Treatment Options for Back Acne

By Kathy Roberts


Although the name might seem amusing, bacne (medically coined acne vulgaris of the back), isn't a skin ailment that is funny or fun to deal with. If you are dedicated to finding a back acne remedy, it is essential to first understand acne causes, prevention methods and the different types of back acne treatments.

Causes of Back Acne

Acne vulgaris, or simply acne, is an inflammatory response concentrated in the pilosebaceous units, or PSUs. PSUs consist of the hair and the hair follicle, a sebaceous gland and the corresponding sebum it manufactures and the skin pore. The sebaceous gland produces sebum, an oil, to moisturize and protect the skin. Whenever the pore (the opening to the skin surface) becomes clogged, sebum cannot make its way out and therefore begins to collect within the follicle. The force of the sebum traveling through the follicle, in addition to this backup, damages the cells lining the canal. The body's immune reaction to this injury is what turns the skin red and makes it swell (causing the common pimple).

Contrary to traditional thought, the main cause of acne is not bacteria but the injury caused to the follicular canals by sebum. An imbalance in hormones is the main contributing factor for increases in sebum and its forceful output.

Although not the main cause of acne, bacteria do participate in the manifestation of acne. The acne-causing bacterium, P. acnes, is found naturally in the skin. It is when the follicle is ruptured that bacterium, along with sebum and dead skin cells, pours into the dermis, causing infection.

The contributing factors that cause the blockage of skin pores also play a role, although less essential, in the appearance of acne. Sebum, especially hardened sebum due to a lack of essential fatty acids in the body, and excess dead skin cells are the main culprits.

Other contributors, especially for acne on the back, are the use of tight clothing and not bathing after exercising. Both create an environment conducive to bacteria growth and contribute to oil buildup.

Back Acne Prevention

Now that you are better educated on the causes of acne, you can effectively prevent back acne.

Even though we can't control the onset of puberty or our genetic makeup, there are ways we can better control sebum production. Hormones signal increased sebum production when they are affected by high stress levels. Finding a stress reduction method that works for you is most important, however, some include exercising, meditation or yoga, deep breathing exercises, and simple improvement of one's time management skills.

By increasing your consumption of essential fatty acids, you can easily avoid the pore-blocking hardening of sebum. You can easily do this by purchasing Omega-3 supplements, which include fish, cod liver or flax seed. You can also decrease the chance of clogging pores by exfoliating the back with light scrubs or a loofah sponge.

Additionally, you can manage the amount of P. acnes bacteria inhabiting your skin with proper cleansing. Always follow exercise with a shower and invest in a wardrobe of loose clothing that breathes well.

Back Acne Treatment

To clear up back acne, you can follow a treatment regimen similar to that used against acne of the face:

Benzoyl peroxide and salicylic acid are the most common over-the-counter products recommended to get rid of back acne. Both dry the skin to reduce superficial oil and can cause more severe irritation. Unfortunately, benzoyl peroxide has recently been discovered to cause damaging free radicals.

Doctor prescribed retinoids activate the retinoid receptors, which in turn can minimize the appearance of fine lines, shrink pore size and decrease sebaceous gland activity and size. These prescriptions are known to cause excessive drying of the skin and sensitivity to the sun's rays. Isotretinoin, a retinoid known by the brand name Accutane, is often the last step for severe acne on the back.

Prescription antibiotics, oral or topical, can be prescribed by doctors to control the population of bacteria in the skin. They also decrease the numbers of irritating chemicals made by the white blood cells when responding to injury. Some side effects include nausea, sun sensitivity, skin discoloration and also vaginal yeast infections in women.

To clear back acne, especially severe bacne, you should see your general practitioner or dermatologist. Even though you are better equipped to choose a bacne treatment after reading this article, we have only provided a general overview on the types of treatment available; by visiting your dermatologist, he or she will carefully review your symptoms, family history, skin type, etc. to best recommend a treatment for you.




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