Brachioradial pruritus. (severe itching on forearms and neck, no rash).

Posted by Patrick Cotter @patrickcotter, Mar 19, 2012

Does anyone know of this. I think its rare but does exist. My neurologist does not know about this. I have compression between my c5 and c6 cervical disk and have had alot of sun damage to my skin.

Interested in more discussions like this? Go to the Skin Health Support Group.

@paind

BRP due to neuropathy of the small C fibres may respond exceptionally well to Perineural Injection Therapy. It is a neuropathic itch and subcutaneous injections with Dextrose 5% reduce neurogenic inflammation and symptoms. See more about PIT on John Lyftogt’s website. . I’ve had great success with treating the anatomical fields of the radial (and all it’s distal branches) and axillary nerves. This is anecdotal, but a low risk procedure with minimal side effects. Topical creams only mask the symtoms or modulate the pain whereas PIT treat the condition. I’m also using it for notalgia paresthetica a similar neurophatic condition.

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John Lyftogt’s website has a list of trained physicians.

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Thank you to everyone, I have found this very helpful and supportive! I found this group in December 2017 and I really appreciate hearing from everyone. I have been suffering from BRP for a solid 10 years, I have experienced a one year reprieve (if you will) two times. I really would like to know if this is an autoimmune disease/issue? Have any of you have been diagnosed with an autoimmune disease? I was diagnosed with MS in May of 2014, I asked my neurologist if my BRP symptoms could be an MS issue, (at the time I didn't know about BRP.) He actually looked at me like I was crazy and said there is no way I could have a "rash" seasonally in the same place year after year. I tried to explain that there was no rash just an extreme prickly tingling sensation in my forearms. He interrupted me & explained this is not an MS issue. OK, maybe it's not an MS issue but it is STILL A REAL THING!!! This has to be related to something!!

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@kimklein4759

Thank you to everyone, I have found this very helpful and supportive! I found this group in December 2017 and I really appreciate hearing from everyone. I have been suffering from BRP for a solid 10 years, I have experienced a one year reprieve (if you will) two times. I really would like to know if this is an autoimmune disease/issue? Have any of you have been diagnosed with an autoimmune disease? I was diagnosed with MS in May of 2014, I asked my neurologist if my BRP symptoms could be an MS issue, (at the time I didn't know about BRP.) He actually looked at me like I was crazy and said there is no way I could have a "rash" seasonally in the same place year after year. I tried to explain that there was no rash just an extreme prickly tingling sensation in my forearms. He interrupted me & explained this is not an MS issue. OK, maybe it's not an MS issue but it is STILL A REAL THING!!! This has to be related to something!!

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I have RA, it is autoimmune. I go to a chiropractor and it has helped a lot. It has something to do with C5 and C6 in your neck, Some chiropractors don't know anything about BRP.

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Try chiropractic. It works for me.

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@paind

BRP due to neuropathy of the small C fibres may respond exceptionally well to Perineural Injection Therapy. It is a neuropathic itch and subcutaneous injections with Dextrose 5% reduce neurogenic inflammation and symptoms. See more about PIT on John Lyftogt’s website. . I’ve had great success with treating the anatomical fields of the radial (and all it’s distal branches) and axillary nerves. This is anecdotal, but a low risk procedure with minimal side effects. Topical creams only mask the symtoms or modulate the pain whereas PIT treat the condition. I’m also using it for notalgia paresthetica a similar neurophatic condition.

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Any chance I can come to see you? I live in Northern Virginia, but travel a lot. Martin

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@paind

BRP due to neuropathy of the small C fibres may respond exceptionally well to Perineural Injection Therapy. It is a neuropathic itch and subcutaneous injections with Dextrose 5% reduce neurogenic inflammation and symptoms. See more about PIT on John Lyftogt’s website. . I’ve had great success with treating the anatomical fields of the radial (and all it’s distal branches) and axillary nerves. This is anecdotal, but a low risk procedure with minimal side effects. Topical creams only mask the symtoms or modulate the pain whereas PIT treat the condition. I’m also using it for notalgia paresthetica a similar neurophatic condition.

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I am not familiar with perineural injection therapy or neural prolotherapy. Doing an extensive internet search of both terms, I found that research is promising, but not yet conclusive.

This study for example shows effective results in a small group of people with carpal tunnel syndrome http://www.mayoclinicproceedings.org/article/S0025-6196(17)30406-8/abstract

Keep in mind that this therapy can be expensive. The FDA does not approve the use of these injections at this point, so it is still a cash-based procedure. Just because treatment is expensive doesn’t necessarily mean it’s the most effective treatment.

It is important to note that "The American Pain Society recommends against prolotherapy for treating low back pain, but other authorities are suspending judgment until larger, more-thorough studies have been done. Until then, talk to your doctor before deciding whether prolotherapy is right for you." https://www.mayoclinic.org/prolotherapy/expert-answers/faq-20058347

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not me 4 chiros and countinng gave up

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@paind

BRP due to neuropathy of the small C fibres may respond exceptionally well to Perineural Injection Therapy. It is a neuropathic itch and subcutaneous injections with Dextrose 5% reduce neurogenic inflammation and symptoms. See more about PIT on John Lyftogt’s website. . I’ve had great success with treating the anatomical fields of the radial (and all it’s distal branches) and axillary nerves. This is anecdotal, but a low risk procedure with minimal side effects. Topical creams only mask the symtoms or modulate the pain whereas PIT treat the condition. I’m also using it for notalgia paresthetica a similar neurophatic condition.

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Hi Martin
I live in Canada Better to find someone closer to you and do an injection trial . They usually get significant relief right after the first treatment . If they have a significant response they are booked for injections every 1-2 weeks till their symptoms under control See Practitioners Perineural injection therapy website Dr. John Lyftogt

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@paind

BRP due to neuropathy of the small C fibres may respond exceptionally well to Perineural Injection Therapy. It is a neuropathic itch and subcutaneous injections with Dextrose 5% reduce neurogenic inflammation and symptoms. See more about PIT on John Lyftogt’s website. . I’ve had great success with treating the anatomical fields of the radial (and all it’s distal branches) and axillary nerves. This is anecdotal, but a low risk procedure with minimal side effects. Topical creams only mask the symtoms or modulate the pain whereas PIT treat the condition. I’m also using it for notalgia paresthetica a similar neurophatic condition.

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Hi Colleen

Here is some new promising data:
Short Term Analgesic Effects of 5% Dextrose Epidural Injections for Chronic Low Back Pain: A Randomized Controlled Trial
liza Smigel et al: Anesth Pain Med. In press(In press):e42550.

Perineural Injection Therapy in the Management of Complex Regional Pain Syndrome:Pain Medicine 2017; 0: 1–4 doi: 10.1093/pm/pnx063

Transition from Deep Regional Blocks toward Deep Nerve Hydrodissection in the Upper Body and Torso: Method Description and Results from a Retrospective Chart Review of the Analgesic Effect of 5% Dextrose Water as the Primary Hydrodissection Injectate to Enhance Safety. Hindawi BioMed Research International Volume 2017, Article ID 7920438, https://doi.org/10.1155/2017/7920438

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@kimklein4759

Thank you to everyone, I have found this very helpful and supportive! I found this group in December 2017 and I really appreciate hearing from everyone. I have been suffering from BRP for a solid 10 years, I have experienced a one year reprieve (if you will) two times. I really would like to know if this is an autoimmune disease/issue? Have any of you have been diagnosed with an autoimmune disease? I was diagnosed with MS in May of 2014, I asked my neurologist if my BRP symptoms could be an MS issue, (at the time I didn't know about BRP.) He actually looked at me like I was crazy and said there is no way I could have a "rash" seasonally in the same place year after year. I tried to explain that there was no rash just an extreme prickly tingling sensation in my forearms. He interrupted me & explained this is not an MS issue. OK, maybe it's not an MS issue but it is STILL A REAL THING!!! This has to be related to something!!

Jump to this post

Thank you, I'm looking into it.

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