Parkwood Skin Clinic logo
eczema

Itch Clinic

Chronic Itch, Burning Skin, or Strange Sensations

If you live with persistent itch, burning, crawling sensations, stinging, tingling, hypersensitivity, or “skin pain,” you may be experiencing cutaneous dysesthesia — a condition where the skin’s nerves become hyperactive or misfiring.

At Parkwood Skin Clinic, we offer diagnosis and treatment for chronic itch and dysesthesia that doesn’t respond to standard creams or antihistamines.

Doctor-led. Investigative. Compassionate. Evidence-based.

woman with itchy skin

What Is Chronic Itch / Cutaneous Dysesthesia?

Cutaneous dysesthesia happens when the nerves of the skin send incorrect signals — causing itch, burning, tingling, stinging, tightness, or sensitivity without a visible rash.

It can be triggered by:

  • Sun damage
  • Nerve irritation or compression
  • Spinal or neck issues
  • Scars or previous procedures
  • Shingles
  • Photodamage
  • Anxiety or stress (sensory amplification)
  • Hormonal changes
  • Immune activation
  • Chronic skin dryness
  • Age-related nerve changes

This condition is often misdiagnosed, undertreated, or dismissed.

Common Dysesthesia & Itch Conditions We Treat

  • Brachioradial pruritus (UV-associated nerve itch on arms)
  • Notalgia paresthetica (nerve itch on upper back)
  • Chronic scalp burning or itch
  • Generalised chronic itch
  • Sun-induced itch or burning
  • Sensitive skin syndrome
  • Post-inflammatory or post-procedure burning
  • Neuropathic itch
  • Idiopathic chronic itch
  • Itch associated with anxiety or sensory disorders
Why Itch Happens – An Overview

ITCH RELIEF PROGRAM

Step 1
Itch Assessment

  • Full medical & dermatological history
  • Skin barrier evaluation
  • Itch pattern mapping
  • Trigger review
  • Bloodwork recommendations (if required)
  • High-frequency skin ultrasound (optional but differentiating)

Systemic, vascular, neural, and dermatological itch differential

Step 2
“Root Cause” Diagnosis Plan

Depending on assessment, patients are classified:

1. Barrier dysfunction itch

2. Inflammatory dermatologic itch

3. Neurogenic itch

4. Systemic/medication-related itch

5. Vascular itch (venous stasis, peripheral circulation issues )

  1. Idiopathic chronic itch

Step 3
Treatment Plan

May include:

  • medical topical therapy
  • skin barrier repair protocols
  • targeted laser for redness/inflammation
  • vascular treatment
  • CO₂/erbium resurfacing for scar-related itch
  • neurological modulation (topical or systemic)
  • lifestyle & behaviour treatment plan
  • personalised moisturisation schedule
  • weekly or monthly follow-ups

STEP 4
3-Month Progress Scan

  • Symptom score
  • Barrier testing
  • Repeat ultrasound (if applicable)
  • Treatment adjustments

STEP 5
Maintenance Plan (6–12 months)

  • tailored skincare
  • recurrence prevention
  • check-ins
  • education modules
  • integration with vein care (if relevant)

Who This Clinic Helps

  • People with itch but no rash
  • People told “it’s in your head”
  • People who tried antihistamines and steroid creams without improvement
  • People with burning or tingling sensations
  • People with persistent itch from sun exposure
  • People with a long history of sensitive skin or nerve symptoms
A patient with eczema on his legs is seeking help at Parkwood Skin Clinic.

Treatment options

Barriere Repair Protocols

Anti-inflammatory Therapy

Neuromodulating Creams

Skin Calming Regimens

Oral Nerve-Modulating Agents

Laser Therapy 

Phototherapy

Scar-based Nerve Dysfunction Management

We Will Help You Every Step Of The Way​

over 15 years of medical experience

Book a Consultation