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Itchy Skin After Burn Injury

Itchy skin is one of the most common challenges after a burn injury.

The sensation, called pruritus, can be intense and disruptive, especially in healing areas like grafts and donor sites. While itching often improves over time, there are ways to manage it and improve comfort during recovery. 


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Why Itching Happens

Itching is nearly universal during burn recovery. It may come and go or last for months.

Itching doesn’t always match the size or severity of a burn, but can be strong enough to impact daily life. 

Causes include:

  • Healing skin and nerve regrowth 

  • Dry skin or skin tightening 

  • Emotional stress or anxiety 

  • Side effects of medications  

How Itching Affects Daily Life

Itching can interfere with: 

Sleep

It tends to worsen at night, making it harder to rest.

Work or school

It may be challenging to concentrate or stay comfortable.

Physical activity

Exercise or play can increase itching.

Social time

Constant scratching can feel awkward or embarrassing.

Talk with your care team if itching is getting in the way of your daily routine.

Ways to Describe Your Itching

Describing your itch helps guide treatment. Adults are often asked to rate the itch from 0 (“no itch”) to 10 (“worst imaginable itch”).

Health care providers may also ask: 

  • How often does it happen? 

  • Where is it located? 

  • How does it affect your day? 

Children may use tools like the Itch Man Scale to describe how much it bothers them. 

What Can Help

Moisturizers 

  • Choose fragrance-free and alcohol-free options (cetyl alcohol is OK). 

  • Apply as often as needed or as directed. 

  • Creams (thicker) last longer than lotions (lighter). 

  • Medicated moisturizers like capsaicin may be helpful—ask your provider. 

Bathing Tips 

  • Use lukewarm water. 

  • Try oatmeal, powdered milk, or baby oil in the bath. 

  • Cool water may offer temporary relief. 

Oral Medications 

  • Prescription options: gabapentin, pregabalin, tricyclic antidepressants. 

  • Over-the-counter antihistamines: diphenhydramine (Benadryl), cetirizine, loratadine, hydroxyzine. 

  • Sleep medications may help if itching affects rest. 
    Always consult your doctor before starting any medications. 

Supportive Garments and Techniques 

  • Pressure garments or snug sportswear can reduce irritation. 

  • Skin massage or firm touch may help. 

  • Tap itchy skin gently instead of scratching. 

  • Laser therapy may reduce itching—usually requires 3–6 sessions. 

Daily Tips 

  • Keep fingernails short. Use cotton gloves at night, especially for children. 

  • Avoid fragranced soaps, lotions, and detergents. 

  • Stay distracted with calming activities, gentle movement, or entertainment. 

  • Protect skin from the sun with clothing and sunscreen. 

Related Resources

Sleep Problems After Burn Injury
Scar Management
Sun Protection After Burn Injury

Disclaimer 

This information is not a substitute for professional medical advice. Talk to your health care provider about your symptoms and the treatments that may work best for you. 

Attribution 

Adapted from the MSKTC factsheet: Itchy Skin After Burn Injury, developed in collaboration with medical professionals and burn survivors.