Does Psoriasis Cause Burning Sensation? Unveiling the Itch and the Fire
Yes, psoriasis can often cause a burning sensation, in addition to the more commonly known itching. This article delves into the reasons behind this uncomfortable symptom and explores ways to manage the fiery feeling associated with this chronic skin condition.
Understanding Psoriasis: A Quick Overview
Psoriasis is a chronic autoimmune disease characterized by the rapid buildup of skin cells. This excess of cells forms thick, silvery scales and itchy, dry, red patches. While itching is the hallmark symptom, many individuals with psoriasis also experience a significant burning sensation.
The Burning Sensation: What Causes It?
The burning feeling associated with psoriasis is not solely due to the dry, cracked skin. Several factors contribute to this unpleasant sensation:
- Inflammation: Psoriasis is fundamentally an inflammatory disease. The immune system mistakenly attacks healthy skin cells, leading to inflammation in the affected areas. This inflammation triggers nerve endings, causing sensations of heat and burning.
- Nerve Irritation: The chronic inflammation and scaling can irritate the nerve endings in the skin. This irritation makes the skin hypersensitive, amplifying sensations like burning, itching, and pain.
- Scratching: While it provides temporary relief, scratching psoriasis plaques can worsen the burning sensation. Scratching damages the skin, further inflaming the area and potentially leading to infection.
- Skin Dryness: The dry, cracked skin associated with psoriasis can also contribute to the burning feeling. When the skin’s protective barrier is compromised, nerve endings are more exposed to irritants and environmental factors.
- Topical Treatments: Some topical treatments for psoriasis, particularly those containing strong ingredients like steroids or salicylic acid, can initially cause a burning or stinging sensation, especially if the skin is already inflamed or cracked.
Differentiating Burning from Itching
While both itching and burning are common symptoms of psoriasis, they are distinct sensations. Itching is a prickling or tingling sensation that creates the urge to scratch. Burning, on the other hand, is a feeling of heat or fire on the skin. Although they can coexist, recognizing the difference can help in identifying the specific triggers and managing the symptoms effectively. Does psoriasis cause burning sensation? It absolutely can, and understanding the nuances of this sensation is key to effective management.
Managing the Burning Sensation Associated with Psoriasis
Several strategies can help alleviate the burning sensation associated with psoriasis:
- Moisturizing Regularly: Keeping the skin well-hydrated is crucial. Apply thick, fragrance-free emollients liberally, especially after bathing. Look for ingredients like ceramides, hyaluronic acid, and shea butter.
- Topical Corticosteroids: Prescription-strength topical corticosteroids can help reduce inflammation and relieve both itching and burning. Use them as directed by your doctor.
- Calcineurin Inhibitors: Topical calcineurin inhibitors, such as tacrolimus and pimecrolimus, can help reduce inflammation without the side effects associated with long-term steroid use.
- Coal Tar Products: Coal tar products, available in creams, lotions, and shampoos, can help slow the growth of skin cells and reduce inflammation. They can, however, have a strong odor and may stain clothing.
- Cool Compresses: Applying cool compresses to the affected areas can provide temporary relief from the burning sensation.
- Oatmeal Baths: Colloidal oatmeal baths can soothe irritated skin and reduce both itching and burning.
- Avoid Triggers: Identify and avoid potential triggers that worsen your psoriasis, such as certain foods, stress, and harsh soaps.
- Phototherapy: Light therapy, or phototherapy, can help reduce inflammation and slow the growth of skin cells.
When to Seek Medical Advice
If the burning sensation is severe, persistent, or accompanied by other symptoms such as fever, pus, or increased redness, seek medical advice promptly. These symptoms may indicate an infection or another underlying condition that requires treatment.
Frequently Asked Questions (FAQs) about Psoriasis and Burning Sensation
Is the burning sensation in psoriasis always present?
No, the burning sensation in psoriasis is not always present. Some individuals with psoriasis may primarily experience itching, while others may experience burning, or a combination of both. The presence and intensity of the burning can also fluctuate depending on factors such as the severity of the psoriasis, triggers, and treatments used.
Can certain types of psoriasis cause more burning than others?
Yes, certain types of psoriasis may be more likely to cause a burning sensation. For example, pustular psoriasis, characterized by pus-filled blisters, can be particularly painful and cause a significant burning feeling. Erythrodermic psoriasis, a severe and widespread form of psoriasis, can also cause intense burning and discomfort.
Are there any over-the-counter creams that can help with the burning sensation?
Yes, several over-the-counter creams can help alleviate the burning sensation associated with psoriasis. Emollients, such as those containing petrolatum, lanolin, or mineral oil, can help hydrate the skin and reduce dryness, which can contribute to the burning feeling. Topical anti-itch creams containing calamine or menthol can also provide temporary relief.
Can stress worsen the burning sensation in psoriasis?
Yes, stress can worsen psoriasis symptoms, including the burning sensation. Stress can trigger inflammation throughout the body, which can exacerbate psoriasis and make the skin more sensitive. Managing stress through techniques such as yoga, meditation, or deep breathing can help reduce the frequency and severity of psoriasis flare-ups and associated symptoms.
Is the burning sensation contagious?
No, the burning sensation associated with psoriasis is not contagious. Psoriasis itself is not contagious and cannot be spread from person to person through contact. The burning sensation is a symptom of the underlying inflammation and skin changes caused by the autoimmune disease.
Can diet affect the burning sensation in psoriasis?
While there is no specific diet that can cure psoriasis, certain dietary changes may help reduce inflammation and alleviate symptoms, including the burning sensation. Some people with psoriasis find that avoiding processed foods, sugary drinks, and red meat can improve their skin. Eating a diet rich in anti-inflammatory foods, such as fruits, vegetables, and omega-3 fatty acids, may also be beneficial.
Can scratching make the burning sensation worse?
Yes, scratching psoriasis plaques can definitely make the burning sensation worse. Scratching damages the skin, further inflaming the area and increasing the risk of infection. It’s important to resist the urge to scratch and instead focus on other methods to relieve itching and burning, such as applying cool compresses or using topical treatments.
Are there any home remedies that can help with the burning sensation?
Yes, several home remedies can help soothe irritated skin and reduce the burning sensation. Applying aloe vera gel, taking oatmeal baths, and using cool compresses can provide temporary relief. It’s important to note that home remedies may not be sufficient to manage severe psoriasis symptoms, and medical treatment may be necessary.
Does sun exposure help or hurt the burning sensation?
For some, controlled sun exposure can actually help psoriasis symptoms due to the production of Vitamin D. However, overexposure to the sun can worsen the burning sensation and can lead to sunburn. Always use sunscreen on unaffected skin when outdoors and consult a doctor before using sun exposure as a treatment.
Can certain medications worsen the burning sensation?
Yes, certain medications can potentially worsen psoriasis symptoms, including the burning sensation. Nonsteroidal anti-inflammatory drugs (NSAIDs), beta-blockers, and lithium have been linked to psoriasis flare-ups in some individuals. If you suspect that a medication is worsening your psoriasis symptoms, talk to your doctor.
How does climate affect the burning sensation from psoriasis?
Climate can significantly impact psoriasis symptoms. Dry, cold weather can exacerbate dryness and itching, which can intensify the burning sensation. Humid, warm weather may provide some relief, but excessive sweating can also irritate the skin. Moisturizing and protecting the skin from extreme temperatures are essential.
Is the burning sensation permanent in individuals with psoriasis?
No, the burning sensation is usually not permanent. While psoriasis is a chronic condition, symptoms can fluctuate, and with proper management, the burning sensation can be significantly reduced or even eliminated. Working closely with a dermatologist to develop an individualized treatment plan is crucial for controlling psoriasis and its associated symptoms.