{"id":11786,"date":"2023-09-18T08:00:46","date_gmt":"2023-09-18T08:00:46","guid":{"rendered":"https:\/\/blogs.cooperhealth.org\/ehealth\/?p=11786"},"modified":"2023-09-18T13:52:42","modified_gmt":"2023-09-18T13:52:42","slug":"the-painful-truth-about-shingles","status":"publish","type":"post","link":"https:\/\/blogs.cooperhealth.org\/ehealth\/2023\/09\/18\/the-painful-truth-about-shingles\/","title":{"rendered":"The Painful Truth About Shingles"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-11794 size-large\" src=\"https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2022\/02\/iStock-1224302071-1024x683.jpg\" alt=\"The Painful Truth About Shingles\" width=\"700\" height=\"467\" srcset=\"https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2022\/02\/iStock-1224302071-1024x683.jpg 1024w, https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2022\/02\/iStock-1224302071-300x200.jpg 300w, https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2022\/02\/iStock-1224302071-768x512.jpg 768w, https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2022\/02\/iStock-1224302071-1536x1024.jpg 1536w, https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2022\/02\/iStock-1224302071-2048x1365.jpg 2048w, https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2022\/02\/iStock-1224302071-1200x800.jpg 1200w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><\/p>\n<p><a href=\"https:\/\/blogs.cooperhealth.org\/ehealth\/2023\/09\/18\/the-painful-truth-about-shingles\/#espanol\">Para leer en Espa\u00f1ol, por favor haga clic aqu\u00ed<\/a><\/p>\n<p>For many adults, contracting chickenpox was a childhood rite of passage. Fast forward to adulthood, and one in three adults who had chickenpox as a kid will go on to have shingles\u2014a painful rash\u2014often when they least expect it.<\/p>\n<p>\u201cShingles is caused by the same virus that causes chickenpox: varicella-zoster, a type of herpes virus,\u201d explains <a href=\"https:\/\/www.cooperhealth.org\/doctors\/bennett-shenker-md\">Dr. Bennett Shenker, MD, MS, MSPH, FAAFP<\/a>, Chief and Chair of Family and Community Medicine at <a href=\"https:\/\/www.cooperhealth.org\/\">Cooper University Health Care<\/a>. \u201cAfter you recover from chickenpox, the virus lies dormant in your body and can return at any time, especially after the age of 50.\u201d<\/p>\n<p><strong>Risk factors for shingles include:<\/strong><\/p>\n<ul>\n<li>Age older than 50<\/li>\n<li>Certain diseases that weaken the immune system, such as HIV\/AIDS and cancer<\/li>\n<li>Radiation or chemotherapy<\/li>\n<li>Prolonged use of steroids or other immunosuppressive treatments<\/li>\n<li>Stress<\/li>\n<\/ul>\n<p>Although the two diseases are caused by the same virus, the shingles rash differs from the widespread outbreak of chickenpox. The shingles rash is described as clusters of painful, itchy, red bumps on the skin that blister and eventually scab over. Many people feel pain or tingling on the skin before the shingles rash appears. Although uncommon, symptoms such as headache, fever, and sensitivity to light may occur in some patients in the days before the rash appears.<\/p>\n<p>\u201cShingles can occur anywhere on the body, but the rash often starts as a strip of blisters that wraps around either the left or right side of your torso,\u201d Dr. Shenker says. \u201cThe rash can also involve your eyes, which, if left untreated, can lead to permanent eye damage.\u201d<\/p>\n<p>Treatment for shingles consists of pain control and the administration of antiviral medications within three days of the rash\u2019s appearance. Your body will eventually clear the rash, but it is possible to get a secondary bacterial infection due to skin breakdown.<\/p>\n<p>\u201cMost cases of shingles will begin to crust over and heal by one to two weeks,\u201d Dr. Shenker says. \u201cA person with active shingles can spread the virus to others when the rash is in the blister phase, so it\u2019s important to keep the rash covered. For people with normal immune systems, the rash is not usually contagious once the blisters crust over.\u201d<\/p>\n<p>The most common complication of shingles is postherpetic neuralgia. For many people, this pain continues long after the shingles blisters have cleared. It has been described as burning, stabbing, throbbing, and\/or shooting pain in the area where the rash appeared. Postherpetic neuralgia pain can last for weeks or months, and occasionally for years.<\/p>\n<p>A shingles vaccine exists, which has an 85% effective rate for the first four years after vaccination. It is recommended for those over 50 years of age and is given in two doses two to six months apart. The shingles vaccine is available at little or no cost at most pharmacies.<\/p>\n<p>\u201cAlthough the shingles vaccine may not fully prevent shingles, with a vaccine, an outbreak will likely be less painful and severe and will reduce your risk of postherpetic neuralgia,\u201d Dr. Shenker notes.<\/p>\n<p>If you are interested in the shingles vaccine and would like more information, please contact your Cooper <a href=\"https:\/\/www.cooperhealth.org\/services\/primary-care-family-medicine-and-internal-medicine\">primary care<\/a> provider by calling <a href=\"tel:800-826-6787\">800.8.COOPER<\/a> (<a href=\"tel:800-826-6737\">800.826.6737<\/a>), or use our online <a href=\"https:\/\/request.cooperhealth.org\/request.php\">appointment request form<\/a>.<\/p>\n<p><a name=\"espanol\"><\/a><br \/>\n&nbsp;<\/p>\n<h2><strong>La dolorosa verdad sobre la culebrilla<\/strong><\/h2>\n<p>Para muchos adultos, contraer varicela era un rito de iniciaci\u00f3n de la infancia. Avance r\u00e1pido hasta la edad adulta, y uno de cada tres adultos que tuvo varicela cuando era ni\u00f1o tendr\u00e1 culebrilla, una erupci\u00f3n dolorosa, a menudo cuando menos lo espera.<\/p>\n<p>\u201cLa culebrilla es causada por el mismo virus que causa la varicela: la varicela-zoster, un tipo de virus del herpes\u201d, explica el <a href=\"https:\/\/www.cooperhealth.org\/doctors\/bennett-shenker-md\">Dr. Bennett Shenker, MD, MS, MSPH, FAAFP<\/a>, Jefe y Presidente de Family and Community Medicine (Medicina Familiar y Comunitaria) at <a href=\"https:\/\/www.cooperhealth.org\/\">Cooper University Health Care<\/a>. Despu\u00e9s de recuperarse de la varicela, el virus permanece latente en su cuerpo y puede regresar en cualquier momento, especialmente despu\u00e9s de los 50 a\u00f1os\u201d.<\/p>\n<p><strong>Los factores de riesgo para la culebrilla incluyen:<\/strong><\/p>\n<ul>\n<li>Edad mayor the 50 a\u00f1os<\/li>\n<li>Ciertas enfermedades que debilitan el sistema inmunitario, como el VIH\/SIDA y el c\u00e1ncer<\/li>\n<li>Radiaci\u00f3n o quimioterapia<\/li>\n<li>Uso prolongado de esteroides u otros tratamientos inmunosupresores<\/li>\n<li>Estr\u00e9s<\/li>\n<\/ul>\n<p>Aunque las dos enfermedades son causadas por el mismo virus, el sarpullido de la culebrilla difiere del brote generalizado de varicela. El sarpullido de la culebrilla se describe como grupos de protuberancias rojas, dolorosas y con picaz\u00f3n en la piel que se forman ampollas y eventualmente se forman costras. Muchas personas sienten dolor u hormigueo en la piel antes de que aparezca la erupci\u00f3n de la culebrilla. Aunque es poco com\u00fan, algunos pacientes pueden presentar s\u00edntomas como dolor de cabeza, fiebre y sensibilidad a la luz en los d\u00edas previos a la aparici\u00f3n de la erupci\u00f3n.<\/p>\n<p>\u201cLa culebrilla puede ocurrir en cualquier parte del cuerpo, pero la erupci\u00f3n a menudo comienza como una tira de ampollas que envuelve el lado izquierdo o derecho de su torso\u201d, dice el Dr. Shenker. \u201cLa erupci\u00f3n tambi\u00e9n puede afectar los ojos, lo que, si no se trata, puede provocar da\u00f1os oculares permanentes\u201d.<\/p>\n<p>El tratamiento para la culebrilla consiste en el control del dolor y la administraci\u00f3n de medicamentos antivirales dentro de los tres d\u00edas posteriores a la aparici\u00f3n de la erupci\u00f3n. Eventualmente, su cuerpo eliminar\u00e1 la erupci\u00f3n, pero es posible contraer una infecci\u00f3n bacteriana secundaria debido a la ruptura de la piel.<\/p>\n<p>\u201cLa mayor\u00eda de los casos de culebrilla comenzar\u00e1n a formar costras y sanar\u00e1n en una o dos semanas\u201d, dice el Dr. Shenker. \u201cUna persona con herpes z\u00f3ster activo puede transmitir el virus a otras personas cuando el sarpullido est\u00e1 en la fase de ampollas, por lo que es importante mantener el sarpullido cubierto. Para las personas con sistemas inmunol\u00f3gicos normales, la erupci\u00f3n generalmente no es contagiosa una vez que las ampollas se forman costras\u201d.<\/p>\n<p>La complicaci\u00f3n m\u00e1s com\u00fan de la culebrilla es la neuralgia pos herp\u00e9tica. Para muchas personas, este dolor contin\u00faa mucho despu\u00e9s de que las ampollas de la culebrilla hayan desaparecido. Se ha descrito como un dolor ardiente, punzante, agudo o que clava en el \u00e1rea donde apareci\u00f3 la erupci\u00f3n. El dolor de la neuralgia pos herp\u00e9tica puede durar semanas o meses y, en ocasiones, a\u00f1os.<\/p>\n<p>Su mejor defensa contra la culebrilla es recibir la vacuna contra la culebrilla, que se recomienda para las personas mayores de 50 a\u00f1os. Se administra en dos dosis con dos a seis meses de diferencia. La protecci\u00f3n se mantiene por encima del 85% durante al menos los primeros cuatro a\u00f1os despu\u00e9s de la vacunaci\u00f3n. La vacuna contra la culebrilla est\u00e1 disponible a bajo costo o sin costo en la mayor\u00eda de las farmacias.<\/p>\n<p>\u201cAunque es posible que la vacuna contra la culebrilla no la prevenga por completo, con una vacuna, es probable que un brote sea menos doloroso y grave y reduzca el riesgo de neuralgia pos herp\u00e9tica\u201d, se\u00f1ala el Dr. Shenker.<\/p>\n<p>Si est\u00e1 interesado en la vacuna contra la culebrilla y desea obtener m\u00e1s informaci\u00f3n, comun\u00edquese con su proveedor de <a href=\"https:\/\/www.cooperhealth.org\/services\/primary-care-family-medicine-and-internal-medicine\">atenci\u00f3n primaria<\/a> de Cooper llamando al <a href=\"tel:800-826-6787\">800.8.COOPER<\/a> (<a href=\"tel:800-826-6737\">800.826.6737<\/a>), o utilice nuestro <a href=\"https:\/\/request.cooperhealth.org\/request.php\">formulario de solicitud de cita en l\u00ednea<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Para leer en Espa\u00f1ol, por favor haga clic aqu\u00ed For many adults, contracting chickenpox was a childhood rite of passage. Fast forward to adulthood, and one in three adults who had chickenpox as a kid will go on to have shingles\u2014a painful rash\u2014often when they least expect it. \u201cShingles is caused by the same virus &#8230; <span class=\"more\"><a class=\"more-link\" href=\"https:\/\/blogs.cooperhealth.org\/ehealth\/2023\/09\/18\/the-painful-truth-about-shingles\/\">[Read more&#8230;]<\/a><\/span><\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[],"class_list":{"0":"entry","1":"post","2":"publish","3":"author-tvekteris","4":"post-11786","6":"format-standard","7":"category-ehealth-connection"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>The Painful Truth About Shingles - eHealth Connection<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.cooperhealth.org\/ehealth\/2023\/09\/18\/the-painful-truth-about-shingles\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The Painful Truth About Shingles - eHealth Connection\" \/>\n<meta property=\"og:description\" content=\"Para leer en Espa\u00f1ol, por favor haga clic aqu\u00ed For many adults, contracting chickenpox was a childhood rite of passage. Fast forward to adulthood, and one in three adults who had chickenpox as a kid will go on to have shingles\u2014a painful rash\u2014often when they least expect it. \u201cShingles is caused by the same virus ... 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Fast forward to adulthood, and one in three adults who had chickenpox as a kid will go on to have shingles\u2014a painful rash\u2014often when they least expect it. \u201cShingles is caused by the same virus ... 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