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We have developed a unique natural treatment approach for Brachioradial Pruritus which combines two advanced treatments: Regenerative Injection Therapy and INDIBA Therapy.
Many of the symptoms associated with the condition are a result of irritation of the nerves that supply the skin of the arms. The nerves can become irritated if the surrounding structures are weak or damaged, which then leads to itchy arms.
Regenerative Injection Therapy involves the injection of a natural solution with small fine needles that have been shown in studies to strengthen and repair these surrounding structures, which then allows the nerve irritation to subside. Immediately before the injections, we use a gentle therapy device called INDIBA to both reduce inflammation in the area and enhance the absorption of the injections. The INDIBA device has been around for more than 35 years and has established a strong pedigree of research with over 300 scientific studies supporting its technology, including research from Oxford University.
As the treatment is helping to treat the root cause of Brachioradial Pruritus, many of our patients have reported permanent relief of their symptoms. We normally recommend just 3 appointments to achieve optimal results.
Brachioradial Pruritus (BRP) is a neurological condition characterised by intense, often burning itch that primarily affects the outer forearms, upper arms, and occasionally the shoulders and upper back. The itch typically affects the forearm. Unlike typical skin conditions, this frustrating disorder originates from nerve dysfunction rather than skin abnormalities, making it particularly challenging to diagnose and treat effectively.
The condition typically presents as an irresistible urge to scratch areas that may appear completely normal to the naked eye. This neurogenic itch can be so severe that it significantly impacts daily activities, sleep quality, and overall well-being. Brachioradial pruritus is classified as a neurological itch, highlighting its origin in nerve dysfunction.
Patients with Brachioradial Pruritus often experience:
Brachioradial Pruritus predominantly affects middle-aged adults, with the highest prevalence occurring between ages 40 and 60. Women are statistically more likely to develop the condition than men, though it can affect individuals of any gender.
Risk factors include:
Individuals with lighter skin types (Fitzpatrick I and II) are more prone to developing brachioradial pruritus due to increased sensitivity to ultraviolet radiation.
Brachioradial pruritus is a multifaceted condition, and understanding its origins is key to effective management. Research has increasingly shown that cervical spine disease—especially cervical radiculopathy—plays a central role in the development of this chronic pruritus. Many patients with brachioradial pruritus experience abnormal sensations such as itching, burning, and tingling in the upper arms, which can be intensified by sun exposure. For physicians treating female patients, it is particularly important to consider underlying cervical spine pathology, including cervical spine instability and nerve irritation, as these factors are more prevalent in this group.
Clinical studies have revealed that patients diagnosed with brachioradial pruritus often have cervical spine abnormalities, such as herniated discs, spinal stenosis, or foraminal narrowing. These structural changes can lead to nerve compression, resulting in neuropathic pruritus and the characteristic symptoms of brachioradial pruritus. In some cases, patients may have undergone invasive diagnostic testing, such as magnetic resonance tomography (MRT), to exclude other potential causes and confirm the diagnosis.
The Mayo Clinic experience and findings published in the dermatology online journal underscore the importance of a thorough history and physical examination in identifying brachioradial pruritus. A careful assessment helps distinguish this condition from other skin diseases and ensures that cervical spine pathology is not overlooked. Avoiding unnecessary invasive diagnostic testing is also crucial, as a targeted approach based on clinical findings and cervical spine imaging can often provide the answers needed.
Sun exposure is another significant factor, with many patients reporting that symptoms worsen after prolonged time outdoors. Protective strategies and topical medications can help manage these flare-ups, but addressing the underlying nerve irritation is essential for long-term relief.
Because brachioradial pruritus can cause considerable psychological distress and disrupt daily life, a multidisciplinary approach is often necessary. Collaboration between dermatologists, physical therapists, and pain specialists ensures that all aspects of the condition are addressed—from cervical spine abnormalities to the emotional impact of chronic symptoms. By thoroughly exploring the underlying causes and tailoring treatment to each patient’s needs, significant reductions in symptoms and improvements in quality of life can be achieved.
Our clinic stands apart through our deep understanding that Brachioradial Pruritus requires a fundamentally different approach from conventional dermatological treatments. Whilst many practitioners focus solely on symptom management through topical applications, we address the underlying nerve dysfunction that drives this condition. Conventional treatments, such as standard topical or oral therapies, are often insufficient for lasting relief in brachioradial pruritus.
Our unique combination of Regenerative Injection Therapy and INDIBA Technology represents a breakthrough in treating the root cause rather than merely masking symptoms. This innovative approach has enabled many of our patients to achieve long-lasting relief where other treatments have failed.
Accurate diagnosis is paramount in Brachioradial Pruritus treatment. The condition is frequently misdiagnosed as eczema, contact dermatitis, or other skin disorders, leading to ineffective treatments and prolonged suffering.
Brachioradial pruritus is diagnosed through careful clinical evaluation, including a detailed patient history and physical examination. In cases with neurological symptoms or when there is no seasonal variation, cervical spine imaging may be considered to rule out underlying causes. The use of an ice pack as a simple bedside test can provide immediate relief of pruritus, known as the ice pack sign, which is pathognomonic for brachioradial pruritus and helps confirm the diagnosis.
Our comprehensive diagnostic process ensures we distinguish BRP from similar conditions, identify contributing factors, and develop a targeted treatment strategy tailored to your specific presentation.
We believe in treating the whole person, not just the symptoms. Our patient-centred approach combines:
Your first appointment involves an extensive consultation where we explore:
Our comprehensive physical assessment includes:
Our cornerstone treatment involves precise injections of natural therapeutic solutions designed to:
This advanced technology enhances treatment outcomes through:
Every patient receives an individualised treatment protocol based on:
How long does treatment take to show results? Most patients begin experiencing relief within 2-4 weeks of starting treatment, with optimal results typically achieved after our recommended 3-session protocol.
Is the treatment painful? The injections use very fine needles and are generally well-tolerated. INDIBA therapy is completely painless and often described as soothing.
Are there any side effects? Side effects are minimal with our natural approach. Some patients may experience temporary mild soreness at injection sites.
Will my symptoms return? Many patients experience long-lasting relief as we address the underlying cause. Individual responses vary, and maintenance treatments may occasionally be beneficial once every 12 to 18 months.
Is treatment suitable for everyone? Our treatments are suitable for most patients with Brachioradial Pruritus. Contraindications are rare and will be discussed during your consultation.
Don’t let Brachioradial Pruritus continue to impact your daily life. Our proven treatment approach has helped countless patients achieve the lasting relief they thought impossible.
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