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Shingles: A Primer for Caregivers and Their Aging Parents

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Ruth, a 79-year-old woman, said her case of shingles was causing her so much pain she couldn’t bear to put on her clothes or have sheets touch her skin. Ruth was sick for several months. Her friend, Sarah, had it easier. Shingles made Sarah feel sick for a few days, and she had some discomfort. But she was back to her old self in a few weeks. Sarah noted, “Having shingles wasn’t so bad.”

What is Shingles?

Shingles is a disease that affects nerves and causes pain and blisters in adults. It is caused by the same varicella-zoster virus that causes chickenpox. After you recover from chickenpox, the virus does not leave your body, but continues to live in some nerve cells. For reasons that aren’t totally understood, the virus can become active instead of remaining inactive. When it’s activated, it produces shingles.

Just like chickenpox, people with shingles will feel sick and have a rash on their body or face. The major difference is that chickenpox is a childhood illness, while shingles targets older people. Most adults live with the virus in their body and never get shingles. But about one in five people who have had chickenpox will get shingles later in life—usually after the age of 50.

When the activated virus travels along the path of a nerve to the surface of the skin, a rash will appear. It usually shows up as a band on one side of the face or body. The word “shingles” comes from the Latin word for belt or girdle because often the rash is shaped like a belt.

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K. Gabriel Heiser is an attorney with over 25 years experience in elder law and estate planning. Heiser is the author of "How to Protect Your Family's Assets from Devastating Nursing Home Costs: Medicaid Secrets," an annually updated practical guide for the layperson.

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