Small, rough bumps on the skin , it can be Keratosis pilaris. Know all about it

Keratosis pilaris (KP) is a common skin condition that is characterized by small, rough bumps on the skin. It typically appears on the upper arms, thighs, buttocks, and sometimes on the face. The bumps may be flesh-colored, white, or red and can resemble goosebumps or acne.

KP occurs when the protein keratin, which forms the protective outer layer of the skin, builds up and plugs hair follicles. The exact cause of keratosis pilaris is not fully understood, but it is believed to have a genetic component and is more commonly seen in individuals with dry skin or those who have a family history of the condition. It can also be associated with other skin conditions such as eczema.

The symptoms of KP are usually more pronounced during the winter months when the skin tends to be drier. It is a harmless condition and does not cause any serious medical complications. However, some people may experience itchiness or mild discomfort.

Treatment for keratosis pilaris focuses on managing the symptoms and improving the appearance of the skin. This may include:

1. Moisturizing: Regularly applying moisturizers or emollients can help soften the skin and reduce the roughness and dryness associated with KP.
2. Exfoliation: Gentle exfoliation can help remove dead skin cells and unclog the hair follicles. However, it is important to avoid excessive scrubbing, as it can irritate the skin and worsen the condition.
3. Topical treatments: Some over-the-counter creams or lotions containing ingredients like alpha hydroxy acids (AHAs), urea, or salicylic acid may help improve the appearance of the skin and reduce the bumps.
4. Prescription medications: In more severe cases, a dermatologist may prescribe medications such as retinoids or corticosteroids to help reduce inflammation and promote skin cell turnover.
5. Lifestyle modifications: Taking shorter showers or baths with lukewarm water, avoiding harsh soaps or cleansers, and using gentle, fragrance-free products can help prevent further irritation.

It’s important to note that while these treatments can help manage the symptoms, they may not completely eliminate keratosis pilaris. The condition tends to improve with age and may resolve on its own over time.

If you’re concerned about your skin or if the bumps are causing significant discomfort or self-consciousness, it’s best to consult with a dermatologist who can provide a proper diagnosis and recommend appropriate treatment options tailored to your specific situation.

Natural ways to control Keratosis pilaris (KP)

While there is no guaranteed natural cure for keratosis pilaris (KP), certain natural remedies and lifestyle changes may help control the symptoms and improve the appearance of the skin. Here are some natural approaches you can try:

1. Moisturize regularly: Keeping the skin well-hydrated is crucial in managing KP. Apply a moisturizer or natural oils, such as coconut oil, jojoba oil, or olive oil, to the affected areas daily. This helps to soften the skin and reduce dryness.
2. Exfoliate gently: Regular exfoliation can help remove dead skin cells and unclog the hair follicles. Use a gentle scrub or make your own by combining sugar or salt with olive oil or honey. Massage the mixture onto the affected areas in a circular motion and rinse off with warm water. Be careful not to scrub too harshly, as it can irritate the skin.
3. Oatmeal baths: Adding colloidal oatmeal to your bathwater can help soothe dry and itchy skin associated with KP. Oatmeal has anti-inflammatory properties that can provide relief and reduce redness. Follow the instructions on the product packaging for proper usage.
4. Vitamin A and E: Both vitamin A and E are beneficial for skin health. Foods rich in these vitamins, such as carrots, sweet potatoes, spinach, almonds, and sunflower seeds, can be included in your diet. Alternatively, you can also take vitamin A and E supplements after consulting with a healthcare professional.
5. Omega-3 fatty acids: Including foods high in omega-3 fatty acids, such as fatty fish (salmon, mackerel, sardines), flaxseeds, chia seeds, and walnuts, can help improve skin health and reduce inflammation. You may also consider taking omega-3 supplements after consulting with a healthcare professional.
6. Avoid irritants: Harsh soaps, detergents, and skincare products containing fragrances or chemicals can worsen KP symptoms. Opt for gentle, fragrance-free products and avoid excessive use of soaps and hot water, as they can dry out the skin.
7. Sun protection: Protect your skin from excessive sun exposure as it can further irritate KP. Apply a broad-spectrum sunscreen with a high SPF before going outdoors, and wear protective clothing to shield your skin.

Remember that natural remedies may not work for everyone, and results can vary. It’s important to be patient and consistent with any treatment method you choose. If your symptoms persist or worsen, it’s advisable to consult with a dermatologist for further evaluation and guidance.

Homeopathic medicines for Keratosis pilaris (KP)

1. Sulphur: This remedy is often indicated for dry, scaly, and itchy skin. It may be used when there is a burning sensation, worsened by heat, and a tendency to scratch the affected areas.
2. Calcarea Carbonica: It is suitable for individuals with thick, rough skin and a tendency to perspire excessively. This remedy is often used when KP is associated with other symptoms like sluggishness, weight gain, and sensitivity to cold.
3. Graphites: Graphites is considered when the skin is dry, rough, and thick with intense itching. It is indicated for individuals who may have a tendency to develop skin eruptions or eczema.
4. Natrum Muriaticum: This remedy is used when there is a tendency for dry, cracked skin and the presence of small, red or white pimples. It is often indicated for individuals who are reserved and sensitive.
5. Thuja Occidentalis: Thuja is considered when there are small, hard, wart-like eruptions on the skin. It may be used when there is a history of vaccination or suppressed skin conditions.
6. Arsenicum Album: It is indicated for individuals with dry, scaly skin and intense itching. Arsenicum album is often used when the symptoms worsen at night or from cold and the person feels restless or anxious.
7. Pulsatilla: This remedy is suitable for individuals with weepy, moist eruptions that are worse in warm rooms. It is often indicated for individuals who have a mild, yielding disposition and may feel better with open air.
8. Sepia: Sepia is considered when there are dry, scaly patches on the skin with intense itching. It may be indicated for individuals who feel exhausted, irritable, and have a decreased interest in activities.
9. Lycopodium: This remedy is used when the skin is rough and dry, with a tendency for it to worsen in cold weather. Lycopodium is often indicated for individuals who experience bloating, flatulence, and digestive disturbances.
10. Kali Sulphuricum: Kali sulph is indicated for dry, scaly skin with yellowish scales. It may be used when the symptoms are worse in warm and humid conditions.

Please note that this list is not exhaustive, and the selection of the appropriate homeopathic remedy should be based on a comprehensive evaluation by a qualified homeopathic practitioner. They will consider the individual’s complete symptom picture, medical history, and constitutional factors to prescribe the most suitable remedy.

Ayurvedic treatment for Keratosis pilaris (KP)

In Ayurveda, keratosis pilaris (KP) is often considered a result of imbalanced doshas, especially Vata and Kapha. Ayurvedic treatment aims to restore the balance of these doshas and promote overall skin health. Here are some Ayurvedic approaches that may be helpful in managing keratosis pilaris:

1. Dietary adjustments: Follow a balanced diet that includes fresh fruits, vegetables, whole grains, and lean proteins. Avoid processed foods, fried and oily foods, excessive caffeine, and spicy or sour foods, as they can aggravate imbalances in the doshas.
2. Internal herbal remedies: Certain Ayurvedic herbs can be beneficial for skin health. Neem (Azadirachta indica) and Manjistha (Rubia cordifolia) are commonly used to purify the blood and support healthy skin. Triphala, a combination of three fruits (Amalaki, Bibhitaki, Haritaki), may also help improve digestion and promote detoxification.
3. External oil massage: Regularly massaging the affected areas with warm herbal oils can help moisturize the skin and improve blood circulation. Ayurvedic oils such as coconut oil, sesame oil, or neem oil can be used for this purpose. Gently massage the oil into the skin in circular motions before bathing.
4. Udvartana (Herbal Scrub): Udvartana is a traditional Ayurvedic treatment that involves using a herbal scrub to exfoliate the skin. A mixture of chickpea flour (besan) and herbs like turmeric and neem can be used as a scrub. Apply the mixture to the affected areas, gently massage, and rinse off with lukewarm water.
5. Ayurvedic herbs for topical application: Some Ayurvedic herbs can be applied topically to help reduce inflammation and improve the appearance of the skin. Aloe vera gel, turmeric paste, and sandalwood paste are known for their soothing and healing properties.
6. Lifestyle modifications: Practice good hygiene and maintain proper hydration by drinking an adequate amount of water throughout the day. Avoid excessive sun exposure and protect your skin with natural sunscreens or by wearing protective clothing.

It’s important to remember that Ayurvedic treatments are individualized, and the specific approach may vary depending on your dosha imbalance and overall health. Consulting with an Ayurvedic practitioner is recommended to receive personalized advice and guidance tailored to your specific needs. They will be able to provide a more comprehensive evaluation and recommend a suitable treatment plan.

Complementary medicines for Keratosis pilaris (KP)

Complementary medicines can be used alongside conventional treatments to support the management of keratosis pilaris (KP). Although they may not provide a definitive cure, they can help alleviate symptoms and promote overall skin health. Here are some complementary approaches that you may consider:

1. Essential oils: Certain essential oils possess properties that can soothe and nourish the skin. Tea tree oil, lavender oil, and chamomile oil are known for their anti-inflammatory and calming effects. Dilute a few drops of essential oil in a carrier oil (such as coconut oil or jojoba oil) and apply it to the affected areas. However, always perform a patch test and consult with a healthcare professional before using essential oils, as they may cause irritation in some individuals.
2. Omega-3 fatty acids: Omega-3 fatty acids have anti-inflammatory properties and can help improve skin health. Incorporate foods rich in omega-3 fatty acids into your diet, such as fatty fish (salmon, mackerel, sardines), flaxseeds, chia seeds, and walnuts. Alternatively, you can take omega-3 supplements after consulting with a healthcare professional.
3. Vitamin A and E: Both vitamin A and E are important for skin health. Foods rich in these vitamins, such as carrots, sweet potatoes, spinach, almonds, and sunflower seeds, can be included in your diet. You may also consider taking vitamin A and E supplements after consulting with a healthcare professional.
4. Probiotics: Probiotics are beneficial bacteria that support gut health, which in turn can influence skin health. Consuming probiotic-rich foods like yogurt, kefir, sauerkraut, and kimchi, or taking probiotic supplements, may help promote a healthy balance of gut flora and potentially improve skin conditions like KP.
5. Herbal remedies: Certain herbs are traditionally used to support skin health and reduce inflammation. Examples include aloe vera, calendula, chamomile, and burdock root. These herbs can be consumed as herbal teas or applied topically as creams, lotions, or ointments. It’s advisable to consult with a healthcare professional or herbalist for appropriate dosages and guidance.
6. Dietary modifications: Some individuals find that certain dietary modifications help alleviate KP symptoms. Experiment with eliminating common allergens or trigger foods, such as gluten, dairy, or processed foods, to see if they have an impact on your symptoms. Keeping a food diary and monitoring how your skin responds can provide valuable insights.

Remember to consult with a healthcare professional before starting any new complementary medicines or supplements, especially if you have any underlying health conditions or are taking medications. They can provide personalized advice and help ensure that the approaches you choose are safe and suitable for your specific situation.

20 Acupuncture points for Keratosis pilaris (KP)

Keratosis pilaris is a common skin condition characterized by small, rough bumps on the skin, often appearing on the arms, thighs, and buttocks. Acupuncture is a traditional Chinese medicine technique that involves inserting thin needles into specific points on the body to promote healing and balance. 20 acupuncture points that are commonly used for promoting skin health and Keratosin Pilaris :

1. LI4 (Hegu) – Located on the back of the hand, between the thumb and index finger.
2. LV3 (Taichong) – Found on the top of the foot, between the big toe and the second toe.
3. SP10 (Xuehai) – Located on the inside of the knee, about 2 inches above the kneecap.
4. LI11 (Quchi) – Located at the outer end of the elbow crease.
5. ST36 (Zusanli) – Found below the knee, about 4 finger-widths down from the kneecap.
6. GB20 (Fengchi) – Located at the base of the skull, in the hollows on both sides of the neck.
7. LI20 (Yingxiang) – Located on the sides of the nostrils, where the face meets the cheekbone.
8. SP6 (Sanyinjiao) – Found about 4 finger-widths above the inner ankle bone, on the back of the calf muscle.
9. LU7 (Lieque) – Located on the inner forearm, about 1.5 inches above the wrist crease.
10. KD3 (Taixi) – Found on the inner ankle, in the depression between the Achilles tendon and the ankle bone.
11. PC6 (Neiguan) – Located on the inner forearm, about 2.5 inches above the wrist crease.
12. HT7 (Shenmen) – Found on the inner wrist, in the depression between the two tendons.
13. SP9 (Yinlingquan) – Located on the inside of the lower leg, about 3 inches above the inner ankle bone.
14. GB34 (Yanglingquan) – Found on the outer lower leg, in the depression in front of and below the head of the fibula.
15. LI2 (Erjian) – Located on the index finger, just below the nail on the radial side.
16. ST40 (Fenglong) – Found on the lower leg, about 2 inches below the kneecap and one finger-width off the shinbone.
17. KD6 (Zhaohai) – Located on the inner ankle, about 1 inch directly below the tip of the inner ankle bone.
18. LV8 (Ququan) – Found on the inner lower leg, about 4 inches above the inner ankle bone.
19. CV12 (Zhongwan) – Located on the midline of the abdomen, about 4 finger-widths above the belly button.
20. DU14 (Dazhui) – Found on the midline of the upper back, at the level of the shoulder blades’ lower tips.

It’s important to note that it’s always best to consult with a licensed acupuncturist who can assess your specific condition and provide individualized treatment based on your needs. Acupuncture should be used as a complementary therapy alongside conventional medical approaches for managing keratosis pilaris.

Dr Neeraj Kaushik, Founder Kaushik Acupuncture & Complementary Medicine