Facts on Shingles & When To See A Dermatologist at Pine Belt Dermatology

Dr. Eugene Conte • February 6, 2019
Shingles | Pine Belt Dermatology
Do you know what the disease is? Maybe you have heard of it before, maybe not, but it is a viral disease that comes from chickenpox. Anyone who has had chickenpox can get shingles. After the chickenpox clears, the virus stays inside the body. If the virus reactivates (wakes up), the result is shingles — a painful, blistering rash. The risk of getting shingles increases with age. Shingles appears when the virus wakes up. It is not clear what reactivates or "wakes up" the virus. A short-term weakness in immunity may cause this. A vaccine can reduce your risk of getting shingles. Typically, when recommended, the doctor will encourage you to get your vaccine after your 50th birthday and no later than your 60th birthday. If you’ve had chickenpox, you can still get shingles after getting shingles vaccine. The vaccine also lessens your risk of developing serious complications from shingles, such as life-disrupting nerve pain. The nerve pain can last long after the shingles rash goes away. Some people have this nerve pain, called post-herpetic neuralgia (PHN), for many years. The pain can be so bad that it interferes with your everyday life. The shingles vaccine reduces your risk of developing this nerve pain, even more than it reduces your risk of getting shingles. This is not a disease that you want to brush off. The shingles rash can be very painful and widespread, and it is contagious, however, less contagious than chickenpox.

Shingles Symptoms:

Shingles, as stated above, is a disease from the same virus that causes chickenpox. The difference is that shingles tends to cause more pain and less itching than chickenpox. Its important to know the common signs and symptoms of the disease. They are below:
  1. Warning sign: an area of the skin may burn, itch, tingle, or become very sensitive. This usually occurs in a small area on one side of the body. These symptoms can come and go or be constant. In most cases you will feel this for a few days (1-3) but can sometimes last longer.
  2. Rash: A rash will then appear in the same area.
  3. Blisters: the rash will soon turn into a group of clear blisters. The blisters turn yellow or blood before they eventually crust over, scab, and then heal. The blisters will tend to last 2 to 3 weeks.
  4. Pain: It is uncommon to have the shingles blisters without experiencing pain. Once the blisters heal, the pain may lessen. However, the pain can last for months after the blisters clear.
  5. Flu-like symptoms: a fever or headache can accompany the shingles rash.

Who Is At Risk?

A person must have had chickenpox to get shingles. Some people who have had chickenpox have a higher risk of getting shingles. You have a higher risk if you:

  1. Are 50 years of age or older
  2. Have an illness or injury
  3. Are under great stress
  4. Have a weakened immune system

Some illnesses and medical treatments can weaken a person's immune system and increase the risk. These include:
  • Cancer
  • HIV/AIDS
  • Some cancer treatments, such as chemotherapy or radiation
  • Medicine taken to prevent rejection of a transplanted organ
  • Cortisone when taken for a long time
When you have shingles, you're only contagious while you have blisters. Catching this virus and getting chickenpox can be dangerous for women who are pregnant and have not had chickenpox or gotten the chickenpox vaccine. In this situation, the virus can harm the woman’s unborn baby.

Babies less than 1 month old and people who have a weak immune system can also have complications if they catch the virus. People who have a weak immune system include those who are:
  • HIV positive
  • Taking medicine that weakens their immune system
  • Receiving chemotherapy or radiation treatments
You’re not contagious before you develop blisters or after the blisters scab over. Be sure to take precautions while you have blisters.

To prevent spreading the virus while you have blisters, the Centers for Disease Control and Prevention (CDC) recommends that you:
  • Cover the rash
  • Wash your hands often and try to avoid touching the rash
  • Avoid being around people for whom catching the virus could be dangerous
Why see a dermatologist for shingles? Without treatment, the rash clears in a few weeks. However, Pine Belt Dermatology strongly recommends treatment. Without it, many people get pain, numbness, itching, and tingling that can last for months — or years. Possible treatments include:

  • Anti-viral medicine: This medicine may be prescribed when a doctor diagnoses shingles within 72 hours of the rash first appearing. The earlier anti-viral treatment is started, the better it works. Anti-viral medicines include famciclovir, valacyclovir, and acyclovir. These can lessen the pain and the amount of time the pain lasts.
  • Nerve blocks: Given for intense pain, these injections (shots) contain a numbing anesthetic and sometimes a corticosteroid.
  • Corticosteroids: To lower swelling and pain, some patients may get corticosteroid pills with their anti-viral medicine. This treatment is not common because it can make the rash spread.

Treatments for pain after the rash clears: Certain anti-depressants, pain relievers, anesthetic creams and patches, and anti-seizure medicines can help.

There are some complications that can be caused by the disease. Symptoms of shingles usually don’t last longer than 3 to 5 weeks. However, complications can happen. The main complications that can result from shingles include:

  • Postherpetic neuralgia (PHN). The most common complication of shingles is called postherpetic neuralgia (PHN). This continuous, chronic pain lasts even after the skin lesions have healed. The pain may be severe in the area where the blisters were present. The affected skin may be very sensitive to heat and cold. If you had severe pain during the active rash or have impaired senses, you are at increased risk for PHN. The elderly are also at greater risk. Early treatment of shingles may prevent PHN. Pain relievers and steroid treatment may be used to treat the pain and inflammation. Other treatments include antiviral drugs, antidepressants, anticonvulsants, and topical agents.
  • Bacterial infection. A bacterial infection of the skin where the rash happens is another complication. Rarely, infections can lead to more problems, such as tissue death and scarring. When an infection happens near or on the eyes, a corneal infection can happen. This can lead to temporary or permanent blindness.
To get the most optimal treatment and care for shingles it is important to seek out help as soon as you realize you have the disease. Pine Belt Dermatology is here to help and we are in five different locations so we are very easy to access.
July 31, 2026
At Pine Belt Dermatology & Skin Cancer Center , we understand that selecting the right skincare products can be challenging. While many over-the-counter (OTC) options promise results, not all skin concerns can be addressed with these products. Knowing the difference between OTC and prescription treatments helps you make educated decisions and recognize when to seek professional care. If you are treating acne, eczema, rosacea, or signs of aging, upgrading your treatment plan at the right time can improve your skin health and confidence. Understanding Over-the-Counter Skin Treatments Over-the-counter skincare products are available without a prescription and are intended for mild to moderate skin concerns. When used consistently, many contain ingredients that help maintain healthy skin. Common OTC ingredients include: Salicylic acid for acne Benzoyl peroxide to reduce acne-causing bacteria Retinol for fine lines and uneven texture Hydrocortisone cream for minor itching and irritation Moisturizers with ceramides or hyaluronic acid to heal the skin barrier These products are a good starting point for mild conditions. However, because OTC treatments use lower-strength active ingredients, they may not be effective for chronic or serious skin issues. When Prescription Skin Treatments May Be Necessary Prescription treatments use stronger active ingredients and are customized to your specific skin condition. A dermatologist can diagnose the underlying cause and recommend medications that address the problem more effectively than OTC products. Prescription treatments may include: Oral medications for moderate to severe acne Prescription-strength retinoids Medications to manage eczema or psoriasis Treatments for rosacea and chronic redne Prescription creams for hyperpigmentation or melasma Antifungal or antibacterial medications for skin infections These therapies are chosen based on your medical history, skin type, and treatment goals to maximize results and minimize side effects. Time to Upgrade Your Treatment While many start with OTC products, some situations require a dermatology appointment. Consider seeing a dermatologist if: Your skin condition has not improved after several weeks of steady OTC treatment. Acne is causing painful cysts, nodules, or permanent scarring. Rashes, redness, or irritation continue to worsen. You experience frequent flare-ups of eczema, psoriasis, or rosacea. You notice new or changing skin growths or unusual spots. Your skin concern is affecting your confidence or quality of life. Early treatment has the potential to prevent conditions from getting worse and minimize the chances of long-term skin damage. Why Professional Assessment Matters Many skin conditions look similar, making self-diagnosis challenging. For example, stubborn acne may be rosacea, and chronic dry patches could indicate eczema, psoriasis, or another condition. A board-certified dermatologist can accurately diagnose your skin concern and develop a customized treatment plan. Professional guidance also helps you avoid spending time and money on ineffective products. Healthy Skin Starts with the Right Treatment Over-the-counter products are important for daily skincare, but they may not treat complex or persistent concerns. Transitioning to prescription treatment at the right time can greatly improve your skin’s appearance and long-term health. At Pine Belt Dermatology & Skin Cancer Center , our team offers complete evaluations and customized treatment plans for acne, eczema, rosacea, hyperpigmentation, skin cancer screenings, and other skin conditions. If your current skincare routine is not resulting in success, we are here to help you achieve healthier, more confident skin. 
June 29, 2026
At Pine Belt Dermatology & Skin Cancer Center, we believe education is key to protecting and maintaining healthy skin. July is significant for skin health, featuring both UV Safety Awareness Month and World Skin Health Day on July 8 . These occasions highlight the importance of sun protection and raise awareness of common concerns, such as hyperpigmentation and melasma . Understanding how ultraviolet (UV) exposure affects your skin helps prevent long-term damage and supports a healthier, more even complexion. Why UV Protection Matters The sun emits ultraviolet rays that can damage skin even on cloudy days. While many associate UV exposure with sunburn, its effects are broader. Repeated UV exposure accelerates skin aging, increases skin cancer risk, and contributes to pigmentation disorders. Common effects of excessive UV exposure include: • Sunburn and skin irritation • Premature aging, including fine lines and wrinkles • Dark spots and uneven skin tone • Increased risk of skin cancer • Worsening of hyperpigmentation and melasma Daily sun protection is one of the most effective ways to maintain healthy skin and reduce preventable damage. What Is Hyperpigmentation? Hyperpigmentation is a common condition where areas of skin become darker than the surrounding tissue due to excess melanin production. Multiple factors can contribute to hyperpigmentation, including: • Sun exposure • Acne scars and inflammation • Hormonal changes • Skin injuries or irritation • Certain medications While hyperpigmentation is mostly harmless, many seek treatment to improve skin tone as well as restore confidence. Understanding Melasma Melasma is a type of hyperpigmentation that shows up as brown or gray-brown patches, typically on the cheeks, forehead, nose, and upper lip. Melasma is frequently associated with: • Hormone changes during pregnancy • Birth control medications • Hormone replacement therapy • Genetic predisposition • Sun exposure Although melasma is not dangerous, it can be difficult to treat because UV exposure frequently triggers or worsens it. Even minimal sun exposure can increase pigment production and make discoloration more noticeable. Protecting Your Skin from UV Damage Whether you are concerned about skin cancer, hyperpigmentation, or melasma, daily sun protection is essential. Dermatologists suggest: • Using sun lotion with SPF 30 or higher every day • Reapplying sunscreen every two hours when outdoors • Wearing wide-brimmed hats and protective clothing • Seeking shade during peak sunlight hours • Wearing UV-protective sunglasses • Avoiding tanning beds Consistent sun protection helps prevent new pigmentation issues. World Skin Health Day: A Reminder to Prioritize Skin Care Observed annually on July 8, World Skin Health Day encourages preventive steps to maintain healthy skin. This is a reminder to perform regular self-exams, schedule dermatology visits, and address concerns early. If you notice persistent dark spots, changes in pigmentation, or new skin lesions, seek an expert assessment to determine the cause and identify treatment options. Supporting Healthy Skin Year-Round UV Safety Awareness Month and World Skin Health Day remind us that protecting your skin is an investment in long-term health. Practicing sun safety and understanding conditions like hyperpigmentation and melasma help preserve your skin’s health, appearance, and function. At Pine Belt Dermatology & Skin Cancer Center, our team provides personalized evaluations and treatments for pigmentation concerns, sun-damaged skin, and overall skin health. Plan a visit and learn how we can help you achieve healthier, more confident skin.
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When a ‘Rash’ Might Be Something More Serious At Pine Belt Dermatology & Skin Cancer Center, we recognize that rashes are common and frequently resolve quickly with minimal treatment. However, some rashes may signify underlying conditions that require prompt medical attention. Identifying when a rash is more than a minor irritation is key to protecting your health. Comprehending Common vs. Concerning Rashes Most everyday rashes result from irritants, allergies, heat, or minor infections and typically improve within a few days with over-the-counter treatments. However, if a rash lasts longer, worsens, or appears with other symptoms, it may signal a more serious issue. Identifying the difference between a routine rash and one that requires medical evaluation helps avoid complications and ensure appropriate care. Warning Signs to Watch For Certain features may indicate a rash requires clinical assessment, including: Rapidly spreading or worsening rash Severe pain, swelling, or blistering Signs of infection such as pus, warmth, or red streaks Fever or flu-like symptoms accompanying the rash A rash that does not improve after several days of treatment Dark, purple, or bruised-looking areas on the skin For example, a rash with fever may indicate a viral or bacterial infection, whereas painful blistering can suggest conditions such as shingles. In rare cases, rashes may signal autoimmune disorders or severe allergic reactions. Rashes That May Point to Underlying Conditions Some rashes may be linked to broader health concerns, including conditions that cause inflammation in the skin and other organs: Allergic reactions that may escalate into further severe responses Infections that spread beyond the skin if untreated Medication reactions that require immediate adjustment Persistent or unusual skin changes may be early signs of skin cancer or precancerous conditions, especially if they do not heal or continue to change over time. Why Early Evaluation Matters Delaying care for a worrisome rash may allow the underlying condition to progress. Early diagnosis improves treatment outcomes and helps prevent discomfort and complications. A dermatology specialist can assess the rash’s appearance, location, and progression, and may recommend diagnostic tests if needed. This approach assures treatment addresses the underlying cause, not just the visible symptoms. When to See a Dermatology Specialist If you are unsure about your rash, it is best to err on the side of caution. Consider seeking care if: The rash is persistent, painful, or unusual in appearance Over-the-counter treatments are not effective You experience additional symptoms such as fever or fatigue The rash interferes with your daily comfort or quality of life At Pine Belt Dermatology & Skin Cancer Center, our experienced providers supply comprehensive skin evaluations and customized treatment plans. We take time to understand your symptoms and deliver clear, effective solutions tailored to your needs. Protecting Your Skin and Your Health While many rashes are minor, some may be early warning signs of more serious health concerns. Monitoring skin changes and pursuing prompt medical advice can produce a notable effect. If you notice a rash that does not seem right, do not ignore it. Schedule a consultation with Pine Belt Dermatology & Skin Cancer Center for expert evaluation and peace of mind. Your skin is an important indicator of your overall health, and taking it seriously supports ongoing well-being.
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