Post-Surgery Itching: Causes and When to Seek Help - Dermatology

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Postoperative itching of the skin?


Hello Doctor: I am 52 years old.
When I was a teenager, I had a corn on my foot that was successfully removed through surgery.
However, in the past year, the surgical site has been itching frequently.
What could be the reason for this? Do I need to see a doctor? Thank you for your patience in reading and answering my question.

Mǎshā, 50~59 year old female. Ask Date: 2020/12/27

Dr. Li Yufen reply Dermatology


Hello: It may be necessary to check if there is any scar tissue left from the previous surgical site or if there are any other skin abnormalities.
If the skin condition does not improve or worsens, it is advisable to consult a nearby dermatologist for diagnosis and treatment.
Thank you!

Reply Date: 2020/12/27

More Info


Post-surgery itching is a common phenomenon that can occur for various reasons. In your case, since you had a wart (commonly referred to as a "chicken eye") removed from your foot many years ago, the itching you are experiencing at the surgical site could be attributed to several factors.

1. Healing Process: After any surgical procedure, the body goes through a healing process that can involve inflammation and the regeneration of nerve endings. This can lead to sensations of itching as the skin heals. It is a normal part of the healing process, especially if the surgery was relatively recent or if the area has been disturbed in any way.

2. Scar Tissue Formation: The formation of scar tissue can also lead to itching. As the skin heals, the collagen fibers reorganize, and this can create tension in the surrounding skin, leading to itchiness. Scar tissue can be less flexible than normal skin, which may contribute to discomfort and itching.

3. Dry Skin: Sometimes, the skin around a surgical site can become dry, especially if it has been exposed to various elements during the healing process. Dry skin can lead to itching, and moisturizing the area may help alleviate this symptom.

4. Allergic Reactions: If you have used any topical treatments or ointments on the area, it is possible that you could be experiencing an allergic reaction to one of the ingredients. This can manifest as itching, redness, or irritation.

5. Nerve Regeneration: After surgery, nerves that were cut or damaged can regenerate, and this process can sometimes cause itching or unusual sensations in the area. This is often temporary and should resolve as the nerves heal.

6. Infection: Although less common, if there are signs of infection (such as increased redness, swelling, warmth, or discharge), this could also lead to itching. Infections require prompt medical attention.

Given that you have been experiencing this itching for a year, it is advisable to consult with a healthcare professional. While itching can be a normal part of the healing process, persistent or worsening symptoms should be evaluated to rule out any underlying issues, such as infection or abnormal scar formation.
When you visit your doctor, they may perform a physical examination and ask about any other symptoms you may be experiencing. They might also inquire about your skincare routine, any products you have used, and whether you have noticed any changes in the area. Depending on their findings, they may recommend treatments such as topical corticosteroids to reduce inflammation and itching, or they may suggest other interventions if necessary.

In summary, while itching at a surgical site can be a normal part of the healing process, it is important to monitor the symptoms and seek medical advice if the itching persists or is accompanied by other concerning symptoms. Your healthcare provider will be able to provide you with the best guidance based on your specific situation.

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