Suggest Treatment For Severe Pain When Diagnosed With Shingles
Questions for you to help me answer you better.
Detailed Answer:
Hello XXXXXXX
I am a family practice physician and I've had shingles. Most of my knowledge of how shingles manifests is from having had it myself a few years ago. A doctor never gets quite as knowledgeable of a disease as when they have it themselves!
So I'll tell you some basic information and then you can ask me what I haven't covered and hopefully I will be able to answer.
When I got shingles, I was first sick for about 10 days with migratory pains (not where the shingles erupted) and then a low grade fever. After those 10 days the eruptions started, and the other pains and fever went away. I started an antiviral within the critical 3 days of the eruptions. The eruptions continued to come out for 2-3 weeks. After that they gradually resolved, but I still had pain for another 4-6 weeks. And after that I was still weak and my immune system was impaired for another month. Then I returned to normal.
I mention the critical first 3 days to get on an antiviral. This decreases the chance of developing post-herpetic neuralgia, a pain syndrome that can continue in the dermatomes (region of skin innervated by a nerve group) that the shingles virus had come out in.
What are your current symptoms?
Are you still having eruptions at 2 months? Or is it pain but the eruptions are healing?
If it is a continued pain syndrome but no new eruptions, has the doctor given you a tricyclic such as amitriptyline?
Did you start taking an antiviral medication within the first 72 hours?