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Shingles, also known as herpes zoster, is a painful skin rash caused by the reactivation of the varicella-zoster virus (VZV)—the same virus that causes chickenpox. While anyone who’s had chickenpox can develop shingles later in life, the risk increases with age, a weakened immune system, or certain chronic conditions.
Early diagnosis and treatment can reduce complications. Here’s what you need to know about shingles, including symptoms, causes, prevention, and when to contact a provider at BASS Medical Group.
What Are the Symptoms of Shingles?
Shingles symptoms often appear in three distinct stages:
1. Early Stage (Prodromal Phase)
Before a rash appears, you may experience:
- Burning, tingling, or pain in a localized area.
- Skin sensitivity.
- Fatigue, headache, or a mild fever.
2. Rash Stage
- A red rash appears on one side of the body or face.
- The rash develops into fluid-filled blisters within a few days.
- Discomfort, itching, or sharp nerve pain is common.
3. Healing & Recovery
- Blisters scab over within 2–4 weeks.
- Some individuals may develop postherpetic neuralgia (PHN)—long-term nerve pain that lingers after the rash heals.
What Causes Shingles?
After recovering from chickenpox, the virus remains dormant in your nervous system. Shingles occurs when that virus reactivates, often years or decades later. Common risk factors include:
- Age 50+
- Weakened immune system (e.g., cancer, HIV, autoimmune conditions)
- High stress levels
- Certain medications that suppress immunity
How to Prevent Shingles
1. Get Vaccinated
The Shingrix vaccine is the most effective way to prevent shingles and its complications. It’s recommended for:
- Adults age 50 and older
- Adults 19+ with weakened immune systems
Shingrix is given in two doses and is over 90% effective.
2. Support Your Immune System
- Eat a healthy, balanced diet
- Stay active with regular exercise
- Reduce stress through mindfulness, sleep, and relaxation techniques
3. Avoid Spreading the Virus
If you have shingles:
- Keep the rash clean and covered
- Avoid contact with people who haven’t had chickenpox or the chickenpox vaccine
How Is Shingles Treated?
Early treatment is key to reducing complications, especially postherpetic neuralgia.
1. Antiviral Medications
Drugs like acyclovir, valacyclovir, and famciclovir can shorten the illness if started within 72 hours of symptom onset.
2. Pain Relief
- Over-the-counter pain relievers like acetaminophen or ibuprofen
- Prescription pain meds or nerve treatments for chronic pain
3. Comfort Measures
- Cool compresses or oatmeal baths to soothe the rash
- Calamine lotion to relieve itching
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When to See a Doctor
Contact a healthcare provider if:
- You are over age 60
- The rash is near your eyes or spreads across the body
- You have a weakened immune system
- You develop long-term nerve pain
Shingles Care at BASS Medical Group
At BASS Medical Group, we offer shingles care across Walnut Creek, Concord, Oakland, and the Greater Bay Area.
Our services include:
- Primary Care Providers (PCPs) for vaccinations, diagnosis, and treatment
- Pain Management Specialists for long-term nerve discomfort
- Neurologists to manage postherpetic neuralgia
- Access to the BASS Imaging Center for diagnostic support if complications arise
Protect Yourself from Shingles – Request an Appointment Today
Whether you need a shingles vaccine or treatment for active symptoms, BASS Medical Group is here to help. Schedule an appointment with a trusted provider today.
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Frequently Asked Questions
Q: What is shingles, and how does it develop?
A: Shingles, or herpes zoster, is a painful rash caused by the reactivation of the varicella-zoster virus (VZV), which also causes chickenpox. After a person recovers from chickenpox, the virus remains dormant in the nervous system and can reactivate later in life, especially when the immune system is weakened or with increasing age.
Q: What are the early signs of shingles?
A: Shingles often starts with a burning, tingling, or painful sensation in a localized area, followed by fatigue, headaches, or mild fever. The characteristic rash appears within a few days, typically on one side of the body or face, and evolves into fluid-filled blisters.
Q: How can I prevent shingles?
A: The best way to prevent shingles is by getting the Shingrix vaccine, which is over 90% effective. It's recommended for adults aged 50+ and those 19+ with weakened immune systems. In addition, supporting your immune system with a healthy diet, regular exercise, and stress management can help reduce the risk of reactivation.
Q: What is postherpetic neuralgia (PHN), and how does it relate to shingles?
A: PHN is long-term nerve pain that can occur after the shingles rash heals. It is a common complication, especially in older adults, and can last for months or even years. Early treatment of shingles can help reduce the risk of developing PHN.
Q: When should I see a doctor for shingles?
A: You should see a doctor if you are over age 60, if the rash affects your eyes, spreads across the body, or if you have a weakened immune system. Immediate medical attention is also necessary if you experience long-term nerve pain after the rash heals.
Q: How is shingles treated?
A: Shingles is treated with antiviral medications like acyclovir, valacyclovir, and famciclovir, which can shorten the duration of the illness if started early. Pain relief may be provided with over-the-counter medications, prescription pain meds, or nerve treatments. Comfort measures like cool compresses or oatmeal baths can help soothe the rash.
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