Post-Shoulder Arthroscopy: Scar Concerns and Heat Therapy

Shoulder arthroscopy issues?

I underwent arthroscopic surgery due to ligament laxity and it has been 50 days post-operation.
I would like to ask: 1.
One of the scars feels hard to the touch and there seems to be something underneath.
Could it be a screw or something else? During my follow-up appointment, the doctor examined it briefly and mentioned it was just scar tissue and not to worry, but I would like to hear another doctor's opinion.
2.
Is heat therapy beneficial for my current condition? Thank you for taking the time to respond!

oreo, 10~19 year old female. Ask Date: 2017/09/30

Dr. Chen Yongxue reply Orthopedics

Hello, it should be a scar.
Thank you.

Reply Date: 2017/09/30

More Info

After undergoing shoulder arthroscopy, it's common to have concerns about the healing process, especially regarding scar tissue and the effectiveness of heat therapy. Let's address your questions one by one.

1. Scar Tissue Concerns: It's not unusual for surgical scars to feel hard or have a different texture compared to the surrounding skin. This hardness is often due to the formation of scar tissue, which is a natural part of the healing process. Scar tissue can sometimes feel like there is something underneath it, but this is typically just the fibrous tissue that forms as part of the body's repair mechanism. In some cases, if the scar tissue is particularly thick or raised, it may be referred to as hypertrophic scarring or keloids, which can occur after surgery.
Your doctor’s reassurance that the hardness is just scar tissue is a positive sign, but if you have persistent concerns, it might be worthwhile to seek a second opinion or consult with a specialist in physical medicine and rehabilitation. They can assess the scar more thoroughly and determine if any further intervention is necessary. In rare cases, if there are concerns about foreign bodies (like surgical pins or screws), imaging studies such as an ultrasound or X-ray may be warranted to rule out any complications.

2. Heat Therapy: Heat therapy can be beneficial in the post-operative phase, particularly for promoting blood flow and relaxing tight muscles around the surgical site. Applying heat can help alleviate stiffness and improve mobility, especially if you are experiencing tightness in the shoulder area. However, it's essential to use heat therapy appropriately.
In the initial stages after surgery (usually the first few weeks), ice therapy is often recommended to reduce swelling and manage pain. As you progress in your recovery, heat can be introduced to help with muscle relaxation and to prepare the area for stretching and strengthening exercises.
When using heat therapy, ensure that you apply it for a limited time (about 15-20 minutes) and avoid using it on areas that are swollen or inflamed. Always listen to your body; if heat increases your discomfort, it may be best to revert to ice or consult your healthcare provider for tailored advice.

In summary, the hardness of your scar is likely a normal part of healing, but if you have ongoing concerns, consider seeking further evaluation. Heat therapy can be beneficial as you recover, but it should be used judiciously and in conjunction with other rehabilitation strategies. Always follow your surgeon's or physical therapist's recommendations for the best outcomes in your recovery journey.

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