Teenagers with moderate-to-severe eczema (atopic dermatitis) can still participate in sports, but it requires a proactive approach to minimize flare-ups. Sweat, friction, temperature extremes, and even stress from competition are common triggers, meaning standard athletic routines often need adjustment.
Why This Matters
Young people with atopic dermatitis tend to engage in sports less often, potentially missing out on the physical and psychological benefits of athletic activity. This isn’t just about comfort; reduced exercise can affect overall health and confidence. Understanding how to manage eczema in a sports setting ensures teens don’t have to choose between their skin and their passion.
Gear and Hygiene: A First Line of Defense
Sports uniforms and equipment are rarely designed with eczema in mind. Materials like nylon, polyester, and spandex can trap heat and irritate skin. The solution is a moisture-wicking barrier – 100% cotton or bamboo underlayers are ideal.
Equally crucial is hygiene. Athletic gear should be cleaned immediately after use with fragrance-free detergent in hot water (followed by machine drying to kill bacteria). Non-washable equipment requires disinfectant wipes, ensuring complete drying before storage. Sharing towels, razors, or any personal items is a no-go to prevent infections.
Pre-, Mid-, and Post-Game Skin Care
A skin-prep routine is key. Before activity, apply a National Eczema Association-certified fragrance-free moisturizer as a protective barrier. During flares, reapply moisturizer or use prescription topicals as directed by a doctor. Anti-chafing products like Glide or Cavilon spray can provide instant relief. Gently patting away sweat, staying hydrated, and using cool compresses are quick fixes.
Post-activity, immediate removal of sweaty clothes is essential. Hot showers strip skin of oils, so opt for lukewarm or cool water with a gentle cleanser. Moisturize within 90 seconds of showering. For athletes prone to secondary infections (like impetigo), diluted bleach baths or mupirocin ointment may be helpful, but always consult a dermatologist.
Empowering Teen Athletes: Self-Advocacy
If discomfort or stigma prevents participation, encourage teens to communicate with coaches and staff. Openly discussing eczema and requesting accommodations (breaks during practice, modified gear) can make a significant difference. Support groups like the National Eczema Association and MyEczemaTeam offer valuable peer support and shared strategies.
Ultimately, teenagers with atopic dermatitis can continue playing sports with proper preparation and management. Prioritizing skin health alongside athletic goals is possible, but it requires awareness, adaptation, and proactive care.
