Managing Keloids: Effective Treatments for Pain and Discomfort - Dermatology

More Info

---

Managing keloids can be quite challenging, especially when they cause pain and discomfort. Keloids are raised scars that occur due to an overproduction of collagen during the healing process of the skin. They can develop after injuries, surgeries, or even spontaneously without any apparent cause. Your experience with keloids, particularly the itching and pain you are experiencing, is not uncommon.
The first step in managing keloids is to consult with a dermatologist or a healthcare provider who specializes in skin conditions. They can assess the severity of your keloids and recommend appropriate treatment options. Here are some effective treatments that can help alleviate pain and discomfort associated with keloids:
1. Corticosteroid Injections: These are commonly used to reduce inflammation and flatten keloids. The injections can help relieve itching and pain. Typically, a series of injections is required, and while they may not completely eliminate the keloid, they can significantly reduce its size and discomfort.

2. Cryotherapy: As you mentioned, liquid nitrogen treatment can be effective in reducing the size of keloids. This method freezes the keloid tissue, which can help flatten it over time. However, multiple sessions may be necessary, and it is often used in conjunction with other treatments like corticosteroid injections.

3. Silicone Gel Sheets or Silicone Gel: Applying silicone gel sheets or silicone gel to the keloid can help flatten it and reduce discomfort. These products are often recommended for long-term use and can be effective in managing keloids.

4. Laser Therapy: Laser treatments can help reduce the redness and size of keloids. They work by targeting the blood vessels within the keloid and can also help with pain relief. This treatment may require several sessions for optimal results.

5. Surgical Removal: In some cases, surgical excision of the keloid may be considered, especially if it is causing significant pain or discomfort. However, there is a risk of the keloid returning, sometimes even larger than before. Therefore, this option is usually combined with other treatments, such as corticosteroid injections or radiation therapy, to minimize the chance of recurrence.

6. Radiation Therapy: This is sometimes used after surgical removal of keloids to prevent them from returning. It is a more advanced treatment and is typically reserved for severe cases.

7. Topical Treatments: Over-the-counter treatments that contain ingredients like hydrocortisone may provide temporary relief from itching and discomfort. However, these are generally less effective for reducing the size of keloids.

8. Avoiding Irritation: As you noted, it is essential to avoid scratching or irritating the keloid, as this can exacerbate the condition. Keeping the area moisturized and protected can help reduce discomfort.

In conclusion, managing keloids effectively often requires a combination of treatments tailored to your specific situation. It is crucial to work closely with a healthcare provider to determine the best course of action for your keloids. They can help you navigate the various treatment options and find a solution that minimizes pain and discomfort while addressing the keloid itself. Remember that while some treatments may not provide immediate relief, consistency and patience are key in managing keloids effectively.