Scar Care Hints and Tips

By Amy Price PhD

Scar care can make a difference in how you heal. In Europe and Canada scar aftercare is taught following an injury or surgery. It is important that the scar is allowed to heal shut before any attempt is made to cover it with silicone or massage it.

Your doctor is the best one to advise you about the best time to start. If the scar becomes hot, oozes, or bleeds a lot get medical attention. If the area turns black, is extremely painful or very dark, smells,or has dark lines leading way from the wound get it checked by a doctor. Remember some emergency rooms have as high as a 30%return visit ratio so being seen in emergency does not necessarily mean all is well.

If dissolving stitches were used to repair the wound follow your doctors advice for care. The surgeon who repaired my hand and wrist suggested using antibiotic ointment with Zinc oxide until the wound healed and using hand sanitizer for the areas that contained pins. I was urged not to get it wet because the pins go into the bone and infection can become systemic if bacteria is allowed to enter.

Once the wound has healed gentle massage using cream, vitamin E, olive oil, evening primrose oil will keep the area lubricated and help soften it. I was advised to use small circular motions in both directions to break up adhesions and to promote circulation. Gentle but firm consistent pressure is needed. Getting over enthusiastic can re-injure tissue and cause inflammation.

Silicone pads cut to the wound size are very effective in taking away redness,and to reduce raised scars. It does take a few weeks to show results so be patient. The silicone pads can be bought as washable reusable patches that last about a month or as disposable patches that you use and throw away.Best results come from leaving the patches on about 12 hours at a time. They should not be used on open wounds because of the risk of infection. First aid tape can be used to keep the scar sheet in place. Avoid getting it wet. If you are allergic to silicone there are polymer patches that work the same way.

Silicone gel is good to use on areas like knuckles, elbows or the face. It is very important to protect the scarred area from sun exposure for at least two years to avoid damage to skin.

If you are unfortunate enough to experience a road rash scar keep it covered and moist until the skin underneath heals. Burn dressings available at a pharmacy work quite well. Keep it clean with saline and antibiotic ointment rather than using hydrogen peroxide or other harsh disinfectants that will burn and damage the skin underneath. If it is a large area using a cut up tube sock over the dressing can protect it. Remember to keep the dressing and the area clean to promote healing.

Diet makes a difference this is a good time to eat fruits and vegetables plus sufficient protein. Fish oil, vitamin C and antioxidants will help to promote healing.

This Post is for educational patient to patient purposes only and is not meant to treat, diagnose or take the place of medical care or advice.

Immediate Post Surgery Wound Care Hints

By Amy Price PhD

After surgery wound care could be better addressed. The advice is usually to ice the area for twenty minutes at a time and don't get it wet for 48 hours to 21 days depending on the procedure because of infection risks. Who are they kidding...After bleeding, being washed down with iodine and being touched,probed,cut and stitched by hands I have no personal relationship with all that I want is a bath or a shower!

The risk of infection is serious as it can travel to your bones or become systemic and cause more damage than the original problem. It can travel through open places in the wound or through the stitching which acts as a wick. Until the area has healed over it is best not to swim or use a hot tub because of bacterial risks. It is important to follow your doctor's advice for changing dressings etc. If the area becomes hot to the touch, swells rapidly,starts pulsing or you start to run a fever get your doctor's advice.

To shower after spine and cervical surgery I purchased a silicon swim cap as this is completely waterproof and less irritating than latex. I cut generous pieces which I placed over the wound and taped it in place with duct tape. For arms and legs I used umbrella bags, big ones for leg and smaller for arm areas. I placed them over top of the dressing and bandage and taped this in place. You will still need to exercise care and try not to get the area wet...a bath could be a bad idea! If it gets a little damp in spite of all precautions gently dry the area, put on topical antibiotic and replace the dressing.

If this was an emergency room visit remember emergency rooms will only stabilize you, they have no obligation to provide treatment beyond this. An emergency room visit needs follow up with a doctor. At emergency if you have tendons exposed insist on being seen by a specialist on call. I had three fingers all with tendon avulsions stitched up with no repairs. It took a year of occupational and physical therapy to get the function back. A word to the wise...if you have broken something and they have splinted, cast or wrapped it and it starts to smell bad or the exposed areas turn dark and lumpy go back to the hospital. They don't mean literally black, if it darkens substantially, swells and get worse rather than better have this checked out. With a temporary cast the swelling can cut off the circulation and the tissue starts to die. I almost lost a hand this way as I was told if it turns black come back, since it cost me 10,000 dollars for the emergency room appearance and 273 dollars for a bandage available at the dollar store.I really wasn't up for a repeat visit!

The ice is easy in principle but not so easy for the drugged and injured to apply. Some people travel for surgery and it is a considerable time before they are at home to ice. Do yourself a favor and buy some instant ice at a pharmacy before your procedure or get the surgery to supply you with a couple of extra packs for the trip home. The ice takes down swelling and eases pain while helping your body heal. At home consider the wound site. An awkward area like the elbow,knees or shoulders may be best with a bag of frozen peas which will bend to the shape. A posterior neck surgery may benefit from an emptied and refilled with water large soda bottle (don't freeze the soda it explodes). Ask a family member or friend to do ice duty day and night. If you are like me and don't want to ask anyone for anything consider that you can buy them a gift, take them to dinner or return the favor. It is an investment in your healing. Be nice to those who care enough to be available, they do not benefit from you getting an attitude because you feel bad that you need the help and being thankful can go along ways towards preserving relationships

There will be a follow up post on scar care soon. This information is for educational purposes only and does not constitute medical advice. That is your doctor's assignment.