Can Ice Packs Help Relieve Pain and Itching from Keloids? - Dermatology

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Hello, I would like to ask if it is okay to apply ice packs when keloids are itchy or painful?


I have two keloids on my chest.
During the summer, they occasionally hurt and itch.
I would like to know if I can apply ice packs, or if there are any treatments available?

Xiao Pang Mei, 30~39 year old female. Ask Date: 2016/05/04

Dr. Wu Yuxin reply Dermatology


Cold compresses can be applied.
Generally, local corticosteroid injections are often used; they can flatten the area and improve it, but they cannot completely eliminate it.

Reply Date: 2016/05/04

More Info


Keloids, or hypertrophic scars, are raised areas of scar tissue that develop at the site of an injury or incision. They can be itchy, painful, and often become more pronounced during warmer weather. The discomfort associated with keloids can be frustrating, and many individuals seek relief from symptoms such as pain and itching.

Using ice packs can indeed provide temporary relief for the discomfort associated with keloids. Cold therapy works by constricting blood vessels, which can reduce inflammation and numb the area, thereby alleviating pain and itching. When applying an ice pack, it is essential to wrap it in a cloth or towel to prevent direct contact with the skin, which can cause frostbite. Apply the ice pack for about 15-20 minutes at a time, allowing the skin to return to normal temperature before reapplying.

In addition to cold therapy, there are several other treatment options available for managing keloids:
1. Topical Treatments: Over-the-counter creams containing silicone can help flatten keloids and reduce itching. Silicone sheets or gels are commonly recommended for their effectiveness in scar management.

2. Corticosteroid Injections: A dermatologist may recommend corticosteroid injections directly into the keloid. These injections can help reduce inflammation and flatten the keloid over time.

3. Cryotherapy: This treatment involves freezing the keloid with liquid nitrogen, which can help reduce its size and alleviate symptoms.

4. Laser Therapy: Laser treatments can help reduce the redness and size of keloids. This method can also improve the texture of the scar.

5. Surgical Removal: In some cases, surgical excision of the keloid may be necessary. However, there is a risk that the keloid may return after surgery, so this option is usually considered when other treatments have failed.

6. Pressure Therapy: Applying pressure to the keloid using specialized dressings can help flatten it over time. This method is often used in conjunction with other treatments.

7. Antihistamines: If itching is a significant issue, oral antihistamines may help alleviate the itching sensation.

It is important to consult with a healthcare professional or dermatologist before starting any treatment for keloids. They can provide a proper diagnosis and recommend the most appropriate treatment based on the size, location, and symptoms of the keloids. Additionally, they can help monitor for any potential complications or side effects from treatments.

In summary, ice packs can be a helpful and simple method to relieve pain and itching associated with keloids. However, for long-term management and treatment, it is advisable to explore other options in consultation with a medical professional.

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