Changes in appearance can negatively affect body image and confidence. Patients with scars do not have as many treatment options available to address their psychological burden. Providers tend to lack training in identifying and managing these psychosocial issues. References 1. Martin P, Nunan R. Cellular and molecular mechanisms of repair in acute and chronic wound healing.
Br J Dermatol. Jagdeo J, Shumaker PR. Traumatic Scarring. JAMA Dermatol. American Academy of Dermatology. Scars: overview. Accessed April 13, About the Author Cheryl Carver is an independent wound educator and consultant. Carver's experience includes over a decade of hospital wound care and hyperbaric medicine. Carver single-handedly developed a comprehensive educational training manual for onboarding physicians and is the star of disease-specific educational video sessions accessible to employee providers and colleagues.
Carver educates onboarding providers, in addition to bedside nurses in the numerous nursing homes across the country. The views and opinions expressed in this blog are solely those of the author, and do not represent the views of WoundSource, Kestrel Health Information, Inc. As I reflect on , and I try to think of words to describe it, connected is not a word that I would use. If nothing else, last year isolated us mentally, physically, and emotionally. I have said for years that wound care The use of wet-to-dry dressings has been the standard treatment for many wounds for decades.
However, this technique is frowned on because it has various disadvantages. In this process, a saline-moistened dressing is applied to the wound bed, left to dry, and removed, generally within four to 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. Scar tissue refers to thick, fibrous tissues that take the place of healthy ones that have been damaged. Healthy tissues may be destroyed from a cut, significant injury, or surgery.
Tissue damage may be internal, so scar tissue can form postsurgery or as a result of disease. This is because nerves in the area may have been destroyed along with healthy body tissues. But over time, scar tissue may become painful as nerve endings regenerate. Scar tissue can also become painful over the course of an internal disease.
The amount of pain can also vary based on the severity of the initial wound as well as its location on your body. Sometimes scar tissue can be painless. On the other hand, exterior scar tissue can be painful. Some of the symptoms of scar tissue pain include:. You may still feel pain and stiffness at these sites, especially if the scar tissue starts affecting the surrounding joints. Such is the case with knee or spinal scar tissue, as well as scar tissue formed following surgeries of the face, or from medical procedures like hysterectomies.
In some cases, pain from scar tissue is noticeable right away. In others, the pain may come on years later. Sometimes this has to do with nerves that develop after the injury itself heals. Another possibility is that a severe burn or a deep wound can eventually affect underlying bones and joints, leading to subsequent pain at the site of the scar tissue. For internal damage, the pain may develop as a result of the scar tissue taking place of healthy tissues, such as in the case of lung and liver diseases.
As your condition progresses, you may feel pain from a lack of functioning of these body parts, along with other related symptoms. For example, scar tissue that develops in your lungs can be a result of pulmonary fibrosis. You might experience a painful cough along with shortness of breath, achy joints, and fatigue. Fibrosis or cirrhosis of the liver may not be painful at first, but the scar tissues that accumulate may cause jaundice, fluid retention, and bruising of the skin.
Despite your level of pain, treatments are available for scar tissue and its uncomfortable symptoms and appearance. Talk to your doctor about the following approaches.
Scar tissue on the skin may be corrected via cosmetic surgery techniques, such as excisions or skin grafting. These may be viable options if you have significant aesthetic concerns along with pain.
This may be the case with third degree burns, severe wounds from an accident, or other injuries. The downside to corrective surgery is that the process could lead to additional scarring, such as keloid scars.
Therefore, your plastic surgeon will determine whether the new scar would be far less significant than the original scar tissue. If the answer is yes, then revision or removal techniques could bring more relief that can outweigh the risk of additional scarring. This is because the initial scar tissue could go away on its own without needing additional procedures. Scar tissue from burns, cuts, and severe acne may respond to dermabrasion or laser therapy.
Sometimes scars are visible after an injury and can clearly be seen with the naked eye such as with burn wounds or cuts from surgery. When tissue is torn and starts repairing itself, it lays down collagen fibres, which are the building blocks of all types of tissue.
Because the body wants to heal the tissue as quickly as possible, it lays the collagen fibres down haphazardly instead of in neat rows as with the surrounding healthy tissue. This causes the scar tissue to be thicker and less tensile than healthy tissue and often becomes a source of pain. Superficially, the scar might become raised and have slightly unusual colour.
Scar tissue can become tight or contracted or attach itself to surround structures such as the myofascial layer or even surrounding nerves and blood vessels.
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