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Gently disinfect the area with a disinfectant solution you can find in the first aid kit. Do not forcibly remove dry crusts as new skin forms underneath. Beware of infection.
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It is possible to swim with scars in both salt and fresh water. However, it is recommended to start at least one month after healing. After bathing, lubricate yourself.
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We recommend playing sports with the exception of contact sports. The duration of sport activity is individual and depends on the patient’s condition and the type of sport performed.
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Skin discolouration is part of the after-effects of an injury and persists for years after the injury. In people with dark skin, they can sometimes persist for life.
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A fresh scar must not be exposed to the sun. A minimum of two seasons without sun exposure is recommended. If possible, use UVA and UVAB protection factors greater than 30.
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The treatment of itching is multifactorial. We recommend mainly routine changes – dietary modification (no irritating foods), cotton underwear, more frequent ventilation of the room, minimising overheating and sweating, limiting bathing, showering with lukewarm water (no more than 35°C), using non-irritating soaps and cotton towel (dry yourself gently by patting the area without rubbing).
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A hypertrophic scar is a deviation from normal scarring, where the scar is stiff and grows beyond the edge of the skin. Hypertrophic scars are typical in children. Hypertrophy diminishes over time and can be very well influenced by rehabilitation.
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A keloid scar is one of the pathological scarring reactions of the skin, but it is not always associated with trauma. Unlike a hypertrophic scar, the edges of a keloid scar overgrow the edge of the original skin lesion (injury) and the scar “grows”. Keloid scar healing has a high risk of recurrence and the success rate of local treatment is less compared to a hypertrophic one.
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.
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- 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
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- 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
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- 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.
