What is Eczema & the Treatment Available?

The Most Common Symptoms of Atopic Dermatitis Include

• Rashes erupting in the creases of joints such as the elbows or knees
• Skin surface, in areas afflicted by rash, likely to have a lighter or darker appearance, or it could even grow thicker.
• Small bumps develop and ooze fluid, on scratching them.
• In babies, the rash could appear on cheeks or scalp.
• Possible infections  if skin scratched till it bleeds.

This is an eczema that is caused by weakening of the skin's natural barrier. It leaves your skin susceptible to irritants and allergens.  Genetic makeup, dry skin conditions, immunity problems, external factors  like swimming, sports, and humid weather conditions can further intensify eczema, leading to bleeding or  infections when skin is scratched constantly, ultimately disfiguring the skin surface. Quite often, eczema patients have to make substantial lifestyle changes due to their condition.

Contact dermatitis (caused by allergic reactions) or dyshidrosis (appearance of blisters on hands and feet), is the other significant type of eczema that we come regularly across. This condition occurs when the skin comes in contact with certain allergy-inducing substances such as   detergents, paint, latex, nickel, poison ivy, perfumes, skin care products,  and tobacco smoke that irritate the skin or cause allergic reactions.

The Common Symptoms of Contact Dermatitis Are;

• The skin gets itches, turns reddish, feels burning, and stinging sensations.
• Itchy bumps, also known as hives can develop on the skin.
• Formation of fluid-filled blisters that could ooze and crust over.
• The skin surface may thicken and acquire a scaly or leathery look with time.

Types of Eczema Treatment

These are some of the common Eczema Treatments:

1) Eczema Creams and Topical Treatments

These are often the first line of defense in managing eczema symptoms.

• Over-the-Counter (OTC) Creams: These typically include hydrocortisone creams or antihistamine-based products to help reduce itching and inflammation. Some may also contain antibacterial agents to prevent secondary infections from scratching.
• Prescription Topicals: For more persistent or severe cases, doctors may prescribe stronger corticosteroids, calcineurin inhibitors (such as tacrolimus or pimecrolimus), or PDE4 inhibitors to target inflammation at a deeper level.

• Barrier repair moisturizers play an important role in managing eczema by supporting the skin’s natural protective function. In eczema-prone skin, the outer layer tends to be compromised, leading to increased moisture loss and vulnerability to irritants and allergens.

  These eczema moisturizers are typically formulated with skin-replenishing ingredients such as:

  • Ceramides – Help to reinforce the skin barrier and retain moisture.

  • Fatty acids and cholesterol – Work together to restore the lipid matrix and improve skin resilience.

  Some formulations also incorporate liposomal delivery systems, which may help improve how active ingredients are absorbed and distributed across the skin. Liposomes, made of phospholipids, can support more efficient delivery of hydration and barrier-repairing compounds, while being gentle on sensitive or inflamed skin.

  Regular use of these moisturizers can help reduce dryness, support the skin’s recovery, and contribute to better long-term eczema management.

2) Non-Invasive Eczema Treatment (Energy Devices)

• Phototherapy: Also known as light therapy, this eczema treatment  uses a machine to generate Ultraviolet B(UVB) light. Phototherapy is certified as a safe treatment since only healthy, and controlled amounts of UVB light are released, and even the procedure is conducted under medical supervision. This treatment reduces itching, and skin inflammation, apart from enhancing the skin’s bacteria-fighting ability.
• Ultrasound Therapy:  Using dual-frequency ultrasound waves, this treatment has the capability to regulate the dynamic processes involved in tissue production and destruction, which are the primary factors in the different aesthetical applications or treatment of dermatological conditions. This therapy basically uses physical energy to modulate the homeostasis of the skin and the subcutaneous tissues.

3) Medications

• Oral Medication
• Steroids
• Immunosuppressive Drugs to be taken orally : Usually prescribed in severe cases, these medications reduce inflammation by controlling the immune system response.
• Injectables Biologics: These medications work by specifically attacking the protein that causes the inflammation response.

Is There An Effective Eczema Treatment?

You must discuss these eczema treatment options with your doctor who will carefully monitor and regulate the use. This is to avoid overburdening your immune system. Dr Thean's approach to Eczema treatment is slightly different. Our treatment approach is to fortify the weak epidermis, so that the dermis regains health. This will reduce the inflammation which is different from the conventional medical eczema treatment that suppresses the skin’s overactive abnormal immune response.

Our doctor prescribe a treatment regimen with multiple different medical lasers, ultrasounds and energy-based devices. The use of multiple energy-based devices helps strengthen the overall health of the sufferer's skin. This treatment increases the amount of quality collagen, elastin and hyaluronic acid (HA) to diminish the inflammation in the dermis. As the skin’s collagen, elastin and hyaluronic acid are very important for its proper function. These components are essential for proper skin regeneration and its reduction is responsible for faster skin aging.

Multimodal energy-based treatments augment conventional treatments, the aim is to lessen and even eliminate the use of steroid creams entirely. Eczema should be viewed as a systemic disease and not only a skin disease. And every patient is unique. Therefore there can be no ‘one size fits all’ approach to treatment as well. We need to meticulously monitor and alter the settings,  frequencies, and deploy energy devices in accordance with your skin’s particular nature and requirements.

Some Tips to Control Eczema Outbreaks

Here are some tips to help prevent eczema flare-ups, manage symptoms, and keep your skin in order.