Shingles is a painful condition caused by the varicella-zoster virus, the same virus that causes chickenpox. Once you’ve had chickenpox, the virus can remain dormant in your nerve tissue and reactivate years later, leading to shingles. This reactivation typically occurs in older adults or those with weakened immune systems, but it can affect anyone who has had chickenpox.
The hallmark of shingles is a painful, blistering rash that usually appears on one side of the body. The pain can range from mild to severe and may last for weeks or even months. While antiviral medications can help reduce the severity and duration of shingles, many people also seek relief from the pain with topical treatments. In this article, we will discuss some of the best topical pain relief options available for shingles, including over-the-counter and prescription treatments, as well as natural remedies.
Understanding Shingles Pain
Shingles pain is caused by the inflammation of the nerves affected by the virus. The pain can be described in several ways: sharp, burning, itching, or even deep and aching. Some individuals experience postherpetic neuralgia (PHN), a complication where the pain persists long after the rash has healed. This pain can be excruciating and difficult to manage.
Topical treatments are often preferred by individuals looking for targeted relief, as they can help soothe the skin and reduce inflammation. These treatments are generally safe when used correctly and can provide significant comfort for those suffering from shingles.
1. Capsaicin Cream
Capsaicin is the compound that gives chili peppers their heat. When applied to the skin in the form of capsaicin cream, it can provide effective relief for shingles pain. Capsaicin works by depleting a neurotransmitter called substance P, which is involved in sending pain signals to the brain. By reducing substance P levels, capsaicin can help decrease the sensation of pain.
A 0.025% to 0.075% capsaicin cream is often recommended for shingles pain. It’s typically applied several times a day to the affected area. However, some people may experience a burning or stinging sensation when applying capsaicin cream. This is normal and should subside after a few minutes.
It’s important to use capsaicin cream with care, as it can cause irritation if applied to broken skin or open blisters. Always wash your hands after applying the cream and avoid touching your face or eyes.
2. Lidocaine Cream or Patches
Lidocaine is a local anesthetic that can temporarily numb the skin and relieve pain. Lidocaine cream or patches are commonly used for shingles pain. They work by blocking the nerves from sending pain signals to the brain, providing immediate and targeted relief.
Lidocaine patches, such as the 5% formulation (Lidoderm), can be placed directly on the painful area. Each patch can be worn for up to 12 hours within a 24-hour period. For those who prefer creams, a lidocaine cream (typically around 4%) is also available over-the-counter.
Lidocaine is particularly helpful for people experiencing sharp, localized pain. It’s easy to apply and usually well-tolerated. However, it’s important not to use lidocaine on broken skin or open blisters. Always follow the instructions on the label and avoid using too many patches or creams at once, as this can lead to an overdose.
3. Menthol-Based Creams
Menthol is another popular ingredient in topical treatments for shingles pain. It works by providing a cooling sensation that can help distract from the pain and reduce inflammation. Menthol creams, such as Biofreeze or Icy Hot, are commonly used for various types of pain, including shingles.
When menthol is applied to the skin, it activates the cold receptors in the skin, creating a soothing feeling. This cooling effect can help alleviate the burning and itching sensations associated with shingles. Menthol creams may also have a mild numbing effect, adding to their pain-relieving properties.
Menthol-based creams can be used several times a day, but it’s important to avoid using them on broken or blistered skin. As with other topical treatments, always wash your hands after applying menthol creams to avoid getting the product in your eyes or mouth.
4. Calamine Lotion
Calamine lotion is a well-known remedy for itching and irritation, often used to treat chickenpox, but it can also be helpful for shingles. It works by soothing the skin and reducing itching and discomfort. While it doesn’t directly numb the pain like lidocaine or capsaicin, calamine lotion can provide comfort by drying out the blisters and relieving itching.
When applied to the affected area, calamine lotion creates a protective barrier that helps keep the skin cool and dry. It also has mild astringent properties that can help reduce swelling and inflammation.
Calamine lotion is safe to use on shingles blisters, and it’s often used in conjunction with other treatments for comprehensive pain relief. However, it may need to be reapplied frequently throughout the day to maintain its soothing effects.
5. Aloe Vera Gel
Aloe vera is a plant known for its cooling and anti-inflammatory properties. Aloe vera gel is commonly used to treat sunburns, but it can also help soothe the pain and discomfort caused by shingles. Aloe vera works by moisturizing the skin, reducing redness, and promoting healing. It can help calm the irritated skin and provide a mild numbing effect, making it a gentle option for those with sensitive skin.
Aloe vera gel is easy to apply and can be used several times a day on the affected area. It is particularly helpful for people experiencing mild to moderate pain and itching. Make sure to use pure aloe vera gel, as some commercial aloe products may contain alcohol or other irritating ingredients.
6. Hydrocortisone Cream
Hydrocortisone is a mild steroid that can reduce inflammation and itching. While it is not specifically designed for shingles pain, it can be effective for soothing the itching and irritation that often accompany the rash. Hydrocortisone cream is available over-the-counter in 1% strength and can be applied to the skin to reduce swelling and redness.
It’s important to note that hydrocortisone should only be used on unbroken skin. Applying it to open blisters can increase the risk of infection. Additionally, hydrocortisone should not be used for extended periods, as prolonged use of steroids can thin the skin.
7. Epsom Salt Baths
While not a topical cream or ointment, Epsom salt baths can provide relief for shingles pain. The magnesium sulfate in Epsom salts is thought to have anti-inflammatory properties that can help reduce swelling and ease muscle pain. Soaking in a warm Epsom salt bath can help soothe the skin, relax tense muscles, and reduce discomfort associated with shingles.
To use Epsom salts, add about two cups of the salts to a warm bath and soak for 15-20 minutes. Make sure the water is not too hot, as hot water can irritate the skin further. If you have open blisters or broken skin, avoid submerging the affected areas in water to prevent infection.
8. Essential Oils for Shingles Pain
Some people find relief from shingles pain by using essential oils. Oils such as lavender, tea tree, and chamomile have anti-inflammatory and soothing properties that may help reduce pain and inflammation. Essential oils should always be diluted with a carrier oil (like coconut or olive oil) before being applied to the skin.
For shingles, a common method is to mix a few drops of essential oil with a tablespoon of carrier oil and gently massage the mixture onto the affected area. However, essential oils should not be used on open blisters, as they can cause irritation.
9. Prescription Options
In some cases, a doctor may prescribe stronger topical treatments for shingles pain. These can include prescription-strength lidocaine creams, numbing agents, or even topical opioids for severe pain. Additionally, topical corticosteroids may be prescribed to help reduce inflammation, though they are typically used sparingly due to the risk of side effects.
It’s important to consult with a healthcare professional before using prescription-strength treatments, as they may have potential side effects or interactions with other medications.
Conclusion
Shingles pain can be severe and persistent, but there are several effective topical treatments available to help manage discomfort. Capsaicin cream, lidocaine, menthol-based creams, calamine lotion, and aloe vera gel all provide targeted relief, reducing inflammation and soothing the skin. For more severe pain, prescription treatments may be necessary.
It’s important to use these treatments as directed and avoid applying them to broken or blistered skin. If you’re unsure which option is best for you, consult a healthcare provider to determine the most appropriate treatment for your condition. With the right care, shingles pain can be managed, allowing you to focus on healing and recovery.
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