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Practical guidance often includes: Washing the back once or twice daily with a gentle cleanser Using a pH-balanced or non-alkaline cleansing product designed for sensitive or acne-prone skin Avoiding aggressive scrubbing, which can irritate the skin and worsen inflammation Rinse the skin thoroughly after exercise or heavy sweating Some people find it helpful to use long-handled cleansing brushes or body cloths to reach the mid- and upper-back more effectively