Adults only (18+)

How to Relieve Shingles Pain

Shingles is a painful condition caused by the reactivation of the varicella-zoster virus, the same virus that causes chickenpox. After a person recovers from chickenpox, the virus stays dormant in the body and can become active again later in life, leading to shingles. The condition often begins with a tingling or burning sensation in one area of the body, followed by a red rash and blistering that usually affects one side of the torso, face or limbs. While the rash itself typically clears within two to four weeks, the pain it causes can be intense and long lasting.

Relieving shingles pain effectively involves a combination of medical treatment, self-care and lifestyle adjustments. It is important to address the pain early, as this can help reduce the risk of complications such as postherpetic neuralgia, where nerve pain continues even after the rash has gone.

Understanding Shingles Pain

The pain from shingles can vary from mild to severe. It may feel sharp, stabbing, burning or throbbing and often becomes more uncomfortable when the skin is touched or exposed to heat or cold. In some people, the nerve pain can persist well beyond the healing of the skin, especially in older adults or those with weakened immune systems.

The pain is caused by inflammation and damage to the nerves where the virus has reactivated. Because nerves are responsible for sending pain signals to the brain, even a light touch can feel exaggerated or distressing.

Antiviral Medication

If shingles is diagnosed early, antiviral medicines such as aciclovir, valaciclovir or famciclovir can help reduce the severity of symptoms and shorten the length of the illness. These medicines work best when taken within the first seventy-two hours of the rash appearing. While antivirals do not cure shingles, they do help to control the virus and may lower the risk of developing longer-term nerve pain.

Your GP may also recommend pain relief alongside antiviral treatment to help manage discomfort in the early stages.

Over-the-Counter and Prescription Pain Relief

Paracetamol or ibuprofen can help reduce pain and inflammation during the early stages of shingles. If these are not effective enough, your GP may prescribe stronger painkillers, nerve pain medication such as amitriptyline or gabapentin, or topical creams that contain local anaesthetics.

Some people benefit from using lidocaine patches, which are applied directly to the painful skin and deliver numbing relief over several hours. These treatments can be especially helpful if pain is affecting sleep or daily activities.

Caring for the Skin and Rash

Keeping the affected area clean and dry can help prevent infection and soothe irritated skin. Wearing loose cotton clothing and avoiding anything that rubs or presses on the rash will reduce friction and allow the skin to heal more comfortably. Cool compresses placed gently on the skin for a few minutes at a time can also offer relief from burning or itching.

It is important not to scratch the rash, even if it becomes itchy, as this can cause further irritation or lead to infection. Calamine lotion or fragrance-free moisturisers may help calm the skin during the blistering stage.

Rest and Stress Reduction

Your body needs time and energy to fight the virus and repair the affected nerves. Getting enough rest and allowing yourself to slow down during recovery is a key part of managing shingles. Stress can make symptoms feel worse, so finding ways to stay calm and relaxed may also help reduce the intensity of the pain.

Gentle activities such as reading, listening to music or practising breathing exercises can support your recovery while providing moments of distraction from discomfort.

Diet and Hydration

Although there is no specific diet that cures shingles, eating a balanced diet rich in vitamins, minerals and antioxidants can support your immune system and overall healing. Include a variety of fruit and vegetables, lean proteins and wholegrains. Staying well hydrated by drinking water throughout the day can also help your body recover from the viral infection.

Some people find that avoiding foods high in sugar, alcohol or caffeine helps them feel more comfortable during a shingles outbreak, although this varies from person to person.

Alternative Therapies and Mind-Body Support

For some, natural remedies such as capsaicin cream, which is made from chilli peppers, can help relieve nerve pain. It works by gradually reducing the intensity of pain signals in the area. This treatment may not be suitable for everyone, as it can initially cause a burning feeling on the skin, so it should only be used under the guidance of a healthcare professional.

Mindfulness, meditation or cognitive behavioural therapy can also play a role in managing persistent nerve pain, particularly if it becomes long lasting. These techniques help you respond to pain in a calmer way and reduce the emotional stress that often accompanies chronic discomfort.

When to Seek Medical Help

If you suspect you have shingles, especially if you are over the age of fifty or have a weakened immune system, it is important to contact your GP as soon as possible. Early treatment can make a significant difference to your recovery. You should also seek urgent medical attention if the rash appears on your face, near your eye or causes difficulty with vision, as this may lead to serious complications if left untreated.

If the pain continues for more than three months after the rash has healed, you may have postherpetic neuralgia. In this case, a pain specialist or neurologist may be able to help with more advanced treatment options.

Final Thought

Shingles pain can be both physically and emotionally challenging, but with early treatment, careful skin care and the right pain management approach, most people recover fully. Taking a holistic view that supports both the body and the mind will not only relieve discomfort but also help you regain your strength and confidence as you heal. If pain persists or becomes difficult to manage, do not hesitate to seek medical advice and explore further support options.