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Pain sometimes persists after the rash has gone, more commonly in people over the age of 50.
A slight weakening of the immune system in older people may account for the virus reactivating and multiplying to cause shingles.) Shingles is also more common in people with a poor immune system (immunosuppression). The rash looks like chickenpox, but only appears on the band of skin supplied by the affected nerve.
The soft tissues under and around the rash may become swollen for a while due to swelling (inflammation) caused by the virus. In this person, it has affected a nerve and the skin that the nerve supplies, on the left side of the abdomen. In severe cases it can lead to inflammation of the whole of the eye which may cause loss of vision.

People with a poor immune system (immunosuppression) who develop shingles have a higher than normal risk of developing rare or serious complications. Pain may be eased by cooling the affected area with ice cubes (wrapped in a plastic bag), wet dressings, or a cool bath. A non-adherent dressing that covers the rash when it is blistered and raw may help to reduce pain caused by contact with clothing. An antiviral medicine does not kill the virus but works by stopping the virus from multiplying. It had also been hoped that antiviral medicines would reduce the risk of pain persisting into PHN. However, the research so far has shown that the current antiviral medicines taken during an episode of shingles do not seem to have much impact on the prevention of PHN.

Further research is needed in this area to determine if certain groups of patients do benefit and if newer antiviral drugs can prevent PHN. For example, young adults and children who develop shingles on their tummy (abdomen) very often have mild symptoms and have a low risk of developing PHN. In addition to easing pain during an episode of shingles, they may also help to prevent PHN.
You will normally be given antiviral medication whatever your age, and will be monitored for complications.

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