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.

Liked by karenvduke

@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.

Jump to this post

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

REPLY

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!!

REPLY
@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

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.

Liked by kimklein4759

REPLY

Try chiropractic. It works for me.

Liked by kimklein4759

REPLY
@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.

Jump to this post

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

REPLY
@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.

Jump to this post

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

REPLY

not me 4 chiros and countinng gave up

Liked by kimklein4759

REPLY
@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.

Jump to this post

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

REPLY
@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.

Jump to this post

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

REPLY
@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.

REPLY
@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

Doesn’t it irritate you that the doctors don’t seem to know about this!

REPLY
@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

I like when I explain the condition to them and I KNOW that they aren’t aware of it but pretend to be!!!

REPLY
@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

Neither do some MDs

REPLY

I've suffered many years with brachioradial pruritis (BRP) that began on my forearms and extended to other areas including my trunk & legs. I tried everything from ice packs to hot baths and every anti-itch medication imaginable to ease my itch, especially at night when I would scratch myself bloody to no avail. Four different Dermatologists examined me and prescribed topical applications that were ineffective. One method for relief that I had read about, but never tried, was cervical traction of the neck. I never expected it to be beneficial but I was desperate in need of relief so I ordered a pump-up cervical traction device on Amazon for $18 and started using it twice daily for 30 minutes of cervical extension. Within 24 hours I noticed the itching had decreased and within a week all symptoms of itching ceased. I stopped using the cervical traction device afer a month of itch free sleep. The itching returned after a couple days so I had to go back to using cervical traction and once again I got total relief. That was six months ago and now I do the cervical traction daily and itching has not reoccured. I also purchased a "hang to relax" teter prior to doing neck traction and it helped relieve the itch but I'm in my 80's and had problems hanging upside down 🙂

REPLY
@sgmjohnny

I've suffered many years with brachioradial pruritis (BRP) that began on my forearms and extended to other areas including my trunk & legs. I tried everything from ice packs to hot baths and every anti-itch medication imaginable to ease my itch, especially at night when I would scratch myself bloody to no avail. Four different Dermatologists examined me and prescribed topical applications that were ineffective. One method for relief that I had read about, but never tried, was cervical traction of the neck. I never expected it to be beneficial but I was desperate in need of relief so I ordered a pump-up cervical traction device on Amazon for $18 and started using it twice daily for 30 minutes of cervical extension. Within 24 hours I noticed the itching had decreased and within a week all symptoms of itching ceased. I stopped using the cervical traction device afer a month of itch free sleep. The itching returned after a couple days so I had to go back to using cervical traction and once again I got total relief. That was six months ago and now I do the cervical traction daily and itching has not reoccured. I also purchased a "hang to relax" teter prior to doing neck traction and it helped relieve the itch but I'm in my 80's and had problems hanging upside down 🙂

Jump to this post

Hi @sgmjohnny, welcome to the BRP discussion. I notice that you posted the exact same message 10 times. Not sure what happened there. I removed the other 9 instances. When you post a message to a discussion thread, all the participants receive a notification. As you can imagine, receiving 10 identical email messages can be annoying. Let's continue the conversation here.
Did you share your experience with the traction device with a health care professional? What was the response?

REPLY
Please login or register to post a reply.