STRETCHING

Scars have one very unpleasant characteristic and that is to limit the range of motion in the areas where they are located. Regular exercise is very important to prevent scar shortening and the development of deformities.

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Exercise every day,
even if you feel that stretching has no effect.
Take advantage of every situation
to stretch the scarred areas.
Do not try extreme positions
(risk of tearing the scar).
Do not exercise
through pain.
Focus on regularity.
 
Gradually and carefully increase
the range of movement.
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Especially in the initial stages, the scar tissue is extremely dynamic and active and tends to contract. If the scar extends over or near the joints, the pull of the scar will limit the range of motion. You can prevent this by active exercise – stretching. It is necessary to perform it several times a day according to the instructions. If active exercise does not help, passive splinting can be added to maintain the correct position of the joints and prevent contractures.

All three practices complement each other. Only by combining them will you achieve better scar healing.

pressure
Moisturizing
stretching
Stretching exercises

ITCHING

Itching is an uncomfortable and bothersome sensation that leads to compulsive scratching and accompanies the scar maturation process, most commonly in burns. It is related to the release of local factors that irritate peripheral nerves. It peaks around the sixth month after healing and its origin is multifactorial. Itching can limit quality of life, especially in children.

Treatment is based on routine measures, topical and general preparations. The available methods often need to be combined.

  • Routine measures

    • Dietary modification (no irritating foods)
    • cotton underwear
    • more frequent ventilation of the room
    • minimise overheating and sweating
    • limit bathing, prefer showering with lukewarm water (no more than 35 °C), use non-irritating soaps and cotton towels

  • Topical treatment

    • is based on intensive moisturizing (dry skin is more itchy), products with aloe vera are preferred
    • in acute cases cooling will help
    • massage also helps by reflex mechanism

  • Systemic treatment

    • Antihistamines and other medications (psychopharmaceuticals) prescribed by a specialist

    Manifestations of neuropathic scar pain are common and are related to chaotic nerve ingrowth into the scar. Treatment is usually pharmacological and should be carried out by a specialist. Common analgesics (e.g. ibuprofen) usually have little effect on reducing pain.