that is odd that the dr wont prescribe you and antiviral. shingles is very contagious. have you gone to see the dr to prove to you that it is a breakout of shingles. i have had episodes of shingle and the first stage when i first got the virus was really bad. i had it on my right leg and buttocks and i was like crippled for days and had severe pain and a rash, but when i do get the episodes whenever i am extremely run down i only get a small cluster and i dont even get the signs of tingling or burning. so the dr should not be so hesistant to put you on a med to fight the virus. go make an appt and go show her that you are in a breakout, just because you dont have the same kind of rash you did the first time doesnt mean you dont have the outbreak. this is why i hate drs. lol!
If the pain is back exactly where you had the rash i would think of post- herpetic neuralgia.Here acyclovir will not be useful.ok?