First, I would like to say what an invaluable resource this board is. The information posted by all of the knowledgeable contributors is much better and more thorough than anything I received from local spa retailers.
The issue I had was putting in a spa last summer, over $10,000 for spa, deck, landscaping, etc. First few months everything was great; my wife, kids, and I loved it and used it regularly. Then came the dreaded rash and kinda painful itch, on me only. Called the dealer and was told probably due to low Ph. Corrected the Ph, still itched. Was told nothing about bacteria growth, CYA levels, etc. A google search for "hot tub itch" led me here thankfully. First tried the method of draining the spa, and washing down the tub and cover with a bleach solution and then refilling. No luck, rash reappeared immediately. Needless to say this was very disappointing and discouraging to not be able to use the spa after all the expense and time putting it in.
I read another post here that finally was the "miracle cure" for the itch. The process used was drain the spa completely, wipe down any residue, refill to an inch or two above the normal water line, add bleach to bring the FC up to 20-30 ppm, run spa for a couple of hours with heater off, while also making sure to turn any diverter valves to both extremes to sanitize all areas. I also drained this water afterwards (may have been overkill) and then refilled. Balanced chemicals normally using Dichlor, dry acid, etc. Bought a Taylor test kit (what a difference that makes from using test strips only), stopped using Dichlor after the CYA level reached a level below 30, which is the smallest measurement the kit can register, and then switched to Clorox bleach. NOR MORE RASH OR ITCH!!
A couple of conclusions can be drawn. Information is the key, and it seems the best information does not always come from the local dealer. I was told when I bought the spa to stay on a regimen of checking chlorine every 2-3 days and add 2 tsp if low, shock with non chlorine shock after every use, keep TA up at 150 ppm. I should mention that using this method the first time I tested the CYA level it was way over 100. The dealers method in hindsight is very "cookie cutter" and was not effective for the heavy bather load for me. I think he was emphasizing the simplicity of water care over effectiveness.
It really only takes a few minutes now to balance the water once a day using the Taylor kit, and keeping the FC levels up is a piece of cake if done routinely-once a day during light use, adding 3-4 oz Clorox Bleach after heavy use. Also adding a teaspoon or two of dry acid when needed to bring the Ph down. Very easy and much more effective than the Dichlor only method.
Thanks to all who have posted here and provided such great information. ChemGeek's analysis about chlorine's lack of effectiveness as CYA rises was very informative. After the expense of putting in a spa, I certainly am not using Bleach as the sanitizer to save money; the savings is insignificant, but the effectiveness is beyond doubt.
SoCal Hot Tub, AKA NoMoItch!