The purpose of this study is to evaluate the therapeutic effect of shockwave therapy on reducing pruritus in neurodermatitis patients.

Based on the occurrence of side effects caused by conventional medication for prolonged employment, dermatologists and patients show solicitude for multifaceted effective methods to control the chronic and relapsing nature of neurodermatitis.

Although new modalities are continuously coming up for pruritus, there remains a great gap for providing symptom relief.

Furthermore, there is a lack in the quantitative knowledge and information in the published studies about benefits of shockwave therapy on the treatment of pruritus in neurodermatitis patients. So, this study is designed to outline the therapeutic efficacy of shockwave therapy on the treatment of pruritus in neurodermatitis patients.

Inclusion Criteria:

• Age range between 55:75 years.
• Male and female patients will participate in the study.
• All patients have neurodermatitis.
• All patients will be received the same approach of medication and nursing care.
• All patients enrolled in the study will have their informed consent.

Exclusion Criteria:

• Patients diagnosed with cancer.
• Pregnant woman.
• active infection.
• Patients with any systemic diseases that may interfere with the objectives of the study.
• Cardiac pacemakers or other implantable devices.
• Current anticoagulation use.
• Any other cause of itching