Timing of the massages, stretches and exercises is vital as starting too early may re-injure the newly formed tissue and starting too late may mean that adhesions have already formed. With new scars, the experienced massage therapist can apply appropriate tension to the scar to guide the collagen formation into more organised lines and promote circulation. In older scars, the tissue can be manipulated to break adhesions and increase the mobility in the scar and desensitise the area.
For superficial scars, home management is to apply a vitamin E rich oil and gently massage the scar daily while it is healing following the approval of your consultant or physiotherapist.
For scar tissue underneath the skin, massage may still be applied but might be difficult to determine the exact location if not instructed exactly where. Older injuries may benefit from foam rolling and stretching exercises. Being a wound care professional is often a lot like being a detective. You have to decide what caused the wound, what is contributing to its not healing and how you are going to get it to heal. View the discussion thread. Important Notice: The contents of the website such as text, graphics, images, and other materials contained on the website "Content" are for informational purposes only.
The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. The content is not intended to substitute manufacturer instructions. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition or product usage.
Refer to the Legal Notice for express terms of use. Skip to main content. Submitted by Cheryl Carver on April 28th, Pain Management , Scar Management. Blog Category:. Clinician Education , Patient Issues. Scar Types Depending on the type of injury, such as burns or stab wounds, the wound may develop one of several different types of scars. Traumatic scars: When a significant injury to the skin heals, it leaves a traumatic scar.
Traumatic scars frequently cause abnormal sensations, pain, and itching. Traumatic scars may affect patients physically, psychologically, and socially. Patients can develop depression and anxiety over scar disfigurement, especially patients with burn wounds. Examples are chickenpox and acne scars. Contractures scar tightening : Contractures are located over joints.
When the scarring involves the muscles and nerves over a joint, contractures will make it difficult to move and will cause pain. Their color is normally a red plaque that forms on tissues after an injury.
The location of keloids often appears on the earlobe, breastbone, shoulder, back, and face. Surgical scars: Large or deep surgical incisions can take six to eight weeks to heal. Stretch marks: In skin that has quickly expanded or shrunk, the connective tissues underneath may become damaged, causing stretch marks. These are commonly known to occur during pregnancy or after gaining or losing a substantial amount of weight.
Related patient condition:. Scar Management. Adhesions are bands of tissue that form between organs and abdominal tissues, sometimes making them stick together.
That can lead to bowel obstruction or chronic pain in the abdomen. Pelvic adhesions that form after gynecological surgery lead to pain and infertility in some women. Surgical techniques, including using certain types of suture or creating adhesion barriers, can reduce pelvic adhesions.
Surgery is a form of trauma. That scar can demonstrate itself in many different ways. At the skin level, a thickened, whitened, elevated scar, called a hypertrophic scar, can develop.
Keloids occur when collagen buildup creates a larger, puffy-looking scar that grows beyond the boundaries of the surgical wound. Gels, silicone scar sheets and related products might be enough to even out skin color and improve the texture of a superficial surgical scar.
Injections, such as steroid compounds, can change the appearance, texture and size of elevated scar tissues. Other injectable treatments fill in caved-in scars. Surface treatments such as dermabrasion, laser or light therapy or chemical peels may also improve the appearance of scars.
A dermatologist can guide you through cosmetic scar-revision choices. With deeper scar tissue, Yueh says, patients complain about a sense of tightness rather than sharp pain. It really depends on the surgeon and what the issue is. Also, ask whether minimally invasive surgery is an option.
Moving your joints the right way after surgery not only improves function, it helps prevent excess scar tissue from forming.
0コメント