At The Doctor’s Practice, we support patients experiencing symptoms consistent with Topical Steroid Withdrawal (TSW), also known as Red Skin Syndrome. Based in Birmingham, we support patients from across the UK with personalised, doctor-led care and advanced, non-steroidal treatment options.
At The Doctor’s Practice, we focus on active treatment and recovery, not just managing symptoms.
Our doctor-led approach is designed to:
All prescriptions are carefully managed by our doctors to ensure your safety, and we emphasise the importance of ensuring topical steroids are safe when used under medical supervision.
Some therapies are specifically designed to reduce inflammation and manage it effectively, helping to control symptoms and promote long-term skin health.
Cold Atmospheric Plasma Therapy
Topical Steroid Withdrawal (TSW) is a complex skin condition that can occur after stopping prolonged use of topical corticosteroids, commonly prescribed for conditions such as eczema and psoriasis. The medical term ‘topical steroid withdrawal’ refers to the range of symptoms and skin reactions that may develop when topical steroids are discontinued, especially after long-term use.
Over time, the skin can become dependent on steroid cream. When steroid creams are discontinued, patients may experience severe rebound symptoms that can significantly impact daily life.
TSW is becoming increasingly common as awareness of the condition grows, and understanding the difference between TSW and eczema can help patients and clinicians make safer decisions about steroid use.
TSW is typically associated with:
Concerns about the long-term use of medicines, including topical steroids, can influence patient decisions and increase the risk of withdrawal.
Understanding the underlying cause is key to developing an effective, personalised treatment plan for topical steroid withdrawal.
Patients often see the most transformational results following treatment.
Book a thorough aesthetic consultation with Dr Rinku or Dr Bik, GMC-registered doctors.
Aesthetic procedure are carried out in clinic. Most procedures take around 20–30 minutes.
We will provide you with all of the aftercare you need following your treatment.
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As a CQC regulated, doctor-led clinic based in Edgbaston, The Doctors Practice provides a level of expertise and safety that sets us apart from non-medical providers. We serve patients from across Birmingham and surrounding areas including Wolverhampton, Walsall, Solihull and Sutton Coldfield.
Yes, it’s a non-invasive treatment proven to reduce inflammation and promote skin healing without harmful side effects.
Yes, Topical Steroid Withdrawal (TSW) is officially recognised as a severe adverse reaction to long-term or inappropriate steroid cream use by the UK’s Medicines and Healthcare products Regulatory Agency (MHRA). While the MHRA acknowledged TSW in 2021 and updated labeling to include warnings, challenges remain in clinical practice regarding diagnosis and management.
Yes, we have successfully treated many patients from across the UK with positive results.
Treatment starts from £150.
We recommend starting with a 20-minute consultation, available in person, by telephone, or via video. This allows our dedicated doctor to assess your symptoms and create a tailored treatment plan.
This therapy uses cold plasma energy to target inflamed skin, reducing redness and killing bacteria while promoting skin regeneration. It’s painless, quick, and highly effective.
Yes, we provide non-steroidal therapies and lifestyle advice, including dietary guidance and stress management, to complement medical treatments.
Yes, by using steroids only as prescribed, avoiding long-term or high-potency use, and tapering them off gradually. If you have concerns, consult a healthcare professional.
Bring a list of your current medications, a summary of symptoms, and details of past treatments. This helps us design a personalised care plan tailored to your needs.
Topical steroid withdrawal (TSW) is increasingly recognised as a condition distinct from eczema. Dr Rinku Ratti explains the medical evidence, why TSW occurs, how it differs from chronic eczema, and what genuinely helps — from careful withdrawal to supportive therapies
Written by Dr Rinku Ratti, GP & Skin Health Specialist TSW Skin disease doesn’t just live on the surface. For many patients with eczema or dermatitis, disrupted sleep, reduced confidence, lost school or work days, and anxiety are daily realities.
A refined, evidence-based look at how this treatment works beneath the skin — written by a doctor. Written by Dr Rinku Ratti MBBS (London) BSc (Hons) DRCOG DFFP MRCGP Level 7 Masters in Aesthetics Private GP, Cosmetic Doctor & Women’s
