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What to do if you have - or suspect you have - shingles

Shingles occurs when the dormant chickenpox virus reactivates, causing tingling, burning, and a painful, blistering rash. Shingles can affect anyone who has had chickenpox, with higher risk after age 50 and in people with weakened immunity. Diagnosis and treatment within three days of the rash appearing can shorten the illness and reduce severity. Most people recover completely from shingles, but there may be complications, such as post-herpetic neuralgia, which is pain that can be severe and long-lasting. Vaccination is the best way to prevent shingles and its complications.

Chest pain that mimics a heart attack

Costochondritis, which is inflammation of the cartilage between the ribs and the breastbone, is one of the most common causes of chest pain and is frequently mistaken for a heart attack.

What to do about pain "down there"?

Chronic pelvic pain-medically known as chronic prostatitis / chronic pelvic pain syndrome, or CP/CPPS-is one of the more common and challenging conditions older men face. Because the underlying cause may not be identified, doctors often take a trial-and-error approach to managing the common symptoms like throbbing, aching pain, urination problems, and sexual dysfunction. Options include different types of medication, physiotherapy, shock wave therapy, and aerobic exercise.

When do I need an imaging test for my back pain?

An x-ray, CT scan, or MRI is usually not needed for addressing low back pain unless people have other symptoms or risk factors for a serious condition. Short-term rest, heat or cold, and over-the-counter medication can ease discomfort until the back pain goes away.

Battle of the bulge

Diastasis recti occurs when the rectus abdominis muscle - the "six-pack" - separates and leads to a midline abdominal bulge. This might happen because of pregnancy, aging, genetics, excessive abdominal pressure, or abdominal surgery. The bulge becomes more noticeable when lifting heavy objects, getting out of bed, or even performing everyday tasks. The condition usually doesn't resolve on its own. Working with a physical therapist can help decrease the muscle separation.

The overlap between back pain and pelvic floor dysfunction

Pelvic floor dysfunction in women is commonly linked to lower back pain. The odds of developing pelvic floor-related back pain increase for women as they get older due to factors such as diminished estrogen and childbirth-related pelvic floor damage. Lower back pain and pelvic floor dysfunction may also have overlapping signs, including urinary leakage or urgency, a feeling of heaviness in the pelvis or vaginal bulging, constipation or bowel issues, painful sex or urination, and pain with prolonged sitting or standing.

Managing chronic back pain

Chronic back pain (pain that lasts more than 12 weeks) can be more challenging to diagnose and treat compared to short-term pain from an injury. The first-line approach is conservative treatment, such as over-the-counter pain medication, physical therapy, and lifestyle changes. However, sometimes these are not enough, and advanced methods are needed. Depending on the source of chronic back pain, these can include stronger prescription medication, corticosteroid injections, and surgery.

Analysis highlights best treatments for neuropathic pain

A 2025 analysis found that tricyclic antidepressants, the anticonvulsants gabapentin (Neurontin) and pregabalin (Lyrica), and serotonin-norepinephrine reuptake inhibitors, such as duloxetine (Cymbalta) were the most effective drug treatments for neuropathic pain.

Walking tied to less back pain

A 2025 study of more than 11,000 people (average age 55), followed for about four years, those who walked more than 100 minutes a day had a 23% lower risk of chronic low back pain, compared with people who walked less than 78 minutes per day.

Burning mouth syndrome: The scorching reality

Burning mouth syndrome affects about 2% of people, with women up to seven times more likely than men to be diagnosed. Symptoms include burning sensations in the lips, mouth, or throat as well as stabbing pain, tingling, a sour or metallic taste, or the sense that something is crawling inside the mouth. Women's hormone dips during perimenopause and beyond may play a role in the condition, and stress and anxiety are also considered risk factors. To confirm the diagnosis, doctors must first rule out other potential causes of symptoms.

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