The pain of shingles - what are the causes, symptoms and treatment?
One hardly ever equates back pain with herpes zoster
or shingles. However, when there are sores in the lumbar region caused
by this infectious disease, severe and debilitating pain is sure to be known.
This problem is known as post-herpetic neuralgia name, and the pain
caused by this condition is called shingles pain.
What is Shingles?
A contagious disease, herpes zoster is caused
by the varicella-zoster virus (VCV). In patients who have
undergone chickenpox when they were young, the virus would infect dorsal
root ganglia nerve where it would remain in a latent state. Shingles virus
occurs when Timer is enabled by an unknown process. Although herpes zoster
can occur at any age, it usually spotted in adults and particularly in the
elderly time.
Signs and symptoms of herpes zoster
In the dermatome of the skin, vesicular rash will develop,
similar to chickenpox, but the eruption, and they will develop
unilaterally or on one side. However, unlike chickenpox is itching,
sores of herpes zoster are excruciatingly painful, usually because they
follow the nerve branches in the dermatome. Dermatome areas that are frequently
associated in the shingles are T-3 to L-3 and the lower back. Very
often, even before lesions appear after 48 to 72 hours, the pain will be
experienced in the dermatome as the condition begins to occur. The pain at this
stage is called acute neuritis.
Although time the disease is between 7 to 10 days, it can
take as long as 2-4 weeks before the skin returns to normal health and pain
disappears.
How shingles pain Develops
Acute neuritis post-herpetic neuralgia. After several
months or years that the disease has been solved instances 50% of shingles
patients who are 50 and over, can occur with this disease again. This is called
post-herpetic neuralgia.
Rare in younger age groups, post-herpetic neuralgia
is the most unbearable complication of herpes zoster and it can occur in
normal and immunocompromised people. This problem is largely a disease of the
elderly. Hypoesthesia and hyperesthesia, which are lower and stimulate
irregular sensitivity to sensory stimuli, respectively, can also be experienced
in the dermatome damaged, apart from the unbearable pain.
How to treat shingles pain
In early disease, famciclover, a drug of choice for herpes
zoster, is expected to prevent further problems post-herpetic neuralgia.
It can be very difficult to manage a patient undergoing post-herpetic
neuralgia. For some patients, non-prescription NSAIDs help reduce the
problem, while for other types of drugs used in conjunction with more severe
tricyclic antidepressants like amitriptyline and fluphenazine are needed to
reduce the situation. Patient monitoring is essential so careful to protect
against drug addiction.
Pain relief for 4 to 12 hours may be given to the
application of lidocaine skin patches. Not only will it facilitate acute
neuritis, corticosteroids may also be used to protect against the occurrence of
post-herpetic neuralgia. Manufactured by Merck, the vaccine Zostavax is
not only effective for shingles, but it can also protect against post-herpetic
neuralgia. It is preferable to administer Zostavax for people over the age
of 60 years.
Currently, when it comes to shingles, there are many
treatment options out there. When a valuable remedy is seen, it could provide
the fight against the deep pain for shingles for the rest of their
lives.
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