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At ENT and Allergy Associates, we know how frustrating itchy skin can be—especially when it’s tied to allergies or chronic skin conditions. While scratching may bring short-term relief, it can actually make the problem worse. This is known as the itch-scratch cycle and breaking that cycle is key to long-term relief.
“It might feel good in the moment, but scratching actually increases inflammation and damages the skin barrier, which leads to even more itching,” explains Sheryl Mathew, MD, board-certified allergist and immunologist practicing out of our ENT and Allergy of Pennsylvania offices serving Bucks County, Philadelphia County, and Montgomery County.
Understanding the Itch-Scratch Cycle
When you scratch an itch, it triggers your immune system to send even more inflammatory signals to the area. This results in:
- More itching
- Increased skin irritation
- Greater risk of infection
- Worsening of chronic skin conditions
Over time, repeated scratching can even lead to thickened, leathery patches of skin (a condition called lichenification) and can increase your sensitivity to itching.
This cycle is common in patients with:
- Atopic dermatitis (eczema)
- Contact dermatitis
- Psoriasis
- Prurigo nodularis
- Lichen simplex chronicus
Safer Ways to Relieve an Itch
Dr. Mathew shares a few strategies that can help break the cycle and protect your skin:
- Moisturize regularly with unscented, hypoallergenic creams—especially after bathing.
- Apply a cold compress to the affected area for temporary relief.
- Use over-the-counter anti-itch creams that contain hydrocortisone or pramoxine.
- Gently tap or apply pressure instead of scratching.
- Keep your nails trimmed to avoid skin damage if you scratch.
- Identify and avoid triggers like harsh soaps, synthetic fabrics, and environmental allergens.
- Manage stress, which can play a role in worsening itch in many skin conditions.
When to See an Allergist
If you’re struggling with constant or severe itching, we’re here to help. At ENT and Allergy Associates, our board-certified allergists, like Dr. Mathew, specialize in getting to the root of your symptoms and providing customized treatment options to help you feel better—without scratching.
Click here for a full list of our Pennsylvania locations
About ENT and Allergy Associates:
ENT and Allergy Associates (ENTA) is the premier otolaryngology and allergy practice in the region, offering comprehensive care in Adult and Pediatric Ear, Nose, and Throat (ENT), Allergy, Asthma, Audiology, Sleep Medicine, Balance Disorders, Voice and Swallowing Disorders, Sinus and Skull Base Surgery, Thyroid and Parathyroid Disorders, Head and Neck Surgery, Facial Plastics and Reconstructive Surgery, and Hearing Aids.
With convenient office locations throughout New Jersey, New York, and Pennsylvania, ENT and Allergy Associates is proud to provide expert, compassionate care in:
- New Jersey – Bergen, Camden, Burlington, Monmouth, Middlesex, Morris, Passaic, Sussex, Somerset Counties, and more.
- New York – The Bronx, Brooklyn, Manhattan, Staten Island, Queens, Long Island (Nassau and Suffolk Counties), and Westchester County.
- Pennsylvania – Bucks County, Montgomery County, and Philadelphia County.
Whether you're seeking relief from seasonal allergies, expert surgical consultation, or help managing chronic ENT conditions, our board-certified physicians and specialized care teams are here to help.