HOW TO HELP STOP ITCHING UNDER WOUND DRESSINGS: EXPERT WOUND CARE TIPS FOR PATIENTS AND FAMILIES

Healing a wound can be uncomfortable. One common complaint from patients and caregivers is, “It itches under the dressing! What should I do?” Itching around wounds is normal, especially as the body repairs the skin. However, scratching, too much moisture, or using the wrong skincare can delay healing and cause complications.

Here’s an easy-to-follow guide from a trusted wound care perspective. This applies whether you are dealing with a small cut, surgical incision, ulcer, or chronic wound. It is especially relevant because itchy legs without over-moisturizing can make the dressing damp from sweat.

Why Wounds Itch: What’s Normal and What’s Not

Itching during wound healing happens for valid biological reasons:

1. Healing Skin and Nerve Regrowth

As new skin forms and nerves regenerate, itching can feel intense; it’s part of the body’s natural healing process.

2. Dryness Around the Wound

Wounds and the surrounding skin can dry out, especially if dressings fail to keep a good moisture balance. This dryness can lead to irritation and itch. A moist wound environment helps speed up healing and may reduce itching, but too much moisture can be problematic as well.

3. Reactions to Adhesives or Dressings

Some patients are sensitive to medical tapes or adhesives. This can cause redness, irritation, and itching. While this isn’t just a “normal itch,” it may indicate a mild allergic reaction.

4. Infection or Contact Dermatitis

While a mild itch is common, a worsening itch, along with spreading redness, foul smell, pus, or swelling, requires immediate medical attention.

Safe Ways to Manage Itching Under Dressings

Here are practical strategies you can start using today:

1. Keep the Dressing Clean, Dry, and Properly Secure

• Always wash your hands before changing or touching a dressing.
• Apply the dressing as directed by your clinician.
• Make sure it covers the wound securely but isn’t too tight; tight dressings can increase sweat and irritation.
• For limb wounds, especially legs, consider using breathable, non-occlusive dressings that allow air movement and reduce sweat buildup.

2. Cool Compresses for Quick Itch Relief

If itching becomes intense:

• Use a cool, damp cloth or ice pack wrapped in a thin towel near the dressing, but not directly on it, for 10 to 15 minutes.
• The cold numbs nerve endings temporarily and eases the itch.

3. Moisturize Sensibly especially on the Leg

Dry skin is a major cause of itching. However, leg wounds add complexity due to sweating and moisture from activity.

Here’s how to find the right balance:

• Use a fragrance-free, gentle moisturizer on the surrounding skin, but not directly under the dressing if it will touch the wound itself, unless your clinician advises otherwise.
• Apply moisturizer once or twice daily, focusing on the skin around the edges of the dressing. This helps prevent dryness and tearing without making the wound too damp.
• Choose lightweight, non-greasy formulations that absorb well. This is especially important on the lower legs, where heat and gravity can pull moisture down and can make dressings soggy if too much lotion is applied.
• Avoid petroleum-based products under occlusive dressings unless specifically recommended by your healthcare provider.

This approach keeps skin flexible and less itchy without saturating the dressing in moisture.

4. Clothing and Activity Tips to Reduce Sweat and Friction

Excess sweat can make itching worse:

• Wear lightweight, breathable clothing, especially around the wound area.
• Avoid tight bands or socks that trap heat.
• For leg wounds, choose cotton or moisture-wicking fabric that pulls sweat away from the skin.
• In hot weather or during physical activity, try to minimize sweating around the wound as much as possible.

5. Don’t Scratch, Find Better Alternatives

Scratching might seem tempting, but it can break the skin, introduce bacteria, and delay healing.

Instead:

• Try gently tapping or pressing around the area.
• Use distraction techniques such as deep breathing or engaging in handheld activities.
• Apply cool compresses or moisturizer to soothe the sensory nerves.

When Itching Is a Sign of Something More

While itching is often normal, it can also indicate complications:

• Redness spreading beyond the edges of the dressing
• Warmth and swelling
• Pus, foul odor, or fever
• Rash or blisters under the adhesive

If you notice any of these symptoms, contact your provider. Quick evaluation can prevent infection and more severe complications.

Final Thoughts: Healing With Comfort and Confidence

Dealing with itching under wound dressings, especially on areas like the leg, doesn’t have to be frustrating. With sensible skincare, careful dressing choices, and smart moisture balance, you can manage discomfort while promoting wound healing.

Remember:
✔ Itching is common but doesn’t require scratching.
✔ Moisturize around dressings, not on the wound’s surface.
✔ Choose breathable dressing and clothing to control sweat.
✔ Seek help if symptoms worsen.

Your wound care team is available to answer questions and tailor advice to your specific wound and skin type. Don’t hesitate to ask your clinician for personalized guidance; you’re not alone in your healing journey.

Author

Jenna Wishnew Dr. Jenna Wishnew is a board-certified general surgeon with over a decade of experience serving the North Dallas community. Known for her compassionate, patient-centered care, she specializes in wound care and hyperbaric oxygen therapy (HBOT), currently serving as Medical Director at the Wound Care and Hyperbaric Center at Methodist Richardson Medical Center. Dr. Wishnew is a recognized leader in her field, earning two international awards for excellence in wound care. She also has extensive experience managing gastroparesis and Enterra Gastric Stimulators.