How Soon After Brain Surgery Can You Safely Scrub Your Scalp? - Neurosurgery

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After intracranial hemorrhage surgery, how long can one exert force on the scalp?


I had a craniotomy for intracranial hemorrhage seven years ago.
Today, I went to a salon for a shampoo, and the stylist pulled my hair a bit too hard, which made me worried.
Can I apply pressure to my scalp several years after the surgery? Will it affect the internal healing from my previous surgery? I'm feeling a bit anxious about it!

@Gui, 50~59 year old female. Ask Date: 2019/01/09

Dr. Zhao Shaoqing reply Neurosurgery


After the stitches are removed, observe the wound for 2 weeks.
If the healing condition is good and there is no drainage, it is acceptable.

Reply Date: 2019/01/09

More Info


After undergoing brain surgery, particularly for conditions like intracranial hemorrhage, it is crucial to follow specific guidelines regarding scalp care and physical activities to ensure proper healing and avoid complications. In your case, having had surgery seven years ago, you might feel concerned about the safety of scrubbing your scalp, especially after applying some force during a recent visit to a beauty salon.

Generally, after brain surgery, the scalp and the underlying tissues go through a healing process that can vary significantly from person to person. The initial healing phase typically involves the closure of the surgical incision and the recovery of the scalp tissue. Once the stitches are removed and the wound has healed well, patients are usually advised to avoid any activities that could put pressure on the surgical site for a certain period. This includes vigorous scrubbing or pulling on the scalp.

In your case, since it has been seven years since your surgery, the risk of affecting the internal structures from external pressure is significantly lower than it would be shortly after the operation. The brain and surrounding tissues typically heal and adapt over time, and the risk of complications decreases as the years pass. However, it is essential to consider that individual healing processes can vary, and some people may experience lingering sensitivity or issues even years after surgery.

While it is unlikely that scrubbing your scalp after such a long time would directly affect the internal surgical site, it is always wise to listen to your body. If you experience any unusual symptoms such as increased pain, swelling, or neurological changes (like headaches, dizziness, or vision changes), it is advisable to consult your healthcare provider. They can assess your situation more accurately and provide personalized advice based on your medical history.

Moreover, it is essential to maintain good scalp hygiene without being overly aggressive. Gentle washing and avoiding harsh chemicals or excessive force can help keep the scalp healthy while minimizing any potential irritation. If you have concerns about your scalp or any lingering effects from your surgery, discussing these with a neurologist or neurosurgeon can provide peace of mind and ensure that you are taking the best care of your health.

In summary, while it is generally safe to scrub your scalp after seven years post-brain surgery, it is crucial to be gentle and attentive to your body's signals. If you have any doubts or experience discomfort, do not hesitate to reach out to your healthcare provider for further guidance.

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