquired immune deficiency syndrome (AIDS) patients.Prevention of Shingles
Sometimes shingles are unavoidable, but recently it has become a more manageable disease. Vaccines exist for both chickenpox and shingles. They are very effective and create herd immunity, even if anti-vaxxers try to preach the contrary. Chickenpox vaccinations make you less likely to contract shingles and the shingles vaccination is very effective and highly recommended for seniors between 55 and 80 years. Shingles is an affliction largely frequenting oldsters due to lower functioning immune systems, however, newly it has been affecting youngsters too. This is because of the immense pressure the youth experiences nowadays. The effect of the psychological stress on the natural defenses causes the virus to get activated again at an earlier stage in life. To be responsible, get vaccinated against herpes zoster if you’re eligible and if you suspect that you have shingles please contact your doctor immediately.Article References:
- https://www.nia.nih.gov/health/shingles
- https://www.mayoclinic.org/diseases-conditions/shingles/symptoms-causes/syc-20353054
- https://www.nhs.uk/conditions/shingles/
- https://www.cdc.gov/vaccines/vpd/shingles/public/zostavax/index.html
- https://www.webmd.com/skin-problems-and-treatments/shingles/shingles-skin#1
- https://kidshealth.org/en/parents/shingles.html
What Is the Shingles Vaccine Age?
Statistics show that about a third the US populace eventually contract shingles. As referenced earlier, the probability for infection does increase with age. So much so that about 50% of adults aged 85 and above have a single shingles outbreak at some point in their lives. [RELATED] While it’s true that many people get shingles just once, there’s always a likelihood that it can reemerge if you have a weak immune system. To protect yourself from shingles, you need to get vaccinated. As per the CDC, healthy adults aged 50 years and above can get two doses of the Shingrix vaccine over a 2- to 6-month interval. Doing this will also shield you from acquiring postherpetic neuralgia.Shingles Vaccine Effectiveness
In terms of effectiveness, the Shingrix vaccine offers you about 90% protection from the risk of getting PHN and shingles. Speaking numbers, protective levels reside above the 85% mark over the first 4 years after vaccination.
It’s worth documenting that the vaccine named Shingrix is not the only medication on the market today. Having debuted on the medical scene as a new vaccine in 2006, the drug has been the recommended alternative to Zostavax, a drug which is still used nowadays.
Zostavax is a crowd favorite among individuals who’re aged more than 60 years and those who have had some allergic reactions to Shingrix. The drug is also a perfect solution in emergency situations where alternatives aren’t within reach.
When you probe the details, you’re bound to discover something interesting. In a way, Shingrix is the better drug of the pair. Much of the reason behind this is it contains a substance called an adjuvant which enhances the innate natural immune response.
Notably, Zostavax is composed of a live, weakened virus. In light of this, it’s not the greatest option for individuals who are sickly with poor immunity shields.
On the contrary, the constitution of Shingrix has a nonliving virus particle. This makes it the perfect companion for even those with the weakest of immunities. Effectively, Shingrix is a suitable match for people who’ve been adversely affected by Shingles.
Since we’re comparing shingles vaccine effectiveness, it would be remiss if we didn’t mention that Zostafax has a considerably lower efficacy. The drug has a 51 percent success rate in preventing shingles and fares a bit better when preventing PHN with 67 percent effectiveness.
Given the breakdown, it’s understandable why health professionals advocate for Shingrix as the primary way to handle shingles. The fact that there’s no new vaccine release date further drives the point forward. It’s the safest option if you’re looking to make a speedy recovery.
Age Comparisons
While contemplating the best age for the administration of the herpes zoster, researchers at the University of Michigan found out that their cost effectiveness feasibility studies had some inconsistencies. To get accurate results, they switched up and developed a simulation.
Using both men and women test subjects, they implored into whether the decision to vaccinate or to defer with each passing year between the ages 50 to 100 years had any effect.
Interestingly, their findings showed that the respondents who chose to defer had an elevated chance of developing shingles.
Shingles Vaccine Booster
The hypothesis of the researchers assumed that society was willing to part with 100,000 per QALY (Quality Adjusted Life Year). From that shingles vaccine cost postulation, they noted that the best shingles vaccine age was from 66–77 years in women and 66–74 years in their male counterparts. With a Shingles Vaccine Booster, immunization becomes enticing. The research received plaudits from many in the field for being the pioneering study into the best time for when the shingles vaccine is needed.Are There Shingles Vaccine Side Effects?
Having pointed this out, it’s vital to jot down that the Shingrix shot is no walk in the park. After the drug is administered, you may have a sore arm for a couple days and some effects like fevers, stomach discomfort, and headaches for about 72 hours. [RELATED] Shingles vaccine side effects are usually prevalent among younger people. Taking some ibuprofen or acetaminophen are some of the over-the-counter tricks that we’d suggest you try out when the reactions kick in. To avoid any contradictions, you can choose to consult with a GP before you self prescribe. In case the side effects persist, then, it’s best to speak to a physician about the ailment. Developing a rash with blisters right after administration of the vaccine is one red flag you need not ignore.The Possibility of a Severe Shingles Vaccine Reaction
The chances of you experiencing anaphylaxis, a severe shingles vaccine allergic reaction, are about one in a million. Given the fact that the condition can be fatal, it’s best to seek treatment immediately you start feeling unwell. Under the watch of a medic, you can fully recover and get back on the mend. Once you notice some adverse effect of Shingrix, you can always notify the Vaccine Adverse Event Reporting System (VAERS). Nevermind the shingles vaccine cost, and consider the benefits instead.Article References:
- https://www.sciencedirect.com/science/article/pii/S0264410X18309009
- https://www.webmd.com/a-to-z-guides/prevention-15/vaccines/shingles-vaccine-basics
- https://www.nhs.uk/conditions/anaphylaxis/
- https://www.cdc.gov/vaccines/vpd/shingles/public/shingrix/index.html
- https://www.ajpmonline.org/article/S0749-3797(17)30484-1/abstract
- https://vaers.hhs.gov/index.html
Can You Get Shingles Under your Breast?
The shingles rash prefers the torso to other parts of the body and demonstrates its threat with a strip around the middle (often referred to as a belt due to its appearance). So yes, you can get shingles under your breast which makes life uncomfortable. A downside to the rash is hypersensitivity to touch. Bras and tight clothing can be unbearable during an outbreak.Shingles on the Breast: Symptoms to Watch For
Be prepared to watch for certain signals that confirm you are dealing with an HSV breakout versus a variant skin condition. [RELATED] Shingles on the breast symptoms follow a certain progression that assists the diagnosis process:- Sensitive skin, often in unison with unexplained pain or numbness
- After a handful of days (1-5) a red rash develops
- Rash morphs into blisters filled with liquid
- Blisters erupt to form crusty, scabbed over sores
- After 1-2 weeks, blisters heal
- Nerve pain can continue beyond blisters for up to one year
Can Shingles Cause Breast Cancer?
The shingles virus has never been connected to cancer, but it has the potential to be confused with rashes that are linked with cancerous cells. Two rashes have been studied with malignant histories:
Inflammatory breast cancer (IBC). IBC is extremely rare and only accounts for 1% to 5% of breast cancer cases in the U.S. It strikes the lymph nodes and blocks lymph vessels in breast tissue and skin. It derives its name by inflaming the breasts so that they look swollen and red with what is called erythema. A key diagnostic is that the erythema covers at least 1/3 of the breast.
Skin can appear reddish, blueish, or purplish (some describe the aesthetic as bruised) which is why it can be confused with a rash. A preponderance amount of IBC originates in the cells of the milk ducts making them invasive ductal carcinomas. It is one of the most aggressive forms of cancer often advancing in a matter of a few weeks. Occasionally, a tumor is present with the inflammation, but it is not a qualifier for IBC. However, breasts can grow in size and weight noticeably.
Paget's Disease of the Breast (not to be confused with the unrelated Paget's disease of the bone). Another anomalous cancer, Paget's affects the nipple and areola. It is regularly mistaken for dermatitis but is distinct because of the partnering lump in the breast. Characteristics include itchy/flaky skin around the nipple, crusty/oozing skin, tingling, burning, nipple discharge (straw-colored or bloody), inverted nipple, and thickening skin in the boob.
[RELATED]
The C-word is nothing to joke around about. Instead, anytime you find unusual rashes on your bosom, seek medical attention immediately to rule out serious illness or initiate early treatment. One in eight American women will hear a breast cancer diagnosis in their lifetime, for around 12% of women. Breastcancer.org predicts that nearly 300,000 new cases of invasive breast cancer will be found in 2019 alone.
The good news is that death rates for breast cancer have been in decline since 1989. It has one of the higher survival rates of any cancer, if caught early. We want you to be on the bright side of the statistics, so get regular screenings!
Pictures of Shingles Rash Under Breast
As described previously, making the determination between shingles and life-threatening conditions is imperative.
Next up are pictures of shingles rash under the breast to show you the difference. Not suitable for work or children as the pictures can be graphic.
Treating a Herpes Zoster Rash
With anything potentially contagious, you want to start counteracting quickly and energetically to prevent widespread distribution of the condition. Treating a herpes zoster rash starts with first aid of the spots and continues with anti-viral medications and rest. On the chest, the first course of action is removing undergarments and wearing loose-fitting clothing. Anything that could be a potential irritant should be halted until the rash clears. Topical antibacterials, anti-itch, and protectant emollients will provide additional relief from pain and itching. Skip strenuous workouts as excessive sweating and friction can augment irritation. Gentle movements like yoga are generally acceptable as long as you can perform without pain.Article References:
- https://www.medicalnewstoday.com/articles/317140.php
- https://www.cancer.gov/types/breast/ibc-fact-sheet
- https://www.merckmanuals.com/home/skin-disorders/hypersensitivity-and-inflammatory-skin-disorders/erythema-multiforme
- https://www.bones.nih.gov/health-info/bone/pagets/patient-info
- https://www.mayoclinic.org/diseases-conditions/pagets-disease-of-the-breast/symptoms-causes/syc-20351079
- https://www.breastcancer.org/symptoms/understand_bc/statistics
Can Shingles Be Internal?
While traditionally, shingles are associated with the blistering rash, you may be surprised to encounter the phenomenon of rash-less shingles. Can shingles be internal? That would be an affirmative. It is rare, but the virus can grasp onto internal organs for the systemic shingles.
Internal shingles without the rash is a condition dubbed zoster sine herpete (ZSH). It falls under the same umbrella as other viral infections in the herpes family. Larger numbers of diagnoses have happened in recent years due to the emergence and prominent use of the Shingrix vaccine.
Clinical trials of the shot have unearthed multiples examples of internal shingles, according to the director of the nerve unit at Massachusetts General Hospital. The studies revealed the weaknesses that elevate risks of succumbing to ZSH, and they include:
- Debilitated immune system, usually attributed afflictions like HIV/AIDS, lupus, rheumatoid arthritis, and inflammatory bowel disease.
- Cancer treatments. Chemotherapy and radiation weaken the immune system.
- Age of 60 plus.
- Medications. Taking organ transplants drugs like tacrolimus (Prograf) and cyclosporine (Sandimmune), as well as steroids, will increase the risk of shingles.
What are the Symptoms of Internal Shingles?
If there is no rash, how can doctors know a person is sick with HSV? What are the symptoms of internal shingles to watch for? [RELATED] Symptoms include:- Chills
- Fever
- Chest or abdominal pain
- Numbness and tingles
- Itching
- Swelling in the lymph nodes
- Pain in the affected organs. Common targets include the liver, eyes, lungs, and brain.
Diagnosing Internal Shingles Without the Rash
Without the visual representation on the host body of the bubbly red rash, finding evidence of internal shingles is herculean. Symptoms are still an integral part of the diagnostic process and trained professionals will be able to recognize the signs easier than civilians can. On top of the symptoms, internal shingles without a rash can be tested by:- Direct fluorescent antibody stain. From a bodily sample, usually blood or a cotton swab, the lab introduces fluorescent material that binds to a particular antibody. This helps identify if the body is already fighting against an intruder, like the shingles virus.
- Polymerase chain reaction. A laboratory technique that copies DNA to identify unwanted pathogens.
- Virus culture. A sample of blood, urine, or bodily fluids is extracted and tested for the herpes zoster or zoster sine herpete virus.
How Long Does Internal Shingles Last?
Internal and external shingles share a list of symptoms, the same contagious nature, and a similar outlook on duration. How long does internal shingles last?
The majority of cases will exonerate within 2 to 6 weeks. Early detection and aggressive treatment can speed up the healing process and reduce the risk of lingering nerve pain, a common side-effect.
Internal Shingles Treatment
Prescribing an antiviral medication, like valacyclovir, acyclovir, or famcyclovir, at the onset of symptoms is typically the first step. Beyond that, internal shingles treatment relies on actions that boost the immune system. Stress is a major trigger for shingles and sufferers should take steps towards relaxation. Additionally, some schools of thought support eating specified foods that are nutrient dense to induce healing. Noted foods include:- Leafy green vegetables
- Orange and yellow fruits
- Eggs
- Fish
- Chicken
- Low-fat cheese
- Legumes
- Whole grains
- Tomatoes
Easing Internal Shingles Pain
Ultimately the body is responsible for overcoming the virus, but living with intense pain for six weeks isn't realistic. A central tactic in the treatment process is minimizing internal shingles pain. [RELATED] Doctor prescribed options include:- Capsaicin topical patch (Qutenza). Oddly, the element in chile peppers that burns your mouth also deadens nerve endings. It can also be applied in a topical cream, if the internal pain creeps to the surface.
- Tricyclic antidepressants (amitriptyline, amoxapine, desipramine). Off-script use of certain antidepressants is effective at pain relief.
- Lidocaine. This numbing agent can be administered via cream, gel, patch, or spray. Helps with itching too.
- Narcotics/Opioids (codeine, etc.)
- Anti-seizure meds (gabapentin, etc.). Neuropathy (nerve pain) responds well to these pharmaceuticals.
- Cool baths. Adding baking soda, oatmeal, Epsom salts, or essential oils can help with pain and relaxing.
Article References:
- https://www.shingrix.com/index.html
- https://www.drugtopics.com/shingles-vaccine/it-still-shingles-if-theres-no-rash
- https://www.cdc.gov/shingles/about/overview.html
- https://www.healthline.com/health/internal-shingles#symptoms
- https://courses.lumenlearning.com/microbiology/chapter/fluorescent-antibody-techniques/
- https://www.yourgenome.org/facts/what-is-pcr-polymerase-chain-reaction
- https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=viral_culture
- https://www.healthline.com/health/shingles-without-rash#outlook
- https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Hope-Through-Research/Shingles-Hope-Through-Research#3223_8
- https://www.healthline.com/health/shingles-natural-treatment
- https://draxe.com/5-shingles-natural-treatments/
Chart of the Body's Dermatomes
All nerves originate from the spinal column that runs down the back. There are 31 spinal nerves including 12 thoracic, 8 cervical, 5 sacral, 5 lumbar, and 1 coccygeal. All spinal nerves are connected to a dermatome, except for one cervical nerve (C1). To simply classification, each of the body's dermatomes is classified with a letter and a numeral according to the location and source spinal nerve. Here is how that pattern works: [RELATED] C is for cervical nerves which are attached to the vertebrae in the neck. Shingles regularly appears in the c2, c3, and c6 dermatomes. The following are the corresponding dermatomes to body parts:- C2 - Top of the Head and neck
- C3 - Nape of the neck
- C4 - Neck and collarbone
- C5 - Top of chest and front of arms
- C6 - Side of the arm into the Thumb
- C7 - Middle finger and index finger
- C8 - Little finger and ring finger
- T1- Inner forearm
- T2 - Upper inner arm
- T3 - Middle of the back or dorsal area
- T4 - Chest across the nipples
- T5 - Just below nipple level, bra area for women
- T6 - Ribcage bottom
- T7 - Upper section between the xiphoid process (sternum) and the belly button
- T8 - From the xiphoid process to the belly button
- T9 - From the middle section of the xiphoid process to the belly button.
- T10 - Band across the belly button (umbilicus)
- T11 - Bellow belly button to the groin (inguinal ligament)
- T12 - Midpoint of the groin
- L1 - The hip and groin
- L2 - The inside of the thigh
- L3 - Knee
- L4 - The inside of the ankle (medial malleolus)
- L5 - Bottom of the foot and toes 1-3
- S1 - Pinky toes and the outside part of the ankle bone (lateral malleolus)
- S2 - The outside (lateral portion) of the heel bone (calcaneous)
- S3 - Buttocks, perianal area, penis, and scrotum in men or vagina in women
- S4 - Partial taint coverage and genitals
- S5 - The anus and surrounding skin
Can You Have Shingles in Multiple Dermatomes?
We tend to think of shingles as a skin rash, when it, in fact, it is a nerve infection. The blisters and scabs are only the surface symptoms of the infected nerves. The virus travels within the nervous system and branches out into the epidermis. Shingles can be identified by its signature "belt" that marks a singular line across one side of the torso in a handful of dermatomes. Can you have shingles in multiple dermatomes?
Yes, the rash can spread across various dermatomes, especially the ones that are close together on the chest. While the outbreaks tend to stay isolated to a select few areas on the majority of patients, shingles can crop up anywhere on the body.
Dermatome Map of Shingles
Shingles can perform differently depending on the area it infects. In this dermatome map of shingles, we will cover a few prominent symptoms. [RELATED] A shingles invasion into the T1 dermatome has, in some case studies, resulted in significant weakness in the hands. Shingles moving into the L1 dermatome is sometimes misdiagnosed as arthritis or fibromyalgia, but can be identified through thermal patterns. The lumbar dermatome is a complicated area to diagnosis because of the wide range of possible aggravations. It is also challenging to treat the tissues deep within the buttocks, hips, and lower back.Shingles Dermatome Map of the Face
We covered the spaces throughout the body, but the face also has its own set of dermatomes. Facial dermatomes are linked to the cranial nerve. That list is organized as follows:
V1 - Forehead, scalp, cornea, eyelid, and dorsum (bridge) of the nose
V2 - Conjunctiva, lower eyelid, septum, lateral nose (cartilage and nostrils), upper lip, cheeks, and the mucous membranes surrounding some teeth.
V3 - Chin, lower lip, tongue, and external ear
Covering specifically the shingles dermatome map of the face, each V-section is afflicted with the virus in a different way.
In V1 the Ophthalmic Herpes Zoster (shingles of the Ophthalmic Nerve) infects the trigeminal nerve particularly. The tissues in the eye, and sometimes forehead, become severely inflamed. In untreated or severe cases, scarring can occur and lead to blindness.
In the V2 dermatome, shingles can cause a division between the V2 and V3 nerves that manifests in Odontogenic (teeth) pain.
Article References:
- https://www.medscape.com/answers/1878388-87146/what-are-dermatomes
- https://www.emedicinehealth.com/dermatomes/article_em.htm#what_are_dermatomes
- https://www.innerbody.com/anatomy/skeletal/xiphoid-process-sternum
- https://dphhs.mt.gov/Portals/85/dsd/documents/DDP/MedicalDirector/Shingles.pdf
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3643045/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4556918/
- https://www.allaboutvision.com/resources/conjunctiva.htm
- https://www.merckmanuals.com/professional/eye-disorders/corneal-disorders/herpes-zoster-ophthalmicus
- http://www.jcda.ca/article/e42
Does Shingles Leave Scars?
Shingles' trademark sores develop scabs that can hang out on the body for up to 4 weeks (sometimes longer). Like any other break of the skin, does shingles leave scars?
For some, yes there will be lasting marks on the skin in the areas where the ulcers occurred. Scars are more likely if the sores ran deep or were prohibited from healing properly. In the general population, scarring is rare. Commonly, scars fade or disappear without any intervention.
Shingles Scars Pictures
Scars will depend on the severity of the outbreak and care of the skin while it healing. Often pale pigmented marks remain up to a year after the scabs have healed. Most blemishes will resolve themselves or fade over time, but for some the disfigurement is worse. These shingles scar pictures provide a spectrum of representation.Shingles Scar Prevention
Some imperfections may be unavoidable, but most people can implement a few self-care techniques during their outbreak to prevent it. Shingles scar prevention starts here with wound care:- Regularly wash the blisters with mild, non-drying soap. This will stop a worsening of the infection and help skin absorb moisturizers.
- Apply aloe vera to the skin to keep it moisturized and supple.
- Avoid scratching at all costs. The worst scars happen in people who can't resist the urge to scratch as it delays healing, removes scabs, and spreads germs (with potential for more intense infections). Apply anti-itch ointments, take cool baths, wear cold compresses, or cover your hands with mittens if you have to!
- Increase intake of healthy skin foods. Omega-3 fatty acids are building blocks in regenerating plump skin cells and collagen. Good sources of omega-3s include fatty fish, oysters, flaxseed, chia seeds, walnuts, and soybeans.
Shingles Scars Treatment
A knowledgeable person can follow perfect directions and still end up with unlucky distortion.
Shingles scars treatment options for how to get rid of the appearance of dark marks and hyperpigmentation include:
Silicone. Cream for scars containing silicone has shown promise in clinical trials for reducing size and darkness of scars. It is also available in patches or gels.
Steroids. Delivered either as a shot by a specialist or in the form of a steroid-impregnated tape.
Cryotherapy. Freezing off unwanted growths has proven effective for things like warts and can be applied to scars. The method is effective, but does run the risk of lightening the color of the skin surrounding the scar.
Laser therapy. Targeting light waves can burn off the top layers of a scar. This is best utilized on keloids or raised scars. The downside is the modality is quite expensive.
Dermal fillers. Natural and synthetic elements can be injected into puckering or indented scars to smooth them out.
Surgery. The only true scar removal is with surgical methods. It can be effective, but runs a risk of additional scarring from the cutting.
Radiation. Only in extreme cases where a scar is menacing and resistant to other treatments can radiation be considered an option, but it is available.
How to Get Rid of Scars on Face
Trying to put your best face forward when you don't feel confident is a nightmare. You have already dealt with the nastiness of shingles across your gourd, you shouldn't have to suffer aftereffects of scars too. Try some of these face-friendly methods:- Makeup. Depending on the location of the scars, you may opt for Camouflage instead of scar removal. Companies like Changing Faces and Kat Von D have developed concealer formulas pigmented enough to cover the darkest of scars, including tattoos and acne.
- Collagen injections. Well-known for plumping up lips and smoothing out wrinkles, collagen injections can also improve the presence and texture of scars.
- Chemical peels. In this process, an exfoliating chemical concoction is applied to the face to remove tops layers of skin. It's helpful for faint scars and discoloration common after outbreaks. Bonus, it clears up some wrinkles, acne, and sun damage too.
- Dermabrasion. Here a small electronic device is used to lift top layers of skin with abrasion. Not just helpful for scars, but basically all face skin issues.
- Punch grafts. For deeper pockets, a hole can be punched into the skin to remove scar tissue and replaced with an unscarred patch of skin (usually lifted from behind the ear).
Article References:
- https://www.cbsnews.com/pictures/is-it-shingles-7-myths-about-painful-illness-graphic-images/6/
- https://www.netdoctor.co.uk/ask-the-expert/infection-faqs/a5442/will-my-shingles-scars-ever-go/
- https://www.livestrong.com/article/269440-how-to-prevent-scarring-from-shingles/
- https://www.healthline.com/nutrition/12-omega-3-rich-foods#section11
- https://www.axappphealthcare.co.uk/health-information/children/shingles-and-scarring/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965320/
- https://www.hopkinsmedicine.org/health/conditions-and-diseases/scars
- https://www.changingfaces.org.uk/skin-camouflage
- https://www.instyle.com/beauty/best-tattoo-cover-kat-von-d
Is Shingles Spread Airborne or by Contact?
Viruses are tricky menaces that jump from host to host in a variety of ways. The herpes zoster virus that causes chickenpox and shingles is no exception, but is shingles spread airborne or by contact?
To answer that question, we have to clarify a few facts. The HSV virus is contagious, but there are parameters. It is only spread by direct contact of bodily fluids. This means a droplet of blood, fluid from the blisters, or less commonly saliva. The distinction comes between spreading chickenpox or shingles. If a person who has never contracted HSV before comes into contact with fluid from an infected shingles patient, they can contract chickenpox.
However, shingles is not technically contagious itself. It is only possible to exhibit shingles if you have previously been infected with herpes zoster earlier in life. Shingles is the resurgence of the dormant virus into a novel condition.
Shingles Airborne Precautions for Diseases
While shingles isn't spread through the air, some diseases can be. The presence of shingles rash is evidence that the immune system is weakened and therefore vulnerable to attacks from other infections. Airborne diseases are particularly scary because they the hardest communicable illnesses to contain. The common cold, influenza, mumps, measles, whooping cough, tuberculosis, and diphtheria are all transmittable through pathogenic microbes discharged from an infected person through coughing, sneezing, breathing, or laughing. You still need to be fairly close proximity to pick up germs, but it can spread through communities quickly. [RELATED] With a compromised immune system, a person with shingles will have difficulty overcoming even the common cold. More threatening diseases like tuberculosis and diphtheria could be deadly. In order to prevent serious complications, you can take the following shingles airborne precautions:- As explained by the Maine Department of Health and Human Services, limiting contact is number one in prevention.
- Stay home from work or school if sick
- Wear a mask
- Wash hands
- Disinfect public surfaces like handles, doorknobs, railings, countertops, etc.
- Sneeze or cough into your elbow instead of your hands
Airborne Transmission of Shingles Virus
While some scientific sources classify chickenpox as an airborne disease, the virus predominately spreads through close personal contact.
Shingles is more of a cry for help from the body failing to fight off a constant companion that usually lies dormant. Therefore, airborne transmission of the shingles virus is an urban legend you can put to rest.
CDC Recommendations for Hospital Precautions for Contagious Diseases
The Center for Disease Control and Prevention (CDC) provides information to the public on protecting their health from contagious diseases. They also set guidelines for healthcare providers in managing outbreaks. The organization separates its recommendations into Standard Precautions and Transmission-Based Precautions. Standard Precautions are a broad-based approach to managing the scope of infection in all patients. It includes this advice:- Obey hand hygiene
- Follow respiratory and cough etiquette principles
- Use personal protective equipment (PPE)
- Clean and disinfect environment appropriately
- Handle laundry and textiles carefully
- Wear a surgical mask when performing lumbar injections
- Follow the protocol for handling sharps and needles
- Practice patient placement properly. Isolate if needed in a single room or cubicle
- Wear mask, gloves, and gown
- Use disposable or dedicated items when possible (only use blood pressure cuff on the infected patient, etc.)
- Limit transport of patients
- Disinfect rooms daily
Should Shingles Patients Be Put in Isolation?
If the only diagnosis is a disease spread by direct contact, should the infected individual be put in isolation? For shingles, isolation isn't necessary unless the disease has caused them to be extremely unprotected against more serious afflictions. [RELATED] The CDC rates isolation necessity with a Categorization Scheme for Recommendations that looks like this:- Category IA: Strongly recommended for isolation based on evidence from clinical, experimental, or epidemiologic tests.
- Category IB: Strongly advised to isolate based on hard studies and theoretical rationale.
- Category IC: Mandated by federal or state regulations for isolation.
- Category II: Suggested for implementation based on tests results and/or theoretical evidence.
Article References:
- https://www.medicalnewstoday.com/articles/312051.php
- https://www.healthline.com/health/diphtheria
- https://www.maine.gov/dhhs/mecdc/infectious-disease/epi/airborne/
- https://www.medicalnewstoday.com/articles/317632.php
- https://www.cdc.gov/infectioncontrol/basics/standard-precautions.html
- https://www.cdc.gov/infectioncontrol/basics/transmission-based-precautions.html
- https://www.cdc.gov/infectioncontrol/guidelines/isolation/index.html
Can You Get Shingles in Your Mouth?
The very simple remark is affirmative. Yes. In, on, and around the mouth. Why? The virus responsible for this agitating, perturbing indisposition persists in the roots of our sensory nerves once infected. Most typically, the chickenpox has plagued you in pupilage, and so VZV comfortably embraces a life of latency forever within you, as a host, so to speak. [RELATED] Several elements will make one VZV carrier more predisposed than the next, however once infected, it’s almost just a matter of time for the unlucky 33.33% of human adults who’ll have to contend with the distress of a shingles diagnosis.Shingles in Mouth and Throat Pictures
Take a second to imagine what shingles, or herpes zoster, in mouth and throat pictures look like. It’s almost worse than your nightmares. Since the mouth is already moist and wet and full of bacteria, such images are quite jarring. Just have a gander around this page to see what you could be facing should shingles decide to produce itself inside your mouth and throat.
Photographs, however, cannot solidly confirm an accurate diagnosis. Shingles in the mouth can undeniably be misidentified for other diagnoses such as thrush, black hairy or geographic tongue, leukoplakia, lichen planus, periodontitis, transient lingual papillitis (lie bumps), or other ambiguous abscesses and ulcers.
Therefore, with any unidentifiable condition in this sensitive place, it’s of utmost seriousness to consult with your healthcare provider. You cannot know the gravity of the situation, nor effectively rectify it without a professional consultation and opinion.
Causes of Shingles on Lips, in Throat, and in Mouth
Regardless of where shingles manifests itself, the causes of the infection remain the same. VZV and its latent existence will eventually show up. There are, however, a few determinants at play that can encourage the virus to show up. These risk factors include being geriatric, high stress levels, chemo or radiation for cancer care, an enfeebled immunity, and sickness. Any of these issues can instigate a reactivation of the dormant VZV, stimulating an outbreak of a rash with blisters. Shingles on the lips cause a laundry list of detestable symptoms, same goes for inside the chops, the pharynx and larynx, too. Let’s get involved.Shingles in Mouth Symptoms
Wherever dermatome shingles presents on the symptoms will be similar. Visible shingles in mouth symptoms will certainly comprise of ulcerations—a rash that yields blisters clustered on a single side on the gob. The clusters can be inside the cheek, on the gums, the hard or soft palates, even on the tongue.
Severe mouth pain, along with the usual feverish temperatures, tummy aches, and tiredness, is also plausible.
Shingles in Throat Symptoms
Signs of internal shingles aren’t the easiest to pinpoint. Systemic shingles can develop inside the throat, but seeing it in the mirror is impossible. Here’s where the usual symptoms play a key role in prognostication. Pay attention to swollen lymph nodes, burning, tingly, or numbed feelings underneath the epidermis, spiked temps or chills, coughing, and aching muscles.Shingles on Lips Symptoms
Following suit, shingles on the lips symptoms include the same as above but also come with some disfiguring sores both inside and outside. [RELATED] Neurotic pickers have to be careful not to mess with these, as there’s potential for scarring. Not to mention, the fluid inside the blisters is contagious as well.Shingles in Mouth Treatment
Experts suggest ceasing all dental hygienic tasks until the rashes and lesions are fully healed. Before that, shingles in mouth treatment is not dissimilar to bodily shingles therapy. Antiviral meds will be prescribed to get the infection under control and prevent it from spreading to other parts of the body. Such drugs include famciclovir, acyclovir, and valacyclovir. Your physician will consider your full medical history before choosing which antiviral route to take, and will probably recommend some pain relievers to manage the discomfort you’ll surely be experiencing. Tylenol or Motrin should be strong enough to get the job done. Additionally, make well use of cool, wet compresses to reduce inflammation and alleviate pain. Take your viral illness seriously by visiting your doctor and strictly following their suggested guidelines and prescribed methods of treating the rash. Rest and relaxation are also required for dealing with the fatigue that accompanies a zona breakout.Article References:
- https://vitalrecord.tamhsc.edu/shingles-in-the-mouth-2/
- https://www.webmd.com/oral-health/ss/slideshow-mouth-problems
- http://www.cdho.org/Advisories/CDHO_Factsheet_Shingles_(Herpes_Zoster).pdf
- https://www.pagepressjournals.org/index.php/gc/article/view/5964/6002
- https://www.livestrong.com/article/9373-treat-throat-shingles/
- https://www.healthline.com/health/internal-shingles
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