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.

@anniemaggie

I wouldn't personally. My DO Dr does gentle manipulations. She was relaxing the tightness in my shoulder. She relaxed a pinched nerve in my neck, I had no idea what happened but my arms were red and blotchy looking for a couple of weeks. No itch. Then last Friday looked at my arms, cleared up, all that was left was the 30 yrs of scars on my forearms. All gone, cleared up. Always weird things with me. I lost all the hair on my arms, then it grew back. But part of my arms are now peeling so putting cream on twice daily.
Because this condition is from cervical vertebrae issues it only makes sense to fix a pinched nerve. All the wasted money on massages, she did this in one minute. I also had problems on my face, itching for years. Bleeding that totally disappeared too. Perfect skin now.

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What type of doctor is a DO? Assume they are not like a chiropractor..right?

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@cropsey26

what can i take to stop the non stop itching it never goes away i feel like i want to rip the skin off my arm i have tried evereything over the counter but it does nt work i can not take much longer of this what can u suggest for me todo

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Put Ice packs on your arms.

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@colleenyoung

Welcome to Mayo Clinic Connect @sunbird461846 and @scottshere

Scott, what did you learn from your appointment with the neurologist?
Sunbird, is this the first that you've learned about brachioradial pruritus? You mention that you've self-diagnosed. Have you suggested the diagnosis to a doctor?

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I have used ice packs on my arms when I get a breakout. I do have cervical neck issues as well. When I get a breakout of BP, I tend to crave Thai foods or any foods with curry. The Capsazion helps a bit, but putting ICE packs on my arms gives me the best short term relief. I have also used BIOFREEZE to mimic the cooling effect and that helps when I am unable to put ice packs on my arms!

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This seems similar to Aquagenic puritus, which a lot of people including me have gotten relief from Beta Alanine. it's available online at amazon or GNC. I prefer the pill form over the powder.

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Thank you
I'll try ASAP

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@thedinnymurph

Hi I’m a sufferer who sympathizes completely with this maddening disorder. After pursuing treatment with dermatologists without success I did research on my own and found the cause (I think) for this horrible condition. I was already taking Neurontin for neuropathy. I have Sjrogrens and Mixed Connective Tissue Disorder. Noting it treated a weird skin itch also, I convinced my rheumatologist to order an x-ray which showed cervical spine problems…..long story short, this led to neurologist for MRI…he sent me for a cervical spine epidural. NO symptoms for 2 weeks….then a slow return.. This was in July and I’m due for a second on Oct 18
I’m as I said convinced this awful condition results from cervical spine inflammation. BUT saying that, the sun doesn’t help. I live in FL and try never to be in the sun.
The only treatment beside the epidural that ever helped is a steroid cream mixed with lidocaine. Provided only some relief. Promoxine (sp?) also helped somewhat. Icepacks remain the most effective. Hard to sit in meetings, restaurants, etc with them. This condition is very limiting socially. It’s made me cry, scream and have meltdowns not attractive in an adult!

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I use capsaicin .025, Voltaren, lidocaine 5 %. The itching on my arms has stopped.
What remains now is my left scapular area. I may feel fine during the day but it strikes at night. Ice is the only thing that stops the itching immediately but it returns when the ice is removed. I am now taking gabapentin. At least I can sleep.

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@jal333

What type of doctor is a DO? Assume they are not like a chiropractor..right?

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A DO is trained in a medical school that has a more holistic approach to treatment. They do a residency in a hospital with MD residence. No difference. A DO is not a chiropractor. , he is a doctor and practices the same. My medical doctor has both in his group practice

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Yes, my doctor believes that I have the same thing, although stress can cause itching as well. Dr. Amar Dhand, Neurology Department, Brigham and Women's Hospital, Boston, MA has written a paper on this published in 2014 in BRAIN, Journal on Neurology, entitled "The neurology of itch". see page 318.
Dr. Dhand recommends wearing sun protective clothing covering my neck and arms. I wish you luck, I have been suffering with this for over 20 years. Ice packs, the kind that stay cold for several hours have provided temporary relief.

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@dll0

I have had this condition for years now and I am just figuring it out now. Self diagnosis through research. This condition for me usually starts late summer and goes through the winter. Usually I get a break in the spring and early summer. Not this year. Worst year ever! That is when I started really trying to figure out what was really causing this. I have had x-rays indicating 4 different problems with my C5 & C6 vertibrae. Previously I have seen dermatologists and had light therapy. Used lots of different creams and steriods and nothing really helped. I recently emailed my doctor about trying Gabapentin after reading that it may help. It is helping a bit, but I'm still suffering. Ice is the only thing that helps, but when you have a break out on both arms in several locations at the same time it makes it hard to ice.

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Hi, I write this on behalf of my wife who along with BRP is also legally blind. She says the BRP is worse than losing her sight. She had tried Gabapentin but could not take it. I think she said it made her feel -"dopey" if that's the right word. Being blind she needs the use of all her senses n order to function. She was also told that she should not try the chiropractic route as sometimes they are too rough and could cause more damage. Through trial and error she found her own solution to help her. Primarily it is Capzacin. .But using just the Capzacin (I know I am spelling it wrong) causes a real burning sensation. So she uses a numbing cream by Ebanel with 5pct Lidocaine along with the Capzacin..

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@ilyne

Hi, I write this on behalf of my wife who along with BRP is also legally blind. She says the BRP is worse than losing her sight. She had tried Gabapentin but could not take it. I think she said it made her feel -"dopey" if that's the right word. Being blind she needs the use of all her senses n order to function. She was also told that she should not try the chiropractic route as sometimes they are too rough and could cause more damage. Through trial and error she found her own solution to help her. Primarily it is Capzacin. .But using just the Capzacin (I know I am spelling it wrong) causes a real burning sensation. So she uses a numbing cream by Ebanel with 5pct Lidocaine along with the Capzacin..

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I am so sorry. The itching can be terrible. I would trade it for pain any day! Over the years I have tried Lyrica, capsaicin cream 4 times a day, massive doses of Benedryl, accupuncture, etc…
I currently take 400 mg of Gabapentin 3 times a day and an antidepressant.
Ice packs help temporarily.
Being legally blind is terrible on top of this.
Perhaps try the Calm app for daily meditation/relaxation. Yoga too.
You sound like a sympathetic husband which is a huge help to your wife.
I wish you and your wife all the best.

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@mannix

I am so sorry. The itching can be terrible. I would trade it for pain any day! Over the years I have tried Lyrica, capsaicin cream 4 times a day, massive doses of Benedryl, accupuncture, etc…
I currently take 400 mg of Gabapentin 3 times a day and an antidepressant.
Ice packs help temporarily.
Being legally blind is terrible on top of this.
Perhaps try the Calm app for daily meditation/relaxation. Yoga too.
You sound like a sympathetic husband which is a huge help to your wife.
I wish you and your wife all the best.

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I don’t know why I got extremely lucky with the Chiropractor that I found. I had suffered with this on and off for 5 years, always went away around the end of September, then it didn’t. Ice was the only relief, until I found Eric Jaszewski, D.C.in Lawrenceville NJ
Best of luck to you

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That’s wonderful! What did he do that helped?

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