Published on: 3/17/2025
Hot and itchy legs might be caused by changes in blood flow or nerve signals, which can happen in conditions like chronic venous disease or neuropathic itch.
When your legs feel both hot and itchy, it may be due to more than one process. One possibility is that your veins are not working as well as they should, a situation known as chronic venous disease. When blood doesn’t flow back to the heart smoothly, it can cause your legs to become warmer and irritated. This extra heat might trigger an itch response in your skin. Another possibility is that the nerves in your legs are sending mixed signals—this is called neuropathic itch. Sometimes, the nerves that normally help sense temperature and touch can go a bit awry. This can make you feel heat and itch even if nothing else is wrong. In addition, there is growing understanding that our skin can react to temperature changes with itching. If your legs continue to feel hot and itchy, it may be a good idea to talk with a healthcare provider who can look at your circulation and nerve function. They can help determine the cause and suggest treatments to ease these symptoms.
(References)
Paul JC, Pieper B, Templin TN. Itch: association with chronic venous disease, pain, and quality of life. J Wound Ostomy Continence Nurs. 2011 Jan-Feb;38(1):46-54. doi: 10.1097/won.0b013e318202c47a. PMID: 21287771; PMCID: PMC3086353.
Murota H, Katayama I. Evolving understanding on the aetiology of thermally provoked itch. Eur J Pain. 2016 Jan;20(1):47-50. doi: 10.1002/ejp.777. Epub 2015 Sep 28. PMID: 26415614; PMCID: PMC5055078.
Oaklander AL. Neuropathic itch. Semin Cutan Med Surg. 2011 Jun;30(2):87-92. doi: 10.1016/j.sder.2011.04.006. PMID: 21767768; PMCID: PMC3139924.
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