Is itching a sign a wound is healing?

Itching can be part of the stage where a scar forms, but itchy skin can also be an early sign of venous insufficiency. The sensation on its own does not tell you which it is.

It can be. It is not only that, and this is one place where a reassuring folk belief and the medical facts don’t quite line up.

Itching is part of ordinary healing. In the stage where a scar forms and the wound becomes stronger, you may notice that the area itches as healing continues. After the scab falls off, the area may look stretched, red and shiny. So itching has a place in the normal sequence, and it comes late in it.

The difficulty is that itching can also describe something else entirely. With venous ulcers, blood pools in the veins of the lower leg. Fluid and blood cells leak out into the skin and other tissues. This can cause itchy, thin skin and lead to skin changes called stasis dermatitis. That is an early sign of venous insufficiency. Itching and tingling are among the early signs, along with leg swelling, heaviness and cramping, and dark red, purple, brown, hardened skin.

Early sign and late stage of healing are opposite conclusions, and the sensation alone does not tell them apart.

What separates them is context rather than the itch itself: where it is, what the skin around it looks like, and whether a wound is closing or a leg is changing. Those are observations, and they are the kind an exam is for.

The practical reading: itching during the closing stage of a wound is a normal part of healing and is not in itself a cause for alarm. But treating any itch as proof of healing reads more into it than the facts support, especially on a lower leg.

What to watch for

Avoid picking at or scratching the scab. This can interfere with healing and cause scarring.

On the lower legs, itching and tingling are among the early signs of venous insufficiency, together with leg swelling, heaviness and cramping, and dark red, purple, brown, hardened skin. Itching that comes with any of those is worth mentioning rather than waiting out.

Contact a provider about signs of infection: redness, increased pain, or yellow or green pus, or excessive clear fluid around the injury.

Wound Wizard is general education and cannot assess your wound or your skin. Your own clinician is the right person to ask.

What we look at

  • Examining the wound and the skin around it
  • Identifying the type of wound and what caused it
  • Looking for skin changes on the lower legs
  • Building a treatment plan based on what they find

Sources

  1. How wounds heal — MedlinePlus, U.S. National Library of Medicine https://medlineplus.gov/ency/patientinstructions/000741.htm
  2. Venous ulcers - self-care — MedlinePlus, U.S. National Library of Medicine https://medlineplus.gov/ency/patientinstructions/000744.htm