Symptoms of Shingles

Shingles usually begins with an unpleasant itching, burning, tingling, or painful sensation in a band-like area. The skin rash of shingles begins to appear 3-4 days after you notice these skin sensations.

The prodromal period is the time (about 3-4 days) before the rash actually occurs. During this time, you may have the following symptoms:

Fever
Muscle aches
Fatigue
Anxiety, nervousness
Discomfort in the skin, usually on one side of the face, torso, trunk, back, or buttocks. The discomfort may feel like:
- Numbness
- Itching
- Burning
- Stinging
- Tingling
- Shooting pain
- Electric shock
- Sharp pain
- Extremely sensitive to even light touch

The period of active shingles begins when you first notice the appearance of a rash in the same location where you originally felt the skin sensations:

The rash begins as a reddish band or individual bumps running in a line.
The bumps develop fluid-filled centers.
Over the course of 7-10 days, the bumps begin to dry and crust over.
You may continue to have pain and/or itching (as described above) in the area of the rash; the pain may be severe.
If the rash develops on the side of your nose or elsewhere on your face, you should contact your doctor immediately. This can signal that your eye is affected.

Although the rash of active shingles should be gone within a week to a month, about 20% of people continue to have pain and discomfort well after the rash has healed. This syndrome of pain in the area of the previously infected nerve is called postherpetic neuralgia, and it can be quite severe and debilitating.

References

The American Academy of Dermatology website. Available at: http://www.aad.org/default.htm . Accessed February 21, 2006.

Stankus SJ, Dlugopolski M, Packer D. Management of herpes zoster (shingles) and postherpetic neuralgia. Am Fam Physician . 2000;61(8). Available at: http://www.aafp.org/afp/20000415/2437.html.

National Institute of Neurological Disorders and Stroke website. Available at: http://www.ninds.nih.gov/ . Accessed February 21, 2006.

Revision Information

Reviewer: Peter Lucas, MD
Review Date: 09/2012
Update Date: 00/91/2012

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.