It can be shingles without pain. Patients with shingles may not have painful symptoms, but may also have itchy symptoms. Herpes zoster is an infection caused by the varicella-zoster virus that causes flaky, erythematous patches on the skin unilaterally, visible as clusters of blisters, and may be accompanied by significant pain. Treatment is mainly based on antiviral and nerve-nourishing therapy, and oral acyclovir tablets and methylcobalamin can be taken. If necessary, physical therapy, such as acupuncture, cupping, laser and other combined treatment, but the specific diagnosis and treatment is recommended to be carried out under the guidance of a clinician.