Skin conditions

Hey guys! Just got done listening to your Nsaid podcast and when you mentioned autoimmune disorders it made me think… do you deal with many clients who have skin conditions such as eczema? I know this isn’t super training specific except that my eczema is, at times, down right debilitating. My skin even reacts negatively to being over heated and my own sweat. I get itchy and have hives at times from my workouts. I also suffer from frequent skin infections. Which does occasionally keep me out of the gym. Since skin conditions like mine are so common, I thought this might be of interest to other lifters.

Unfortunately, I’ve never met a dermatologist that was willing to even listen to me. They just want to prescribe steroids and scoot you out of their office. I used topical steroids for most of my life. My skin developed a dependency on steroids. I gave up using them years ago (due to needing increasing amounts, at stronger doses) and suffered HORRIBLE withdrawals that took my skin many months to fully recover from. Not once did any doctor I saw explain the negative side effects of using topical steroids for extended periods of time, they just kept prescribing it. The alternatives aren’t great either. They are either way too expensive, ineffective or too time consuming (such as light therapy).

Anyway, what I am curious to hear is what, if any, your thoughts on eczema/atopic dermatitis are. Especially as it pertains to the current thinking on treatment. I really like how you guys tend to think outside the box when it comes to medicine. I always find it super interesting to hear you guys dissect medical topics even though I am just a baker and am not involved in the medical community :slight_smile:

I appreciate any thoughts you have to share but I understand if this is a topic you don’t have time to get into!

Sorry to hear about your difficulties with eczema - it can certainly be a difficult condition to manage!

I prescribe topical steroids to help achieve remission from disease flares, generally to be used 1-2 times per day for 2-4 weeks, depending on the medication potency – but not to be used continuously. Additionally, emollients should be used, as well as emphasis on avoiding allergens, treating itch, and managing stress/anxiety. For more severe disease, there are numerous other non-steroid maintenance options that may provide benefit, though these are primarily prescribed by dermatologists and is getting outside my scope of practice.