Shingles, also known as herpes zoster, is a viral infection that causes a painful rash. It can have a significant impact on daily activities, including work and other responsibilities. The discomfort and symptoms associated with shingles can make it challenging to remain focused at work. Understanding how shingles affects your ability to work and the precautions you should take is essential for managing this condition effectively.
What is Shingles?
Shingles is caused by the reactivation of the varicella-zoster virus, the same virus responsible for chickenpox. After a person recovers from chickenpox, the virus remains dormant in the nerve tissues. Years later, it can reactivate as shingles, leading to a painful rash and other symptoms.
Common Symptoms of Shingles
Shingles symptoms and treatment can vary from individual to individual; however, there are some common symptoms of shingles to be aware of:
Painful red rash
A few days after the pain begins, a red rash typically develops in the affected area. The rash can turn into blisters, which may break open and crust over in a few days. Before the rash appears, many people experience pain, itching, or a burning sensation on the skin that may feel like a sharp or throbbing ache.
Blisters
The rash will form into blisters that may burst and form scabs. These blisters can be very painful and sometimes the pain can continue even after the rash heals.
Tingling sensation
Some people experience a tingling or numb feeling in the area before the rash appears. This can often produce a sensation like pins and needles.
Flu like symptoms
Shingles can sometimes cause a raised temperature, headache, fatigue and an upset stomach, similar to flu symptoms.
Postherpetic Neuralgia
This is a common complication where pain persists even after the rash has healed. It can last for weeks or even months, making the area extremely sensitive.
These symptoms can vary in severity and duration, affecting your ability to perform daily tasks and work efficiently.
How Long Does Shingles Last?
Shingles progresses through several stages:
- Prodromal Stage: Early symptoms such as pain, itching, or tingling
- Active Stage: Appearance of the rash and blisters
- Healing Stage: Blisters dry up and form scabs
The entire process typically lasts between 2 and 4 weeks, but the pain can persist longer in some cases.
Optimal Treatments for Shingles Pain
If you suspect you have shingles, it’s important to consult a healthcare provider as soon as possible. Early diagnosis and treatment can lessen the severity of symptoms and prevent complications. The primary focus of treatment is on pain management and speeding up recovery.
Antiviral Medications
The initial approach to treating shingles often involves antiviral drugs. These medications help reduce the virus’s activity and accelerate the healing process. You usually need to start taking the medication within 3 days of your rash first appearing.
Pain Management
Relieving the pain is a vital aspect of shingles treatment. Over-the-counter painkillers, such as paracetamol or ibuprofen, can help manage mild discomfort. For more severe pain, more potent or prescription painkillers may be necessary.
Corticosteroids
In certain cases, corticosteroids are prescribed to decrease inflammation and swelling, particularly if shingles affects the eyes or ears.
Antihistamines
These medications can help relieve itching associated with the rash.
Cool Compresses
Applying cool compresses to the affected area can soothe the skin and reduce pain.
Eligibility for the shingles vaccine (See Shingles vaccine – NHS):
- Adults Turning 65: Individuals become eligible for the shingles vaccine at the age of 65. They will be offered two doses of the vaccine, given between 6 and 12 months apart.
- Adults Aged 70 to 79: Everyone aged 70 to 79 is eligible for the shingles vaccine. If you missed your vaccine, you remain eligible until your 80th birthday.
- Adults Aged 50 and Over with a Severely Weakened Immune System: Individuals aged 50 and over who have a severely weakened immune system are eligible for the shingles vaccine. This includes people with conditions such as blood cancer, those who have recently had a stem cell transplant, radiotherapy, chemotherapy, or an organ transplant, and those taking certain medications that severely weaken the immune system.
Is It Safe to Work with Shingles?
Are You Contagious?
Shingles itself is not contagious, but the varicella-zoster virus can spread to individuals who have never had chickenpox or the chickenpox vaccine, causing them to develop chickenpox. When you get chickenpox, the virus stays in your body. The virus can be triggered again if your immune system is weak. This causes shingles.
Workplace Risks and Precautions
Working with shingles can be risky in environments where close contact is common. It’s essential to take precautions to prevent transmission to coworkers, particularly those who are immunocompromised or have never had chickenpox.
Should You Stay Home from Work?
Deciding whether to stay home depends on several factors:
- Severity of Symptoms: Severe pain and discomfort may require rest
- Job Type: Jobs involving physical activity or close contact may need time off
- Employer Policies: Follow the guidelines set by your employer regarding contagious illnesses
Workplace Considerations for People with Shingles
Working in an Office Setting
In an office setting, it’s crucial to prevent the spread of the virus. Precautions include:
- Covering the rash
- Avoiding close contact with coworkers
- Practising good hygiene
Working in Healthcare, Schools, or Public Spaces
Individuals working in high-risk environments such as healthcare, schools, or public spaces should avoid work until the risk of transmission is minimised. These settings often involve vulnerable populations who are more susceptible to infections.
Remote Work as an Option
Remote work can be a viable option for those with shingles. It allows you to continue working while minimising the risk of spreading the virus. Additionally, working from home can help recovery by providing a comfortable and stress-free environment.
Staying Comfortable at Work
To stay comfortable while working with shingles:
- Wear loose-fitting clothing to avoid irritation
- Keep the affected area clean and dry to reduce the risk of infection
- Use a cool compress (a bag of ice cubes or frozen vegetables wrapped in a towel, or a wet cloth) a few times a day
- Stay hydrated to support overall health
Reducing Stress and Fatigue
Stress can exacerbate shingles symptoms. Implementing stress reduction techniques such as deep breathing exercises, mindfulness, regular breaks and adequate sleep can help manage fatigue and promote recovery.
When to Seek Medical Help
It’s crucial to seek medical attention for shingles under the following circumstances:
- Severe Pain: If the pain is intense and interferes with your daily activities, it’s vital you consult a healthcare professional.
- Eye Involvement: If the rash appears near your eyes, seek immediate medical attention. Shingles can affect the eyes and lead to serious complications.
- Widespread Rash: If the rash covers large areas of your body or spreads beyond the typical pattern, it’s advisable to see a doctor.
- Persistent Symptoms: If symptoms persist beyond the usual 2 to 4 weeks or worsen over time, medical intervention may be necessary.
- Immunocompromised Individuals: If you have a weakened immune system due to conditions like HIV, cancer, or medications, seek medical advice immediately.
- Signs of Infection: If the blisters become infected, indicated by increased redness, swelling, or the presence of pus, it’s essential to seek medical attention as soon as possible.
Early treatment with antiviral medications can help reduce the severity and duration of shingles and prevent complications. If you’re experiencing any of these symptoms, don’t hesitate to contact a healthcare provider.
Signs That You Should Take Time Off Work
Certain symptoms indicate the need for medical attention and time off work:
- Severe pain that interferes with daily activities
- Eye involvement, which can lead to complications
- Widespread rash that covers large areas of the body
FAQs
Can I go to work with shingles if I cover the rash?
Yes, but ensure the rash is fully covered and avoid close contact with others. See above too.
Practice Good Hygiene: Regular handwashing and avoiding touching the rash can help reduce the risk of transmission.
How long should I stay home from work with shingles?
The length of time you should stay home from work with shingles depends on several factors, including the location of the rash and the type of work you do:
- Face: If the rash is on your face, you should stay home until the area has crusted over, which typically takes 7 to 10 days.
- Other Areas: If the rash is in an area that can be completely covered, you may return to work once you feel well enough.
What jobs are unsafe to do while having shingles?
Jobs involving close contact with vulnerable populations, such as healthcare and childcare.
Can I work out if I have shingles?
Light exercise may be beneficial, but avoid strenuous activities that can exacerbate your symptoms.
Does stress at work make shingles worse?
Yes, stress can trigger flare-ups and extend recovery time. Managing stress is important.
It’s advisable to consult with your healthcare provider for personalised advice based on your specific situation.
Conclusion
Balancing the demands of work and recovery from shingles requires careful consideration of your symptoms and work environment. Your health is important. Take the necessary precautions, seek medical advice, and consider remote work options. By addressing symptoms effectively and reducing stress, you can better manage the challenges of working with shingles and support a faster recovery.
As an experienced and trusted occupational health provider, MCL Medics can play a vital role in supporting the management of shingles in the workplace for both employers and employees. Occupational Health Services | UK Wide Providerervices and Employee Assistance | MCL Medics
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