Exfoliate Patches.

Sarah, I am neither a dermatologist or skin-care expert. But I would have concerns that using an exfolliant to remove the scaly build-up would risk damage to the potentially raw skin underneath. I do not know which ones are "natural", but there are issues that even with what seems to be the mildest of product, someone might find that they have a sensitivity to one of the ingredients. I have seen comments in these forums that some people soften the scales with moisturiser or oil (eg coconut oil) or a combination of both, and then very gently scrape the scales off with a fingernail. However, I do not know if that does anything to reduce itching. Hopefully someone else with more experience will be able to add more to help you.

Hi Sarah, I use a combination of coconut oil and granulated sugar. I do this whilst soaking in a bath with either dead sea salt or raw coconut oil as it softens the patches. You do have to do it very gently as to not damage the skin underneath. x