I've been dealing with this weird sensation, especially during winters for the past 15 years, where it feels like a bunch of needles are trying to poke out of my skin. It's really intense and usually happens when I'm out in the sun or doing some physical activity. The only time it goes away is if I remove my clothes and touch something cold or scratch my body like crazy. It's getting worse, to the point where just being outside for a short time sets it off, and it's really hard to control, especially around other people. I've also started noticing these red patches on my skin wherever I feel the needle-poking sensation, and it's really worrying me because it's affecting my daily life and work. I've tried bathing with cold water in the winter, which seems to help a bit, but I'm looking for a more permanent and sensible solution. Any ideas on what this could be and how I can manage it better?

Answered by 1 Apollo Doctors

Dr Shubham Chauhan

General Practitioner

MBBS
4+ Yrs

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I understand that you're experiencing a distressing and debilitating sensation, often referred to as "pins and needles" or paresthesia. This sensation can be intense and disrupt daily life.

Potential Causes

Considering your symptoms, here are some potential causes:

Cholinergic Urticaria: A skin condition characterized by hives, itching, and a burning sensation, often triggered by heat, stress, or physical activity.

Solar Urticaria: A rare condition where exposure to sunlight triggers an allergic reaction, leading to hives, itching, and redness.

Heat Urticaria: A condition where heat triggers an allergic reaction, leading to hives, itching, and redness.

Dry Skin: Dry skin can cause itching, irritation, and a prickling sensation, especially in cold weather.

Nerve Disorders: Certain nerve disorders, such as neuropathy, can cause paresthesia, numbness, or tingling sensations.

Recommended Steps

To better understand and address your condition:

Consult a Dermatologist: Schedule an appointment with a dermatologist to discuss your symptoms and undergo a thorough examination.

Dr. Shubham Suggests...

Consult a Dermatologist

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Answered 04/07/2025

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