shingles without a rash

Is it possible to be diagnosed with shingles without having an external rash?  The pain is on my left side only in a band near my waist line.  The pain is horrific - even to the touch.  All symptoms seem to be consistent with shingles but after 2 weeks of this, there is no rash.  Narcotics, vicodin and darvocet have helped some but not completely.

[emtcc]

I guess I should expound a little more - the symptoms have been going on for more than a month and getting progressively worse.  My doctor has suggested shingles but is baffled that there is no rash and is hesitant to put me on antivirals.

[carrick]

12/2/05

I just got diagnosed with zoster sin herpete. Basically, shingles without a rash. It does exist. Please check some of
sites on the Internet. I was amazed at how many sites there
were.  I have had to do my own research. Hope your health
imporves. Carrick

[Levis' Mom]

I have an 18 y/o daughter that breaks out in rashless shingles during every finals time at school.  Any high stress period can put her into a case of shingles.  Sometimes she gets the rash and it's a long bout, but USUALLY when the rash doesn't show up the symptoms are shorter term.  I've had 3 different doctors diagnose the rashless shingles over the years, so I guess that's what it really is.  Good Luck!

[claramcf]

have been in severe pain 5 weeks, been to e.r. 2 times both times diagnosed shingles but no real rash,dr. sent me to muscle,bone,joint center they gave me every test there is, or so they say, on 2/2/06 the doctor threw his hands up and said theres nothing more could be done,since then i have been in deep depression,mainly in bed, cry alot, its like no one believes me,they say i have some neve damage on the left side where the pain is but not enough to be this severe,they now rule out shingles because they say it has to have a rash,
I have has the fever, chills. fatigue,I basically can not do aqnything and noone can help
hopeless in Philadelphia,PA
claramcf

[diggin]

Yes this is exactly what I have after having the zoster type one year ago , it started very very weak and 1 month later it was unbearable pain in my right hip area with no rash . I know it is related to shingles because it has moved from my back to my hip and the doctors cannot figgure it out but I convinced them to give me acyclovir and it did help. I still have pain and my skin is numb where the pain is.

[Bis1422]

My mother went through a horrific case of shingles without a rash this July 07.  She is a healthy 61 year old woman who got the shingles vaccine Spring 07.  Its started out as a pain under her shouler blade.  She thought she pulled a muscle.  The pain got progressively worse (especially when she moved around) and she ended up in the ER thinking she was having a heart attack.  The doctors had no idea what was causing the pain (all tests, xrays etc. turned up negative).  Ironically, my 36 year old husband had just had a case of shingles with a rash in May and the intensity of the pain got me thinking that it seemed similar.  She had all the symptoms except for the rash (a band of pain that wrapped under her arm from her back, it was horrible when she moved and nothing helped).  Thankfully, her Dr. listened to what we thought it was (even though she did not have the classic rash) and put my mother on anit-virals.  She started getting better in 24 hours.  She ocassionally has strange sensations in that area, but is fully recovered.  It did take a good 4 weeks for her to get her energy back.  I contacted Merck to let them know that they may want to start looking into the vaccine causing less "severe" (althought the pain was severe) cases of shingles without the rash.  Some doctors will not think out of the box and if every classic symptom is not present they won't buy into the diagnosis.  I am convinced that more of these cases will start popping up because of the vaccine.  People think because they have had the vaccine that they will not get shingles, but that is far from the truth.  I hope people don't languish with this horrible illness because the anti-virals do help.  

[DAG48]

Thank you all so much for posting this information on the web about shingles. I have been having pain and sensitivity on one side of my body and I knew if I went the doctor without having an idea about what is wrong that it would cost me a small fortune. I think I have a pretty good immune system but it needs help to fight his off. I only pray that I am not left with some of the residual pain that is sometimes a side effect of this virus. This is so nice to be able to read what everyone says and benefit from it. Peace and wellness to all of you who have suffered.

[carol1960]

I think that I had shingles about 6 months ago. I kept having a severe pain on my right side and it wrapped around to my back.  I knew it wasn't my gallbladder because I don't have one.  I couldn't stand clothes touching my body.  Went to 2 different doctors and they did all sorts of blood tests and even a CT scan with dye.  Nothing showed up and they told me I didn't have shingles because I didn't have a rash.  Now the pain is not so intense but I have weird sensation on my right side, can't explain it, sometimes it just feels like something is not right.  Does this sound familiar to anyone else????

[Karenl1960]

I have something odd going on too. Haven't gone to the doc coz I did not have a rash.  Lots of stress this April, then suddenly my right side starts itching, burning and hurting.  Now six weeks later I have numbness.  But no rash.  I have the worst pain in the am, and can barely get out of bed.  Once I get moving I'm better.  But by eve I'm itchy and numb and in pain.  If you get any help let me know.  I hate going to the doc to hear it is in my head.  But I think I have shingles with no rash. Is there a test.
karen1960

[Beckoz]

Is it possible for a ten year old to have shingles without a rash??? He has been unwell for nearly a month now, but has had extremely sore neck front and back,chest and shoulders for about 2weeks. We have had two lots of blood tests all coming back normal. He is in excruiating pain mainly in the evening, he cant even stand water falling on his neck when having a shower and he definately wont let me touch it. He cries himself to sleep because he is in so much pain...painkillers arent even working. The doctors havent even brought shingles into the equation, but when I asked them, they say it is highly unlikely. I'm feeling like they think I'm making it all up...in my head or my sons head. Can I request a specific test to been done to either confirm or rule out shingles. I feel so helpless;(

[mokarena]

I have had the "flu" for over 2 1/2 weeks. I went to see a Dr., but of course there was nothing they culd do for me. The "flu" is getting progressively worse. Now I have pain on one side of my body- the right side, mostly in my hip area and in the rib area underneath my armpit. Every now and then I get chills and pain and feel cold. I am in tears as I write this because if I went to see the Dr. again, there would be nothing they could do, and I am in pain and weak and I have 3 young children to take care of. Thank you for all the information everyone wrote. It was really helpful.
Karena Lee

[JEC114]

I have been having terrible pain on my left side around my waist area.  I can't stand to have clothes on that area.  I get stabbing pain and a constant deep shooting pain all around the area.  I have been to the ER 4 times this past week and the doctor's are not listening to me.  Because I have no rash, they are ruling out shingles, but I think I have them.  I have had lots of stress lately and I believe it has come from that.  Has anyone been diagnosed with shingles that didn't have a rash and if so, what did you get to help the pain.  Nothing I have is working.

Janet C.

[witchy57]

I too have had the same pain without the rash on my upper rib area.  I am going through a lot of tests as Physician's do not seem to be educated enough on this type of out break.   My pain has be going on since Oct of 2007, I do believe I have PHN but cannot get the Doctors to understand how much pain I am in. There seems to be no test's they can do so its a process of elimination.  My primary care Physician does try and does care but is at lost so he referred me to a pain management physician from a very large hospital in Boston,  Mass General to be exact.  He is aware of Shingles without a rash but because I could touch my ribs, he does not believe its PHN.  He suggested to my primary care that I get a cat scan of my abdominal  area and perhaps go to a gastric specialist.  By the way absolutely disagreed with me that its impossible to get Shingles without a rash.  I plan on printing information about this and mailing to him.

[ditq1201]

I had the Zostavax late Apr and then 'flu' for 2 wks starting about July 9 - I fully intend to contact Merck *AND* the CDC of FDA because no manufacturer is going to admit to any problems with their vaccine unless the Govt. steps in.....seeing someone else (Biz 1422) above mention having had the vaccine prior to a non-rash shingles virus diagnosis by a dr.  made me perk up and notice!

I had been under a lot of workload stress at work prior to this 'flu.'  

[Mandy10]

hello everyone, my sympathy goes out to anyone having this pain. It is a pain I wish on no one. For two weeks I have had severe pain in my upper right chest area, it felt like someone took a sledgehammer to my ribs. I had an upper resp infection and was told the pain was coming from a torn muscle in my chest from the coughing. It was horrible and I wasSo  sent home with allergy medication, and two inhalers, and cough medicine with codine. Still the pain grew worse, a few laters later my husband found me passed out in our hallway and I was taken to the ER. They did a chest x-ray and lab work and found nothing wrong , and my incident was considered a mystery, and the dr had no explanation as to what may have happened. So I was sent home. The following evening I was in bed sobbing in pain. The pain felt like I had swimmer cramps in the side but multiply that by like 10. I told my husband something was seriously wrong. So again we go to the hospital on base thinking maybe they could figure it out, at first they said shingles, but then said no cause there was no rash present. They thought it was my gallbladder, but to be on the safe side they did a chest x-ray, came back normal, did an ultrasound, that to came back normal,the doc said she had no idea what could be causeing the pain, so she went ahead and had the nurse give me a small dose of morphine, and for the first time in a week  , I felt goooooood. pain free. She sends me home with mobic some anti-inflammatory medication, and zantac , and listed the condition as " heartburn". After I get home, once the morphine wore off, I was again in pain, with chills, dizziness, and nausea, but still no rash. Finally lastnight I couldnt take the pain anymore and went to the hospital. The doc took blood in order to check for lung blood clots , etc....all lab tests came back normal. But....when he touched my skin it just burned and hurt so bad. He said i had " shingles" without a rash. He sent me home with valtrex, and vicodin for pain. The vicodin works just great, however my lips have been tinglely, and my face feels like I have a sunburn, but still no rash. I have been under alot of stress as my husband is away for a six month deployment, and our daughter is in a residential treatment center getting psychiatric care, my cousin came to stay with us after my uncle passed away, it is just not fun . I hope this has helped someone. Everyone else I hope you start to feel better soon.

[mama2babies]

I have just begun a round of famcyclovir for shingles without a rash. It began as a neuralgia type pain in a four inch band from my spine around to my belly button on the right side. I can push on the area and it does not hurt, but the lightest touch across it is excruciating. The shower hurts the area badly as well. I'm feeling slightly better after two days on the antiviral. I had shingles with a rash three years ago. I am a healthy 38 year old and my question is about how common it is for shingles to reoccur in healthy adults.

[gardenqueen57]

I have had this extremly painful area on my right side at my lower rib around my back and also on the rear right hip area. So painful and wearing clothes was the worst. thought I had shingles, but no rash,  just very painful. didn't relize how much clothes rub on your skin. I have been having laser treatments from my chiropractor and they seem to be helping. Also taking 2000mg vit C 4x a day and Natrual B along with a good natural multiple vitamin. Resting after work as much as possible. The front area has been very ichy and then painful, the iching just started on the 3rd week. The back area is much better. Hoping it dosen't last much longer. Also I felt like I was coming down with something for about a week before the pain started. Good luck to everyone. Frustrating at times.

[sensualwordz]

wow you folks sure helped me look at whats going on with me
I have always had a funny little spot on my right side  under my rib cage. it itched but when i scrathed it  it never seemed to be the spot where the itch was coming from. Then i began getting severe pain in the back which would move to the front. Putting pressure on them relieved it temporarily.That pain slowely left but left areas ranging from my back to my front right side under the rib cage. that felt like sandpaper on an open wound.   Yet touching it directly does not hurt but my clothing hurts, a shower hurts. things like that. At times I experience a shooting pain, that I can only describe as electrical but radiating as if it were like a fireworks display..
anyone with any insight  NO RASH

I have no medical insurance and am broke right now
have gone twice to doc  first time when it was just pain in ribs he thought it was inflamation (inflammation) of the ribs and for a month i took an antiinflamitory drug    then he tested my urine to rule out kidney   now i am supposed to go for blood work, but have to wait tilll I can save a bit more money

[tenai98]

I just got back from the emergency dept suffering from pain and burning sensation on left side. The doc diagnosed "shingles" even tho there is no rash.  He prescribe anti viral and I'm off work until futher notice.  So yes shingles does happen without a rash.

[SmokeyShelly]

My daughter had shingles with a rash at age 10.  Now she is 17 and she came to me today complaining about her back hurting.  After questioning her, I beleive it's back with no rash right now.  I'm going to call the doctor in the morning to see what he thinks.

[Swaracaroline]

We live in Montreal, Canada and my husband, at 27 years od has shingles with no rash. He has had Chemotherapy and Radiation therapy to treat Hodgkins Lymphoma this summer though as so no surprise to have shingles now. He has incredible pain on the top of his head and now starting to go down his neck. There are a few little 'pimple like' bumps on his head, but other than that, no rash yet. He is been taking VALTREX now for a week and now taking LYRICA for pain, but the Dr. said it would take weeks for the LYRICA to kick in...he has stabbing pain every 3-5 seconds with no pain meds and then with the pain meds, pain every 3 mintues instead...make it go away....

[achingback]

Could someone suggest the medical specialty to have look at my neck and shoulder?  I have had burning, pain - both shooting/gripping & constant for almost two months.  My primary care doctor gave me a course of anit-viral meds and pain meds for 10 days - then one refill of the pain meds for 3 days.  I had a faint rash but was sure this was shingles.  I have shingles in the same area with an obvious rash twice before.  She did not run a test.  Said since I didn't come in within 72 hours of onset the anti-viral meds probably wouldn't help but to try them anyway.  I have tried numerous otc meds & creams but they don't help.  I just read a website that said anticonvulsants help with post shingles pain.  Has anyone tried that?  The pain is excruciating and keeps me awake.  Any advice will be greatly appreciated.

[chezza1968]

hi yes i have all these symptoms but no rash.. my doctor told me if i got the rash it was shingles...4 days on and i still have no rash but the pain is terrible and i'm so tired..
he did give me prescription for the anti-viruals but i'm not sure if to take them or not as he said take them when the rash appears...
thank you everyone

[crazyliblady]

You could also look at eczema.  I had had eczema for years without even realizing I had it.  I just thought I had dry skin.  Then, I started to get an intensely sore area in the eyelid area above my eye.  It did itch a little, but most of all, it hurt a lot.  It was so sore I had to be conscious that I did not touch it when washing my face.  On my back, I had an even worse case.  For temporary relief, I got a prescription for a steroid (very small tube and I used very little), but I also went to my chiropractor who does acupuncture.  It turns out it was some response of my immune system to something.  In one session of acupuncture, she managed to correct the problem.  I suppose I could still develop an occasional rash, but I have not had anything serious in about a year.

[Silverlilly]

I'm 32, and have had the exact same symptoms for over three weeks - a burning sensation on the right side of my stomach, just below my ribs.  It feels similar to a bad sunburn - it is extremely irritating when my shirt rubs against the area when I walk or move.  No rash, or other visible symptoms.  I'm booking an appointment with the doctor this week, and expect to be prescribed antivirals - I have no idea what else could cause such strange "pain" on one side only.  I've also been extremely fatigued and feeling generally run-down.  It all seems to fit.

[itstonyb]

I had Shingles without a Rash in 1992 and dosed up on L-Lysine. Got rid of it after 4 weeks.
I now have it again some 16 years later and still no rash. Am taking L-Lysine tablets and Cod Liver Oil tablets. Hopefully will go soon as the pain is horrible.

[tweet1]

I have had excrutiating pain on the left side of my face extending to the back midline of the skull on and off for about 4 years.  Not one doctor could figure out what was causing it.  I was starting to think I would just have to forget about doctors and put up with this pain.  I saw a new doctor today and he said he believes it is shingles  (even though I don't have a rash) affecting the cranial nerves.  He's the first doctor that didn't look at me like I was crazy.  He put me on antiviral and prednisone.  Hopefully this will work and I won't feel like I'm losing my mind any more.

[LeftCoastChick]

The rash usually starts about 4 days after feeling really ill with the flu. It usually only comes up in adults who are malnourished or comprimised immune systems. I had it when I was twenty. The rash was excrutiating, with the blisters causes a shooting pain in my spine, my doctor gave me a med they use fo MS patients, knocked me right out, but it worked. I was put in quarantine as well, it's highly contagious to someone who hasn't had the chicken pox. I know they have anti virals that work that are out now, but basically you just have to treat the symptoms. I had blisters around my neck, chest and stomach, even in my ears and mouth. I ended up with temporary Bell's Palsy. I couldn't feel part of my face at all. It took me 2 months to get over it, I had no appetite and lost a bunch of weight (not complaining)

The folks that don't have a rash, have lab tests been done for auto immune issues? I've never heard of shingles without some rashing or blisters.  I had a mild bout about 5 yrs back, only a few blisters, so not full blown. I thought you could only get it once! grrr

[TheOnlyMannequin]

In 2007, I was diagnosed with "a textbook case" of shingles without a rash.  I'd endured two days of burning pain in my right ear, neck, jaw, shoulder, which sometimes radiated into my back.  Right side facial paralysis was progressive.  I developed an awful taste in my mouth.  My hearing was getting worse in that ear..sounds were distorted and amplified and caused pain.  I thought I had a very bad ear infection.  I'd thought I'd slept in a bad position and had a stiff neck.  (Leading up to this episode, I'd been under a terrible amount of stress for weeks...very tired...had some cold/flu like symptoms, including loose bowel movements. )  I went to the emergency room at 2 AM because I couldnt tolerate the worsening pain and the facial paralysis had me frightened.  

Doc checked for an ear infection and there was none.  Based on all the symptoms and tests he was very confident in his diagnosis.  He prescribed Valtex and prednisone.  I progressively regained total facial control within two weeks.  Sound distortion took a little longer to completely disappear...some loud or high tones caused shooting pain for a while.

Yesterday, a Sunday, I was back in the ER again.  Same set of overwhelming stressful circumstances that confronted me back in 2007 led up to the same symptoms presenting themselves.  Additionally, I'd had cold/flu like symptoms including the loose bowel movements...fatique/exhaustion/distress...twinges in back, shoulder, and neck, jaw...and just hoped that I'd "slept the wrong way" on my neck or something.  This time, for more than a week, I was taking zinc and echinacea supplements and some Airborne occasionally, as so many co-workers were ill with colds/bronchitis/even pneumonia!  Sunday morning, the pain in the shoulder and neck were pretty bad.  There was some throbbing/burning in the ear.  Pains were getting progressively worse.  I brushed my teeth and as I rinsed, I realized my mouth was pulling to one side a bit.  The paralysis got progressively worse as the day went on.  This seemed like a repeat of the 2007 episode...but this time, the left side of my face was afflicted.

I recalled one strange...or maybe completely unrelated item...early Saturday, I had a pain on my right inner arm...at the elbow crease.  I rolled up my sleeve and noticed a small blister.  Was it a bite?  A pimple?  No, it looked like a tiny blister with some redness around it and running my finger across it was really painful for such a tiny thing.  I popped it and clear fluid came out.  It scabbed over.  There was no other blisters anywhere.

Once again, I was prescribed Valtex and prednisone.  I am also going to try some Ibuprofen and perhaps some homeopathic remedies like Acai juice for anti-inflammatory properties.  (I am concerned with the facial paralysis.)

SInce the 2007 event, I looked online for info on shingles without a rash.  I found some info back then...not much...and some interesting information on my ear problem...Ramsay-Hunt Syndrome.  Again, I had no rash...and what looked like Bells-Palsy...but was more than just that.

I am looking forward to a complete recovery again...just need to find a way to de-stress a lot better!

I'd like to hear from anyone who's had the addtional ear problem with facial paralysis...

Thanks for listening!
TheOnlyMannequin

[donsept]

I have had back pain on my left side with a rash with tiny bumps,itchy,burning,numb feeling and it drives me crazy,its very annoying.And everytime I have this it seems mt stomach acts up to.constant belching.I also have a dark patch of skin were this is happening.I have this most of the time about 4years now.It seem when I am streesed it happens more.My doctor said it was shingles when I first went to him,but now he said when I went to him that they only come out one time.Does any one have this problem,too many years,I woory its something serious.Anyone with an answer.
Thank you
desperate

[herman94]

I had shingles with a rash around 3 years ago. That was my first time and I was not familiar with the symptoms. I had chills on one side of the body for a few days and then the rash appeared and the associated burning pain under the skin. Now around a month back, I started getting the chills and burning pain again so I went to my doctor and asked for Valtrex. There was no rash. He gave me a prescription and I took it for 2 weeks. There are still days when I feel significant burning pain. But no rash has appeared. I had a small surgery and was stressed out going into it. May be that triggered the virus. I am hoping that it will get better now that I have already gotten my surgery done and am recovering.

I came on this forum wondering if it's possible to have shingles pain without a rash and sounds like it is!

health and happiness to all.

[mfomfo]

I have recently had pains that were sharp, like someone sticking hot needles in my skin along the rib and into my breast on the right. This is where I had breast cancer and surgery 3 years ago. The pain was triggered by movement, and the more often it was triggered, the worse it got. So I moved very very carefully. I got on Famciclovir (antiviral med) after 4 days. 8 days later it is definitely better. My range of motion is improved and the pain is almost gone. I never got a rash. One website said the pain of shingles can show up days and even weeks before a rash. My guess is that the antiviral meds kept it from erupting. I take the pills for 2 more days. If I still have some pain left I'll take some herbs or a homeopathic remedy.  Yesterday I had an acupuncture treatment from a Classical Five-Element acupuncturist and that helped a lot!! It boosted my spirits, relaxed my body and I left feeling healthier and in less pain. I feel much much better today.

[Pritama]

Thank you for this information. I have had symptoms of rashless shingles show up I am now in the midst of a new bout.  I feel achy, freezing cold,headachey,  I need to cry at least once a day.  The burning sensation around my belly feels like my skin has been sandpapered down to cause a strong sensitivity.  Once I had just one blister show up on my palm but so far nothing which is good. I am going for an accupuncture treatment and I am picking up a prescription of anti viral medication.  Sometimes it feels like there is too much current or energy running through my system that's why I am hoping accupuncture will help.

[soapflakes]

Thank you all so much for your rashless,shingles stories!!  I thought
I was going crazy, or at least my doctors thought I was. I too had
the initial diagnosis of diverticulitis. I was put on antibiotics with no
help. After going to the E.R. with severe pain in my left side into
my abdomen, the G.I. surgeon told me I most likely had shingles.
My doctor put me on an anti-viral and said call when I get the rash.
(NO RASH after 2 weeks, just pain) slightly better after the anti-
viral was prescribed. But, I can deal with all of this since I read your
stories. Thank you all so much.

[Jackie48]

I cannot believe their are  so many of you with shingles without the rash.
I think my family thought I was nuts.  I woke up on January 15th 2009
with severe back pain on the left side.  I was put through a few test before
they, meaning my Gastro Dr. decided to take out my Gallbladder.
They sent me home three days later still in pain but softed some by
Vicodin.  Two days later the severe pain had returned.  They then sent me
to a Neurologist, who has be my saving grace.  I still had to go through
spinal taps and lots of other tests to get to the shingles.  I still have severe
pain though.   I am alot of nerve medication and pain pills, it helps some
but you still cannot touch my back in that area at all.

[stubby226]

I was diagnosed with shingles on my rght lower leg about 3 months ago.  I also was diagnosed approx 2 months ago with encephalitis.  I was hospitalized for 18 days due to some delirum that made me non functional.  I also was dx with neuropathy about 4 months ago.  (By the time I do my introductory people will shy away from me.) WEith numbness in feet radiating to my knees blaterally'  I have Hep C which has not responded t treatment.  Approx 4 months ago I also was told I was HIV positive.  Before jumping to conclusions I am a nurse and was expsed to the last 2 diseases via a needle stick after drawing blood from a client that was positive for both.  Now that I have given the low down this is my question.  Does anyone know what could be cusing me to loose my balance and fall.  My R leg seems to just turn to mush causing me to fall.  Alot of bruises, a 4 wheeled walker and limited activies I am surviving but it seems to be getting worse.  Yes I a in physical therapy and have pending appts with the neurologist. Just yesterday I have started getting numbness in that leg around the knee.  It is radiating up from my foot.  It is just my knee and 3inches on either side.
I have been tld to much info causes confusion so will close and wait for possible answers or suggestions.  Thank you

[ducatimike]

About 2 weeks ago I started having pain on my right side just under my ribs.  It was very severe at times,  Difficult to get comfortable sitting or laying down or standing.  A hypersensitivity spread around to my back.  Very sensitive to touch or clothes.   I have one small lesion just below my right rib that I became aware of when the pain started.  It is very sore to the touch but also itches but scratching it doesnt help.  Like it is numb and hurts at the same time.  Went through a bunch of tests and ruled out gall bladder or other digestive disorders.  The doc diagnosed me with shingles and put me on anti viral (Zovirax) and an anti depressant (Nortriptyline) which is used to treat nerve pain.  Been on the medication about 5 days and tonight is the first night where the pain has maybe diminished 10%.  I was going nuts this last week as I couldnt sleep or get comfortable.  I am hoping I will get better soon.  Thanks to everyone who posted and I hope you all get over or have gotten over this miserable disease.
Mike

[bieny]

Thank-you for the reports.  I have read about myself and glad I'm on the Acyclovir.  I went to the emergency room thinking I was having a heart attack.  After all the tests confirmed everything was fine and I was medicated and feeling out of it the Dr. said I may be coming down with shingles.  I went to our family Dr. the very next day and he prescribed the medicine and said come back if I broke out in a rash.  The pain is on the right side under my rib cage.  Touching does not hurt but sometimes there is a shooting pain like an electrical shock.
No rash has developed and the medicine will be gone tomorrow.  I take a nap but otherwise feel fine with just that once in while sharp pain.  I am 62 and will get the shot in 2 years!

[janq]

My shingles started with an earache.  Had a small rash area next to my lip (about half an inch by 3/4 of an inch--it never really looked much like a rash, only the blisters formed after a few days.) Doctor recognized the symptoms immediately and put me on Valtrex and Prednisone) Couldn't take the combo and wound up dehydrated from nausea/vomitting) Stopped the prednisone and continued the Valtrex.  Still have burning and numbness (tongue and lip).  But am on Gabapentin 900mg daily to help relieve it; but it isn't even close to being 75%.  This is now 19 months since start.  Wishing you well and good luck getting diagnosed correctly.

[kellykellz09]

I am 20 years old and i have had chicken pox when i was 5. Last month i broke out with a whelp like rash on my back and went to see my dr. He prescribe some antiviral meds to take for 6 days. Its now 4 weeks later and my breast are swollen, nipples burn, feels like a fist is imprinted on my back, and can not lift my arms over my head... Someone please help me.... Should i go to the er or what???

[alice914]

I am 56 yr. old female who has a reoccurance of rashless Shingles.  I had them 5 yrs. ago and went to the ER in NYC and they diagosed me with Shingles.  Now I recently felt the same pain on my left side under my rib cages that went around to my back, it spread to my left breast and left sholder blade.  I went to an urgent care unit in Texas and they put me on Valtrex and increased my Lyrica to twice a day.  This is day 3 and I still have the pain but no rash.  Hopefully this will subside in the next few days so I can return to work.  I was lucky that both doctors knew what this was and did not go through the test some of you have experienced.  

[susieque313]

In Feb 2008 I started feeling very fatigued, really dragging, then pains, hard, stabbing, pressing pains,  in the heart area and left arm; it felt like pain was radiating into back. Left side of back hurt, sore.  I went to the ER, concerned I was having a heart attack. They did an ECG and tests and determined I was not having a heart attack.  I told them maybe I had pulled a muscle in my back when I carried a large carrier cage with my cat in it up and down the stairs several times and the docs agreed, gave me some Vicodin and sent me home.  The very next day I had an itch on my left side of back (which had been itching for some months before pain started).  When I felt back there it felt like a blister so I had my hubby check it out and sure enough there were about four blisters there.  Naturally this happened on the weekend so I was lucky that the blisters were still there on Monday when I went to my doctor and she said it was shingles - and when I described a similar episode in the '80 on my right side she said it,too, was probably shingles.  Now, for about two weeks I've felt that it might be coming back on the right side.  The same sequence of events is happening: fatigue, dragging; today there is pain in my body on the right side (just like it felt when I went to ER with pain on my left side).  And my back has been itching more and more on the right side.  Oh, and two weeks ago I felt a stinging itch in my right midrif (exact same spot as erupted in the '80s episode).  There was a tiny blister there. My advice is, if you think you may have shingles, have someone check out your back for you as there may not be pain in that specific area.  What I wonder is: Being this is a virus that stays in the body how does one consider an episode as being a fresh outbreak or post-herpetic pain? And is antiviral meds recommended in either case?

[tsolive]

At first I thought I had been bitten by a brown recluse spider.  I found a round area about the size of a half dollar behind my ear that was red with blisters.  My first symptom was a stiff, swollen neck.  I was actually relieved when the doctor said he thought it was shingles.  He prescribed two types of antibiotics and a pain reliever.  The outbreak never got any bigger on the outside, but I have been itching all over my entire body.  I don't know that this isn't my mind messing with me, but I've been taking benedril (sp?) and it seems to help.  I got the flu feeling the third day..chills but no fever, nausea,  tired, slept most of the time.  Day 4. as I write this, I'm less tired, the sore is drying up, but still itchy. I am hoping mine was an extremely mild case and I'm getting over it now.  Good luck to everyone else.

[RRYAN23]

I too have suffered from rashless shingles for two decades now with re-occurrences during times of stress both physical and work-wise, and am having a long outbreak as I write. I too have consulted with skeptical doctors, and turned to rest and Advil as my cure. Are there any doctors or alternative medicine practitioners reading who can talk to the progression of this ailment over time or ways to permanently cure this.

[TheOnlyMannequin]

My last (and only other) post was 01-12-09.  While the first bout of facial paralysis in 2007 improved 100% within a couple of weeks...the right side of my face came back to normal....this 2009 episode of zoster sine herpete with ramsay hunt hit me harder.  It has taken weeks and then months for my face to improve.  AT first, I looked like I'd had a stroke.  Ten months later, the left side of my face is still weaker.  Thankfully, I can close my eye which tears sometimes.  I also find it more difficult to get my contact lens in this eye.  Sometimes that eye appears a bit "squinty" and that side of my face and smile appear a bit higher than the normal right side!  It seems like my muscles and nerves are learning how to work together again.  My speech and ability to eat and drink is still affected, but is much improved.  I feel changes and twinges daily...it's a painfully slow process...but I am still hoping for total improvement and recovery.

Again, I'd really like to hear from anyone who's had the Ramsay Hunt/Bells Palsy problem...anyone who's had this and shingles without the rash more than once.

Thanks!
TheOnlyMannequin

[MarvGizmo]

A related discussion, Shingles without Rash PHN Gabapentin is Great! was started.

[Julie35]

A related discussion, Rashkess Shingles was started.

[grownmencry]

Symptoms that surfaced for myself (37yr old, no other health issues)

1)Super sensitivity in band like are that ran from front around to spine at back. Sensitivity to the slightest of touches.  ie: a water droplet from the shower running across this band.

2) Heard pressure to band produced no pain

Pain best described as
1)Terribly bruised feeling as if someone had take a bat to you.
2)Constant wind/sun burnt feeling
3)Occasional tingly on side and back as if you just experience something scary and had the cold chills running down your spine.


I have no rash evident, and no blisters.  After the first day of the supersensitivity, I googled and came up with probability of Shingles.  Dr. office next day and he felt shingles was the correct diagnosis inspite of lack for rash/blisters.

Dr. gave a prescription for Valtrex but suggested I wait till rash appears. I did not agree with this approach and so queried a dr. who specialized in this at Mayo.

My thinking was this:  If the pain is a manifestation of the re-activation of the virus and that the virus, then why not "zap" it now?

My query was answered in agreement.  Treat right away.  Don't wait for rash to appear because it may not!

I am on day 4 of pills.  Don't like wearing shirt due to pain and it seems to scare the little kids in the mall when I take it off (just kidding)

Thanks for all other posts.

[jennifer1234567]

I have been diagnosed with shingles with out a rash to.     after day 4 went to dr and was put   on antiviral drugs for seven days   every four hours.     stopped them now but the pain is still there.     burns  when touched, aches deep pain , tired, temps up and down.   glad i havent got the rash . From my spine around back and to middle of stomack.
Moves occasionally but now centralised in the two places.
sympathy goes out to all those that have shingles.

[ladydunit]

I have a burning sensation in my midriff area that also includes the middle back area. Ibuprofen is helpful but I don't know what direction to take as far as treatment or Dr. to consult. Since there is no visible signs of anything there I wouldn't think a Dermotogist is the way to go. I also notice a bit of a stomach ache as well. any help/ideas?

[dogmother67]

To Everybody, I have read most of the comments and I also feel that I am either in early stage of getting shingles or developing rashless shingles. I have an intense pain that wraps around from just under my right shoulderblade, under my arm and ends under my right breast. I do have a small row of pink bumps developing on my side that may turn out to be the rash, but since I've never had it or seen shingles I'm not totally sure. I've had the pain,itching and a slight headache for a few days now. Can some experienced person shed some light, does the rash begin with five or six pink bumps in a row? Please email me since I found this page randomly in a search. Looking for answers before I waste time going to a dr for nothing. ***@**** Thanks.

[musicmom4]

Reading this has helped me confirm that I probably do have shingles w/out rash.   For me, it started over a week ago just to the left of my spine... a burning, severely "bruised" feeling... but no mark at all.  The patch on my back seem to extend in pain and area, and then about 4 days ago, started on my rib cage, just under my left breast.  Now, it seems to be a band of pain around my left side... extremely irritating and painful to wear clothing (especially bras), but not really painful when I push on it.  I saw my doctor yesterday and she prescribed Valtrax.. she seems to think the rash will appear.  I was hestitate to start taking the antiviral without a rash but, after reading this, I'm going to go ahead and start taking it.    

[JunkyMonkey618]

Shingles with a rash is called Zoster sine herpete. Defined as pain and paresthesias along the dermatome ... Acyclovir with and without prednisone for the treatment of herpes zoster....see http://emedicine.medscape.com/article/788310-overview

My husband has this five years ago and also developed PHN (postherpetic neuralgia, pain that persists for longer than 1 month following the shingles episode) He has been going to a pain clinic for five years and the Dr has tried everything he knows. I followed up on the internet and see he's been most thorough. Over the years he has tried about 30 nerve blocks, they don;t last long enough and really only one has hit the sweetspot where he was pain free for over a week. He felt so good he built me a rock sidewalk.

Has also tried Gabapentin (Neurontin), Pregabalin (Lyrica), Hydrocodone, Marinol, Lydocaine patches, Fentanyl patches, Tricyclic antidepressants (amitriptyline) and Capsaicin are a few I remember, the Fentanyl that came as a sucker was the most effective, just as we found this, my job changed insurance and Blue Cross would not cover it, as it was several hundred dollars we couldn't afford it. Better luck and best wishes to everyone who is hurting. It is had to see your family like that and there is nothing you can do

[maggie303]

My husband who is 61 has been in a lot of pain for 14 weeks in the area of his stomach around the naval.  We have been to 3 different doctors, has had colonoscopy, CT scan, blood work, EKG, etc. Nothing found. He has also been to the ER three times.  Why is it that doctors do not know anything about shingles with no rash?  Actually, a psychiatrist mentioned the fact that it could be shingles with no rash and I began doing a lot of research and found that it is more common that one thinks.  My husband has been using ice packs on his stomach.  It helps some.  He was given anti-inflammatory drugs, etc. - no help. It is very frustrating not to be diagnosed.  Also, if this is a problem with older adults, should the "physician" community not advise the shingles shot if it would help? Apparently, we have to research ailments to get answers. Thanks for the posts.  At least, we know that we are not alone.

[ZosterGotMe]

Hope someone finds this article helpful and/or reassurring - I did.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2026052/?page=1

[Serena101]

I am a 40 year old female.  Had a small shingles outbreak on my left leg when I was about 33-34yoa.
In JULY, on a Wednesday, I was wearing my new cuff cases (I'm an officer), when I noticed the one on the left was killing me!!  
When I got home after working a security gig, I fully expected to see a bruise or rubbed area in that one spot,but there was nothing there..at ALL.
So, I spent the next day thinking maybe I'd bruised myself there or the cuff case caused nerve damage.
Friday morning I had a brief moment of remembering that shingles-pain, but since there was no rash, I thought "That cannot be it..".
I went to the dr mid-morning & told him about my new cuff cases and that I thought I have bruised myself or something.
He checked (when he touched that area, I about came up out of my skin), asked a few questions, asked if I'd ever had shingles before (I was like..."Great..he HAD to go there..") to which I replied, "Yes." (grumble, grumble).

I thought back when this prob started and I had about 3 HIGH-stress events happen within a few weeks so I figured.....oh well.  

He said not to sweat, to avoid stress (HA!!); that I'm contagious to the elderly, children who have not been vaccinated for
chickenpox, others who are prone to shingles and generally anyone who has a weakened immune system.  
They described my every day routine at work.  And, am I supposed to ask people this stuff before I pull them over or take a report from them? LOL    
NEEDLESS to say, they sent me  home after a shot and  RX for anti-viral and PAIN.  I didn't really see the need for the pain pills till the next afternoon..................OUCH.

We caught them before they broke thru the skin & I DO thank God for that -- so, I don't have the rash, just pain,
SOMETIMES itching, nausea, and headaches.  
In the last 3+ weeks, I've only left the house maybe 3 times.  I can't dress "properly" and the heat makes them itch & the sun light HURTS like hades.

I'm not allowed to return to work until I can wear my official uniform (with duty belt and vest).
However, I did sneak up there today in civies and my personal car to take care of some paperwork & it went well, so I KNOW I'm making big time progress :)

Hope this helps someone understand from someone who has had shingles w/o a rash.  

[j_starr]

I was outside with my mom today getting some things out of my truck. All of the sudden i get this strange burning tingling itchy sensation across my lower back down to above my knees. I knew right away it was something with my nerves. The pain kind of felt like a belly buster( when you jump in a pool on your stomach).. Just a burning /numb/ kinda itchy, but not really  feeling ...  it lasted for  a few seconds. It has been happening on and off all day- at least 6-7 more times. I can feel it coming on too, like how you feel when you get the chills, or goose bumps. No rash or anything yet. I'm 32. Do the shingles tingle come and go like mine has? do i just need to wait a few days to see if a rash pops up? and its all across my back, not just one side.. unless they one side means front and back- not left and right.also it the past few hours , i''ve had no energy , and feel like i may be getting sick.

[palmsprings]

Hi all.  I was diagnosed with Shingles this week after suffering with a three day headache from Saturday to Monday, and then discovering a large red mark (similar in size to a 50 pence piece) on on side of my back.  The week previous I had also experienced a couple of shooting sharp pains in my side too, and had felt a little light headed and dizzy at times.  

I was then prescribed some antivirals which I am now on day thee of... and I now feel absolutely fine!  The mark does not appear to have developed into anything more than how I initially discovered it and it has not spread. However, I am now experiencing some slight sensitivity around the mark which has spread to my side.  Is this common?  Also, is it unusual to feel fine in yourself?  I played squash light night, and was fine? Can symptoms be this mild?

Thanks in advance

[anahata]

I am a generally healthy, athletic 55 year old woman who is curerntly in the sixth week of shingles without a rash (zoster sine herpete). I self-diagnosed it in the second week with help from the internet and knowing my own body. I'd had genital herpes when I was 25 and the onset of this illness felt similar-extreme skin sensitivity, an ache in my groin, tiredness.

The sensitivity turned to pain in my low back that moved down into "hot spots" on the top of my left upper and inner thigh. It really hurt to wear clothing. It hurt to have my boyfriend touch me. I told him he could only touch me above the waist. October was not a fun month for either of us!

I went to the doctor within days of beginning to feel lousy and mentioned it felt similar to genital herpes I'd had 30 years ago only with no rash. They did blood test but didn't test for shingles. Two weeks later I felt no improvement and was very discouraged. Still convinced it was shingles, I went back to gyno and had them do another blood test and check specifically for shingles. They did and it came back positive. I finally got the results last week. This time the doctor was more interested in hearing my symptoms because she'd never heard of shingles without a rash. It was good to finally have a definite diagnosis and to finally have my pain be taken seriously.

I am not a big fan of traditional medicine and only went to the doctor's because this was such a painful condition and I was worried it was something terrible. I'm about to get divorced and will lose my good health insurance when I do so I thought I should take advantage of this while I could.

From the outset of my symptoms, I treated my body with care so it could heal naturally. I began dosing myself with proteolytic enzymes, Lysine, odorless garlic, Airborne and about 7000 mg/day of Vitamin D3. I found out from a friend that you shouldn't eat peanuts or cashews or anything that contains L-arginine because that makes it worse. I also avoided alcohol and caffeine as much as possible.

The pain was intense for three weeks and worsened when I was tired or more stressed. Like other posters here, I also went through a day or two when I thought I might be having a heart attack because I had severe pain radiating in the left side of my chest and ribs. I wanted to rest but was extremely busy with work so couldn't. I stopped going to the gym for a couple of weeks because it felt like it made me feel worse. I teach yoga but had to stop that, too. The only thing I did was take walks in the woods to relieve stress and get some exercise.

By the fourth week, the areas of extreme pain and sensitivity began to shrink in size and severity. I still feel some pain on my right thigh and low back but it no longer makes me cry out in pain as it did before. At night if the pain bothers me, I take an aspirin or two. I am 85% back to where I was before I got the shingles. I still don't have much energy but try to listen to my body and not get discouraged as it takes the time and effort it needs to heal. I plan to see an accupuncturist in the near future to also assist my body towards healing completely. Today I woke up with a sore left eyelid and my whites are pink. I hope this is not related to the shingles.

Thank you to all who posted. It helps so much to know that others out there understand and can relate to this painful disease. We may not have the rash to "prove" we are sick with shingles but if we listen to our bodies and insist that doctors test our blood for the virus, we can at least get a definitive diagnosis and go from there.

[OneWorriedMom]

Thank you all for posting your experiences with shingles but with no rash. I have a 21 year old daughter who was diagnosed with shingles two years ago. Her father and I were having problems, we were moving around,  and school was also stressful. One morning I had to rush her to the Dr. because her gums were severely inflamed to the point that they were cracking open. Dr. said it was shingles. Now this last weekend she was having severe headaches, dizziness, fever, and severe lower back pain.  As we were waiting in the lobby of the Radiology Dept. for a CAT scan she began to yell out that she couldn't hear, she said this about five times before she passed out. A team of nurses rushed her to ER where they did extensive tests for Meningitis, Encephalitis, and other diseases.  Everything came back normal thank God.  Unfortunatley, I had to bring her home feeling the same.  Her fever is now low grade at 99.8, (before was 102.-103.)  I've started researching and because of all of your posts I was reminded that she was diagnosed with shingles before and now I'm sure that this is another shingles flare up "without rash". I'm wondering which i the best antiviral medication for this?

[BigHarry]

I have had shingles 4 times on the left side of my back with a minor rash.  Two weeksago  I had minor surgery and now I have pain that has all the characteristics of shingles but no rash. It is also on the right side this time, two inches below the armpit and extends to the upper arm. I haven't been able to take any pain relief until last night because of he possibility of bleeding..  600 mg ibupropen which was prescribed for arthritis pain helps and I got 5 hours of uninterupted sleep.

The pain grows more intense late in the day. If I sleep on my back it is a constant dull ache.  On either side there is a growing acute burning pain along with the deep-seated ache. Shifting from one sidr to the other the pain lessens for a few minutes then grows to unbearable. I can't nap sitting up because of sleep apnea. I have had chronic pain from the effects of polio as an infant all my life, and the limited activities from this episode is more of a concern than the pain.

[Nennoid]

I have had the same condition for the past 5 weeks. I did have shingles about 25 years ago and I told my doctor that the pain I am having feels exactly the same. Since there is no rash he hasn't condidered this. I have x-rays and a complete body bone scan which did not indicate anything. I am going to a pain clinic in another 2 weeks and hope I can find out what's wrong as the pain is constant.

[usalabs]

Thankfully I had measles and chickenpox, when I was very young, then had the mumps as a teenager, and now I'm in my 50s, I haven't had a single vaccine, I've never had full blown flu, common colds only last about a day or a day and a half, then vanish as quick as it came, my children are the same.

I even survived salmonella poisoning without medication, which lasted about a week, but I fought it off easily.

If I'm given any meds for something, I always check on what it does to the body, and if it interferes with my immune system in ANY way, I refuse to take it.

CONCLUSION:
Way back in the 1950s and 1960s, vaccines were rarely needed, the common vaccines given to kids then, was BCG, and typhoid.

It's not the manufactures of current vaccines that cause people today to still get the flu, it's society that's using far to much disinfectants, hoping for a surgically clean, 100% germ/virus free environment for children, where parents are literally afraid that their children will die if they contract a common cold, and thus sweep their entire house with disinfectants.

As for vaccines, NEVER give your children any vaccines unless it's a vaccine for a virus or germ, that can cause death, such as typhoid,,, let your children develop a natural immunity.

So, my advice is,,, if you catch a cold or flu, reduce your environment temperature to between 60F and 68F, breath ice cold air from a freezer, try to get as cold as comfortably possible.

When a cold or flu virus attacks your body it tries to live longer by increasing your core temperature (known as a fever), in hopes that you feel as if it's to cold outside your body, and as a result you either turn up the heat or wear thicker cloths, by ignoring this, and keeping the ambient temperature between 60F and 68F, the virus won't life long,,,,to ask a question,,,,have you even known an Eskimo to catch a cold?,,,cold and flue viruses thrive in the heat.

[OneWorriedMom]

URGENT UPDATE: It has been a little over a month that I posted my last entry here.
  (by OneWorriedMom, Nov 26, 2010 10:56AM)  
Almost a month ago I was talking to my landlord who is Chinese.  She told me that she had had shingles over ten years ago, she was treated with Chinese herbs and never got them again.  She gave me the name of her Chinese Dr. and I rushed my daughter over to see Sofia Chen.  Sofia gave my daughter a jar of a sweet tasting tea and had to take a small dixie cup full every two hours.  The next day we picked up two more jars of two different kinds of teas.  One she had to take a a smaller dose every two hours and the other tea, which smells and tastes horrible, 3 times a day.  I was astounded on how my daughter began to respond more and was so much more alert the following day.  Sofia Chen said that the treatment is supposed to flush the virus out of her body and it takes a long time at least six months.  I am so happy that I found this Chinese Dr.  The treatments cost $30 a week and I don't know what the names of the teas are BUT THEY ARE WORKING!! I also suffer from fever blisters that are the Herpes virus, she said she could help me flush that virus out too! Sofia Chen's practice is in Rowland Heights, CA   Just in case anyone wants to call her and ask her how it works. If you want to know her number just message me here and I will give it to you. I won't post it because I don't know if I can do that.  Well, I want to wish you all a Happy New Year and God Bless!!!

[willcsaintenay]

I have shingles and I only have a faint pink mark about the size of a dime  on my right rib, the pain is terrible but i am on pain killers which help, a cream I have to use 5 times a da on the pink  spoty and an anti viral medication, so hoping this will clear up, but have been told it could take 5 to 6 months, lol, but again this has been brought on by stress and  being run down  after a bad bout of the latest flu .

[emren]

I am 46 years old woman, and am having my third bout of Shingles.  The first time was 2004...I had the 'normal' symptoms - rash down one straight line on my left arm, lesions, (I sratched so much I would bleed), and the intense pain in my arm, upper back, and neck. The pain was the first sign, but I thought I had pulled a muscle at the gym or swimming, etc.  So I actually went to Physio - DUH.  Anyways,  a few weeks went by in excruciating pain and then the rash appearded. So by the time I had the drugs, a long time had gone by.  Got the antivirals in me, and though that would be the end of Shingles forever.    However, got it again exactly 3 years later (same month!) in 2007....but this time no rash...just woke up one morning with the same intense, mind-blowing, paralyzing pain, in my left upper arm, shoulder blade area, neck, etc.  The night before I was starting to feel something in my neck but just thought , once again, I had done something to it at the gym... but this pain is nothig like pulling a  muscle (since I have had both).    Went to the clinic and got valacyclover...which helped me within 2 days.

Fast forward to yesterday morning, woke up with the same symptoms - no rash though again. The pain takes my breath away, it's like I have a knife permanently embedded in my neck, shoulder blade, upper left arm. I am basically paralyzed on the left hand side.  I went to the doc and she was skeptical because there was no rash.....but I said this is the same symptons  have had 2x before...I know it's SHINGLES!  She did not argue and gave me valacyclovir again.     Now, while I was browsing online  tonight, I read an article that said people can hae shingles WITHOUT THE RASh and its called 'zoster sine herpete' - I am going to email my doc the article!!!   Maybe the virus is evolving in my body...and the first time I had it the rash HAD to come out but the 2nd and 4rd times it just never surfaced.....anyways, sorry for the long story.  I just wis the pills would make it stop forever.   Is there a vaccine for this????

[BB629]

I can't believe how many people have posted here with the same symptom I have been having now over 10 days. It just came on as very sensitive skin on my right side over my ribs. I endured for a week or so and then it was gone. But now it's back all around my waist, front and back. It's like a sunburn and it's most reactive to very light touch. My pain is only uncomfortable, not severe. I HAVE NO RASH or redness or heat and I have an extremely strong immune system. I am not under stress and I generally feel fine but w/a bit of a jittery stomach. I did have chicken pox as a child so it sounds like it could be a mild case of shingles without the rash. People keep referring to it as 'zoster sine herpete' and I can't thank everyone enough for posting here because I know most doctors would be stumped and do nothing...or worse, run every test known to man to the tune of thousands $. Please let me know if anyone has something to add. Thanks.

[Smartblond]

I too started with a band of pain around my left rib cage. No rash, no heat, no redness.  The sensation is like nerve pain - burning, itching, tickling feeling at times, but also uncomfortable and sore.  I am trying an oriental herbal remedy - I'll let you know how it works.  I am also going to my chinese medicine accupuncturist soon to see if she has anything that will help.  

[Janelittledeer]

I have shingles without a rash also. It is around my left knee which I had a knee replacement 6 years ago so that is the weakest point of my body. SEVERE pain in a BAND..like a HOT IRON just on me! EXCRUCIATING pain! And normally..I am a toughie! Going through horrible stress! My husband had a stroke a few weeks before I got the shingles! I am 56 years old. I went to 4 doctors..they all said no..no..no...then finally my doctor did a titer to "PROVE ME WRONG"...Yea...I proved them wrong! Finally feeling relief after 8 horrible weeks. This is pure hell. Only if you have had shingles..can you understand this horror!

[karen512]

sorry to hear about everyone's pain!  My husband is 53 and has just recently quit smoking (cold turkey), about 6 weeks ago a pain started on his left side (waist) then a small blister appeared.  He has been having horrible pain. We do not have insurance therefore he has not been to the dr.

description of pain.  feels like someone is ripping skin apart.  someone is stabbing from inside. skin hurts to touch, like when you have the flu x's ten.  

which i could affortd to take him to the dr.
Karen  

[debthebeader]

I'm wondering if anything else came up about Shingles with no rash.
I'm having  major pain in my upper back, left side, burns and hurts to the touch. I went to a walk in clinic last week with severe pain in my right shoulder...they said I have a frozen shoulder....very painful. gave me a shot of Torodal. It helped but the pain moved to the left side. Now I have pain in both shoulders and down my arms. Can someone help. Deborah

[maatson]

Herpes zoster, more so 'Zoster sine herpete' is never bilateral except in special occasions like immune deficiencies. You may look for other diagnosis but most unlikely this.

[vaux_2]

I'm just getting over shingles.  I'm a 30yo male who up until this rarely got a cold or anything!  Pain started on a Sunday, felt like mike tyson had just done a workout on my kidneys, coupled with a very achey (achy) back muscle and waves of the weidest feeling every time i took a deep breath, or coughed, which started at the centre of my torso and spread out the way.  Tuesday morning saw the rash coming up and i realised what it was so went to the doc.  Antivirals and painkillers and i'm almost better now.  One thing i've only just realised is likely caused by the shingles is i have a floating rib head out of place.  My shingles went right over this rib so i guess thats why.  Its like the rib has become straighter, less curved, and the head is sticking out the side a bit.  A bit unnerving until i figured out its probably from the shingles.  Anyone else had that?  How long does it take to go back to the correct shape/place?

Iain

[shoreladyNC]

After shingle shot, uneventful at first, but within an hour I started getting the feeling of burning skin ALL OVER.  It started at the bottom of my feet and slowly the legs, thighs, face skull upper arms.  It reminds me of that flushing sensation you get from taking statin drugs for cholesterol.  Niacin.  Now what?  Do I call the pharmacy or my family doctor?
Burning in NC

[prm2011]

I had all the same symptons with NO rash, got a prescription for Famvir... Took the whole prescription as directed and it did help me quiet alot!!! I still have some pain, burning tingling & itching but not unbearable as it was...this has been going on about 3&1/2 weeks......Just starts all of a sudden again, but not near as bad as initially....Feel better soon!!!!

[taylormatthews]

I had severe jaw, ear, neck and facial pain accompanied by electrical sensations in my brain. I visited my physician and she diagnosed me with rashless shingles. She told me that rashless shingles are less common and in rare cases the zoster virus can rest in the nerve in your c3 vertebrae. Rashless shingles can be far more dangerous because people don't seek help or they go undiagnosed for long periods of time. She said that lack in treatment would result in eventually having a rash on my face and head, and eventually facial paralysis.  

[teachaa]

I have not taken a test that diagnoses me with shingles, but after over five years of pain and ultimately, recently after one doctor's ER assessment and her prescription that I take Gabba-pentin, I'm counting my stars/blessings-- whatever doctine have I- that the recurrent stabbing pain has subsided and may even be competely gone.  

I've been only intermittenty pain free for 5 years.  Since Gabba-Pentin I feel less and less pain.  I'm sleeping again.  I'm maintaining a full time university teaching job (shakily but I just hope to getthrough the probation period).  I have relationships again instead of hiding my pain an frustration with it (my doctor told me it was in my head and out of anger and frustration that I reused to beieve  was 'fine', announced in his office openly and loudly, that I was psychotic.  Six months later I tested positive for mercury poisoning 17/10 and 14/10, and now that I'm back home in Canada it turns out I test high for lead too.

It's too easy for doctors to say:  It's in your head.  I've heardstories from many women who are as fraid as I was to confide in anyone what their doctor's diagnosis is:  that it's in their head and that there is nothig wrong with them.  I feel terrible knowing ANYONE has to live with those thoughts.  Me--I'm on my way to good health and finally my life is getting ok again..  

Could it truly be the case that some doctors tell patients they, the patient is crazy, an odd option over simply telling the patient that they (the doctor themselves), simply can't determine what's wong with them?

[mtb49]

I have had shingles pain without a rash for 4 months.  Shingles Drops (by MBi Nutraceuticals), which is a homeopathic remedy that eliminates the pain as long as I continue to take them.  I tried to stop taking the drops when I ran out of it and the pain returned.

[Pamry]

I am a healthy 57 year old female - good diet, exercise (although I admit to having some stress).  I developed a "burning pain" about 2 1/2 weeks ago.  My first description to my husband was that it felt like a bad sunburn.  I fully expected to see at least reddened skin (small area on left shoulder blade), but there was nothing!  It seems like it's gotten worse, still no rash.  Even a loose cotton t-shirt moving over it hurts.  Bearable, but it hurts and is quite annoying.  Before doing any research, I said to myself, "If I could describe what I know about shingles, this would be it."  Now my suspicion has pretty much been confirmed by reading about this rare occurrence.  My question is, if I can stand the pain, do I NEED TO be taking antivirals?  If I don't take the antiviral, will I be doing more damage in any way??  Thanks for all your comments and replies!

[herewego47]

I have been trru this for about 3 weeks now.  I had the rash for only about 4 days.  I started taken Valtrex at the 1st site of the the rash. So the rash was gone in a few days. About 3 days after the rash was gone, my Back, hips and pelvic bones hurt so bad I could not stand. Went to ER center, since I had had back surgery year and a half ago, I was told it was from my back, that shingles had nothing to do with the pain. MRI is GOOD NO Probems, so it must be a mucle srain.  

I found on Web MD that after shingles, you can have so type of nerver damage that can stay with you for a few days, weeks, months, years or the rest of your life.  The name of this is called "Postherpetic Neuralgia"  

Good luck

[JYL57]

I have come full circle with the pain in one week. Started on my right side, went around my back, so I thought I slept wrong and pinched a nerve. Went to Dr. on Monday, mentioned shingles, gave me muscle relaxers and the viral anti bod aclovir? Couldn't stay at work and sit, stayed home crying in pain all last week. Today is my last day of the meds. Woke up with excruciating lower back pain. I am 54, feel like 80.. All week, the pains moved.. now back to where it started... AM I DONE YET????

[SoCalGal91016]

I had excruciating pain in my left lower abdomen on 12/27/11 and went to the ER.  They did a CT scan and blood tests. All normal. No fever, no rash, just severe pain.  They gave me Percocet for pain.  They told me to follow up with a gastroenterologist. While waiting for the GE appt. I continued to experience severe pain but no rash developed.  I ran out of pain meds while waiting for the colonoscopy appt. so had to go back to the ER in the middle of the night.  ER did another CT Scan with contrast, a vaginal ultrasound, and called in a Surgical Consult.  They still couldn't diagnose my problem.  I went to the Gastroentorologist and had a colonoscopy.  All tests were normal but the severe pain continued but with no rash.  I brought up the possibility of Shingles???  All the doctors (4 of the 5 I'd seen for this all said "no" there must be a rash)  One doc said "well you may develop a rash eventually."  So after all the tests came back normal, they sent me to a Gynecologist.  GYN said "no" to the possibility of Shingles and recommended a laparoscopy.  I asked him to at least run a test for Shingles before cutting on me.  He placated me and ran the test.  It came back as Positive for the titer but not active at the time.  So he said "well you may have had Shingles but it is not active now."  Of course, by this time it was already 4 weeks into the episode that started 12/27 but I was still having pain and by this time I had developed numbness of the skin over my left hip and tingling and itching of that area but the skin was also sore to touch and elastic from underwear was painful  Another IM doctor agreed to put me on antiviral meds, maybe to shut me up or at least give it the old college try.  Two days after taking Acyclovir, the pain subsided but I still had the numbness and tingling and itchy feeling that traveled from my abdomen to my left hip.  As of today (1/25/12) I have no pain.  Very mild numbness on the skin over the hip area but no pain, tingling or itching.  I am so happy to be pain free.  The main side affect I seem to be experiencing now is fatigue.  I can hardly drag myself to work.  I understand the fatigue may last for a few weeks.  Sorry to say all of this did not give me confidence in the medical community.  I am supposed to follow up with the GYN in a couple days.  I wonder if he will consider that what I had was indeed Shingles without the rash or if he will still want to do a laparoscopy.  

[JoanieGal]

I too have been suffering with back pain for over a week now. Initially I thought it had to be my kidneys because that's where I felt the pain was coming from. The next day my skin started to hurt from about the middle of my back wrapping around the front of my torso to my belly button. I too do not have a rash. My doctor diagnosed me with shingles and said a rash would develop soon, but a week later, that has yet to happen. She did put me on Valtrex and pain meds, but the pain meds really don't seem to help. Clothing is very uncomfortable and I feel as though every organ in my body is about to explode. That's how deep rooted the pain is. I can sympathize with each and every one of you. I wonder how much longer I can take this!?

[gillmiley]

Hello, this is my second episode of what I think is shingles without a rash,and after reading the same symptoms as mine on this site, I am positive.I suffer from an arthritis called Anklylosing Spondilitis causing pain in my neck and spine. I started off last week with what I thought was a flare up of my usual back pain but then had severe stiffness in my neck and a headache that would not lift. Then followed goosebumps and a sunburnt feeling from my left shoulder, around my left side and across the front. I couldnt bear the feeling of clothing on my skin and it even hurt just to walk.This new pain is added to my already suffering body, I am 51 and like you feel 81. I have never had chicken pox but am a carrier of the varicella virus and Im wondering what has triggered off this episode. just wondering whether to go and see my GP or let it take its course. I sympathise with everyone who has tried to explain this strange feeling of pain as it is one of the worst I have ever experienced.

[butternuts48]

I went to the hospital 3x in 3 days and finally got in to see my Dr. today. I was told at first that my pain was my appendix, but I don't have one so they said it was constipation and sent me home with a Rx for stool softeners. I know that was not the problem. I have had 2 c-sections and an appendectomy so I have no feeling on my skin on the right side of my stomach in the skin. When I told my doctor today about the pain and how just touching one spot on my skin sends shooting/burning pain throughout my entire right side, he consulted with his colleagues and did a little research for me. He said it was a 60% chance it was a rare type of shingles that has no rash. He also said it could be possible that the rash has developed under the skin in the muscle.
It is extremely painful and oxycodone does nothing to help ease the pain I'm experiencing. I was given 2 medications today. One is called valacyclovir and is used to treat the shingles virus and the other one is called gabapentin and is used for pain. Specifically pain in the nerves. I go back in a week to talk to my doctor about the condition and see if the medication is working.
I wish all of you luck in finding solutions to your pain and suffering. I know how extreme the pain is and hope that the information I've shared is helpful to you.

[nanafrani]

thank you I AM also 61 just getting over phneumonia and thought the pain only on my left side was from lung irriatation but exrays showed nothing, but the pain is unbairable. no rash, but my dr said if he didnt know better he would think it was shingles, but while i hospital no rash appeared, so pain was pushed to soreness from all the coughing, now 2 months later, the pain is still here, still on left side. have dr app. tomorrow and now that i have read from others who had them without the rash im going to talk to him about possibly being what i have. thank you very much. frani crani, burlington, iowa

[shirlnga]

I guess in order to be convinced of SHNGLES when no rash, I'd like some kind of test to prove this.   I've just been diagnosed with Shingles on my head (following the cranial nerve).  I've had NO rash or break out but my doctor (without tests) said I have Shingles.   Because I have headache, dizzyness, nausea and stuffiness, it feels more like a sinus problem.  I'm on the third day of an antibiotic.  When I woke this morning, I felt almost normal, then by noon the headache, dizzyness and nausea is back.  
Is it really possible to diagnose Shingles when no there's no sign of rash??

[returns5]

I have had pain for over a year now after what my Doctor said was shingles but I never did break out in a rash, but I still have all the symtoms (symptoms) burning, back pain and rib pain what is going on I have had almost every test except for my stomach but I go for that next week please help if you can

[sgross87]

I am 24 (Young to have shingles) and I ended up with it on my left shoulder blade area and had no rash. Went a three and a half weeks before realizing what was wrong (rash is usually the indicator, and since there wasn't one...had no reason to suspect shingles) and ended up with post-herpetic neuralgia. That was in October. It is now April and still dealing with the pain. Doc has me on Norcos, Neurontin, Acyclovir, and Lidocaine patches to help deal with it. And because of the location, showers and even the simple act of wearing a bra is PAINFUL. So yes, it is definitely possible to have shingles with no rash. I wouldn't wish it upon anyone. I'm sorry for anyone else dealing with this.

[ldenise24]

I have had shingles without the rash. If I had not had shingles previously with the rash, I would not have recognized the shingles the second time.

The first time I had stabbing pains in my side and an odd sensation when touching the skin. By the next day the pains stopped but the odd sensation turned to obvious pain. With that pain the rash appeared.

The second time I had shingles I had, again, the pains in the side for over 24 hours and the strange sensation when touching my skin. The stabbing pains stopped but the topical skin pain continued only this time I did not get a rash.

[haisydaisy996]

18 months ago i went to docs with pain accross my middle he said thougt i had shingles few days later i was laid up with a pain in left leg that came every few hours and then every couple of minutes it lasted 2 weeks with no sleep hardly then it went and 2 days later couldnt see out of left eye had biopsy at eye clinic and was diagnosed with optic neuritis still got impaired vision i now have had pain in left leg and back for 14 weeks i am on gabapentin but its doing nothing  

[Sun2001]

For all the zoster junkies out there, make some sense out of this one!

I've had four confirmed bouts of chicken pox (the full deal) over the past 20 years, and one case of shingles with the rash around my waist.

No, I don't suffer from any immune disorders or other diseases. I'm in otherwise perfect health.

After my first bout of chicken pox at 16, I began suffering from neuralgic attacks on the right side of my face every 12 to 18 months, occurring at random. That pain is an absolute killer, and absolutely nothing works to allieviate it. Fortunately the attacks only last an hour or two, leaving me utterly spent afterwards, and a telltale calling card in the form of a small painful lump on my palate that goes away after a week or so.

Added to that, whenever I am very stressed, or I'm about to come down with another illness (compromised immune system), I get a moderate shingles type pain in a particular area - sometimes inner right leg, other times waist or back. No rash. It just feels like the skin has been badly burned and moderate pain when clothes brush against the skin. The deeper pain isn't all that strong. It lasts about two weeks and serves as a good indicator that something's not right.

Although my doctor said it's not zoster, I'm convinced it is. I've been tested to the hilt , at great personal expense, and there is no sign of anything else.

The same doctor was telling me by phone that I didn't have chicken pox for the fourth time, until he saw it for himself.

Different people are susceptible to certain bugs more than others.

Fortunately this rashless shingles isn't especially severe when it hits, about once or twice a year.

I've theorised that the zoster virus is embedded somewhere in my CNS and pops up when opportunity allows it (run down, or coming down with another bug), after which my very experienced immune system takes action and prevents the virus from causing too much damage before it's banished again to some nerve cluster somewhere...

Thoughts?

[rockett64]

Hi Karen

I have had this pain for the past 4 weeks. There is no rash but all the symptoms of shingles. I am a homeopath and in discussion with a colleague I am now on a homeopathic remedy and for the first time have relief.
Joan

[LKLDearborn]

Same thing happened to me. It's been happenin for 3 months. I just got diagnosed with rashless shingles. SAME pain, SAME spot, all the same tests, all normal. Went to pain management and that doc spotted right away. Going in for a steriod shot and a nerve block tomorrow, may 10.  

[lizzylou558]

I started feeling numbness in my left side around waist line going around to my back during the  night  time.  Thought I slept on it too long and  it caused this numb asleep type feeling in my skin??  My husband mentioned shingles.  I also have no rash.  It has only been a few days but I also don't have severe pain,  Now I also notice that I am  a little numb around left side of my lips??  Can shingles be in two totally separate locations?