Cryotherapy for keloids at the joint site?
Doctor, I have a hypertrophic scar located on the outer side of my elbow.
A few days ago, I underwent cryotherapy, and now blisters have started to form.
The doctor advised me to wait for them to crust over and fall off on their own.
I would like to ask if, during the blister treatment period, there is a possibility that external forces could cause the scar to enlarge (for example, bending or pressing)? I lift weights, do push-ups, and play badminton daily, which involves bending my elbow.
Given that I have just undergone cryotherapy, is it possible that the continuous bending of my elbow could cause the keloid to enlarge?
Allen, 20~29 year old female. Ask Date: 2016/07/26
More Info
When it comes to understanding the healing process of hypertrophic scars, particularly after cryotherapy, it's essential to consider various factors that can influence the outcome. Hypertrophic scars, such as crab lice scars, can be particularly sensitive to mechanical stress and external forces during the healing phase.
Cryotherapy is a treatment method that involves freezing the scar tissue to promote healing and reduce its appearance. After undergoing cryotherapy, it is common for blisters to form as part of the healing process. These blisters are a natural response of the skin to the trauma inflicted by the freezing treatment. The doctor’s advice to allow the blisters to heal naturally and fall off is crucial, as this process helps in the regeneration of healthy skin.
However, engaging in activities that involve bending, pressing, or applying pressure to the elbow can potentially impact the healing of the scar. When you perform exercises like weightlifting, push-ups, or playing badminton, the repetitive motion of bending the elbow can create tension on the scar tissue. This tension may lead to increased irritation or trauma to the area, which could exacerbate the hypertrophic scar, potentially causing it to enlarge or become more pronounced.
The risk of hypertrophic scars worsening due to mechanical stress is well-documented in dermatological literature. It is generally recommended to avoid activities that may stress the healing tissue, especially during the initial healing phase after treatments like cryotherapy. This is because the skin is in a vulnerable state, and excessive movement can lead to inflammation and further scarring.
To mitigate the risk of worsening the scar, consider the following recommendations:
1. Limit Strenuous Activities: Try to reduce or modify activities that require significant bending or pressure on the elbow for at least a few weeks after cryotherapy. This includes weightlifting and any sports that involve repetitive elbow movements.
2. Protect the Area: If you must engage in physical activities, consider using a protective bandage or sleeve over the treated area to minimize direct pressure and friction.
3. Monitor the Healing Process: Keep an eye on the scar for any signs of increased redness, swelling, or pain. If you notice any of these symptoms, it may be a sign that the scar is being aggravated.
4. Follow-Up with Your Doctor: Regular follow-ups with your healthcare provider are essential. They can assess the healing progress and provide tailored advice based on your specific situation.
5. Consider Physical Therapy: If you find it challenging to avoid certain movements, consulting with a physical therapist may help. They can provide exercises that strengthen the surrounding muscles without putting undue stress on the scar.
In conclusion, while engaging in physical activities post-cryotherapy, it is crucial to be mindful of the potential impact on the healing process of hypertrophic scars. Taking precautions to protect the treated area and avoiding excessive strain can significantly contribute to a more favorable healing outcome. Always consult with your healthcare provider for personalized advice and to ensure that your recovery is on track.
Similar Q&A
Understanding Crab Lice: Symptoms, Treatment, and Relief Options
Hello, pharmacist: My relative experiences increasing redness and swelling after being bitten by mosquitoes, and he scratches the area, which affects his daily activities due to pain and itching. I would like to know if this is keloid formation? I found online that corticosteroid...
Dr. Li Yufen reply Dermatology
Hello: Based on your description, unless you have a predisposition to keloid formation (hypertrophic scarring), it is also possible that this is an allergic reaction to insect bites or a combined bacterial infection (due to scratching the itchy area). It is advisable to consult a...[Read More] Understanding Crab Lice: Symptoms, Treatment, and Relief Options
Understanding Scar Treatment: Cryotherapy for Hypertrophic Scars
1. Last year, after a boil on my back healed, I noticed that the scar from the boil was inexplicably raised and itchy. I visited a hospital for a consultation, and the doctor suspected it was a sebaceous cyst, so I underwent an outpatient procedure to have the tissue examined. Ho...
Dr. Wu Yuxin reply Dermatology
1. The pain is generally similar. 2. Cryotherapy is effective. 3. It will improve, but it cannot completely disappear.[Read More] Understanding Scar Treatment: Cryotherapy for Hypertrophic Scars
Impact of Bandaging After Cryotherapy for Warts: What You Should Know
I would like to ask the doctor about a growth on my left thumb. I visited a dermatologist who diagnosed it as a wart. After receiving cryotherapy, I am concerned about potential reinfection and touching the area, so I applied a breathable adhesive bandage at home. Will this affec...
Dr. Li Yufen reply Dermatology
Hello: For a detailed introduction to viral warts, you can refer to the article on Care Online at https://www.careonline.com.tw/2017/08/warts.html. Using breathable adhesive bandages will not affect the treatment's efficacy. If the skin condition does not improve or worsens,...[Read More] Impact of Bandaging After Cryotherapy for Warts: What You Should Know
Persistent Viral Warts: Seeking Effective Treatment Options
Hello, I had a viral wart on the sole of my foot with a diameter of 0.5 cm, which required weekly cryotherapy for two years at the hospital before it was cured. Towards the end of the foot treatment, I noticed a transparent small spot resembling eczema on my hand. After consultin...
Dr. Li Yufen reply Dermatology
Hello: Regarding the causes and treatment of viral warts, you can refer to the article on the Dermatology Expert Health Network at http://www.drskincare.com.tw/Qa/Detail.aspx?ID=52. Concerning the latest findings of 20 lesions, it is difficult to determine the exact disease based...[Read More] Persistent Viral Warts: Seeking Effective Treatment Options
Related FAQ
(Dermatology)
Pubic Lice(Dermatology)
Winter Itch(Dermatology)
Wound Healing(Dermatology)
Insect Bites(Dermatology)
Viral Warts(Dermatology)
Scar(Plastic Surgery)
Tinea Pedis(Dermatology)
Folliculitis(Dermatology)
Bromhidrosis(Dermatology)