Radiation therapy is one of the treatments used for cancer. It uses high-energy radiation to destroy cancer cells. However, the skin in the area receiving radiation may become more sensitive and irritated during treatment.
Some people may experience skin redness, darkening, dryness, itching, burning, or tightness. In some cases, the skin may peel or develop sores. Skin reactions vary from person to person and may continue for a period of time after radiation therapy has finished.
Proper skin care during radiation therapy can help reduce irritation and discomfort and support the skin’s recovery.
6 Ways to Care for Skin in the Radiation Treatment Area
1. Wear Soft, Loose-Fitting Clothing
Choose loose, comfortable clothing made from soft and breathable fabrics, such as cotton. This can help reduce friction and pressure on the skin receiving radiation.
Avoid tight clothing or fabrics that may rub against the treated area.
2. Avoid Scratching, Scrubbing, or Rubbing the Treated Area
Skin exposed to radiation may become more sensitive and easily irritated. Avoid scratching, scrubbing, or rubbing the treated area, as this may cause further irritation or damage to the skin.
If you experience itching, burning, or other skin changes, inform your radiation therapy team.
3. You Can Shower, but Be Gentle with Your Skin
In general, you can shower during radiation therapy. Use lukewarm or comfortably warm water and avoid very hot water.
After showering, gently pat the skin dry with a soft towel instead of rubbing it.
4. Do Not Apply Creams, Lotions, Powders, or Other Products Without Medical Advice
The skin in the radiation treatment area requires special care. Some products, particularly those containing fragrance or alcohol, may cause additional irritation.
However, this does not necessarily mean that all moisturizers must be avoided. Certain moisturizers may be appropriate for some patients when recommended by their radiation therapy team.
Always ask your doctor, radiation therapist, or nurse which products are appropriate for your skin.
If the skin is broken or has an open wound, consult your healthcare team before applying any product.
5. Avoid Extreme Heat and Cold
Avoid applying direct heat or cold to the radiation treatment area, such as hot water bottles, heating pads, or ice packs.
Extreme temperatures may increase skin irritation. You should also protect the treated area from direct sunlight.
6. Avoid Shaving, Waxing, or Using Hair Removal Products on the Treated Area
Shaving, waxing, or using hair removal creams may irritate or injure sensitive skin.
It is generally recommended to avoid these activities on the radiation treatment area unless your healthcare team advises otherwise.
What Should You Do If Your Skin Changes During Radiation Therapy?
During radiation therapy, the skin may become:
- Red or darker
- Dry or tight
- Itchy or irritated
- Painful or burning
- Peeling
- Blistered or sore in some cases
The severity of skin reactions varies between individuals. It can depend on factors such as the area being treated, the radiation dose and technique, and whether other cancer treatments are being given at the same time.
Tell your radiation therapy team if you notice significant skin changes, open wounds, fluid discharge, severe pain, or worsening symptoms.
Your healthcare team can assess your skin and recommend appropriate treatment and care.
Frequently Asked Questions About Skin Care During Radiation Therapy
Can I take a shower during radiation therapy?
Yes. You can generally shower during radiation therapy. Use lukewarm water, avoid very hot water, and gently pat the treated area dry rather than rubbing it.
Can I apply cream or lotion after radiation therapy?
The use of creams or moisturizers should follow the advice of your radiation therapy team. Some moisturizers may be suitable, while others may irritate sensitive skin.
What should I do if my skin feels burned after radiation therapy?
Radiation therapy may cause redness, dryness, itching, burning, or peeling. Avoid scratching or rubbing the area and avoid extreme heat or cold. Contact your radiation therapy team if the symptoms become severe or continue to worsen.
Can I shave the area being treated with radiation?
It is generally recommended to avoid shaving with a razor on the treated area because it may cause additional irritation or injury to sensitive skin.
Will my skin return to normal after radiation therapy?
Skin changes vary from person to person. Some reactions may continue for a period of time after treatment and gradually improve. Your healthcare team can advise you on what to expect based on your treatment and individual condition.
Important Advice
Skin care during radiation therapy should always follow the recommendations of your radiation oncologist, radiation therapist, nurse, or other healthcare professionals involved in your care.
Because every patient’s treatment plan and skin condition are different, do not apply medications, creams, or other products to the radiation treatment area without first consulting your healthcare team.
