Unusual Sensation Near Scar: When to See a Doctor? - Surgery

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My foot feels a bit strange?


I have a large scar on the outside of my thigh from a previous cut, and the scar is quite prominent.
Recently, I've noticed that the area around the scar (including the scar itself) feels a bit strange when I touch it, almost like it's numb.
I can feel it when I touch it, but it feels as if there's a thick layer of cardboard between my fingers and my skin.
This condition has been present for quite some time.
Should I see a doctor? Which specialty should I consult? Will medication help?

Da Nü Hai, 10~19 year old female. Ask Date: 2005/08/30

Dr. Li Junde reply Surgery


Hello, big girl: The scar itself has altered sensation due to the partial destruction of nerve endings from the previous injury.
You may experience decreased sensitivity, numbness, or occasional sharp pain during nerve regeneration.
These are normal post-injury symptoms, and you should continue to monitor them.
If the area expands or the scar changes, you will need to see a general surgeon or a neurosurgeon for evaluation.

Reply Date: 2005/08/30

More Info


When experiencing unusual sensations near a scar, such as a feeling of numbness or a sensation akin to having a thick layer of material over the skin, it is advisable to consult a healthcare professional. This type of sensation can be indicative of several underlying issues, including nerve damage, scar tissue formation, or even complications related to the healing process of the wound.

In your case, the sensation you describe sounds like it could be related to a phenomenon known as "neuropathy," which can occur when nerves are damaged during the healing process. This can lead to altered sensations in the area surrounding the scar. Additionally, the presence of scar tissue can sometimes create a feeling of tightness or altered sensation, as the skin and underlying tissues may not have fully returned to their normal state.

It is important to consider the duration and persistence of these symptoms. If the unusual sensation has been present for an extended period and is not improving, it would be wise to seek medical advice. You should consider making an appointment with a dermatologist or a general practitioner. A dermatologist specializes in skin conditions and can assess the scar and surrounding tissue for any abnormalities. A general practitioner can also evaluate your symptoms and refer you to a specialist if necessary.

During your visit, the doctor will likely perform a physical examination of the scar and the surrounding area. They may ask about your medical history, the nature of the injury that caused the scar, and any other symptoms you may be experiencing. Depending on their findings, they might recommend further diagnostic tests, such as nerve conduction studies or imaging tests, to assess the condition of the nerves and tissues in that area.

As for treatment, it will depend on the underlying cause of your symptoms. If the sensation is due to nerve damage, treatment options may include physical therapy, medications to manage pain or discomfort, or even interventions to improve nerve function. In some cases, topical treatments or injections may be recommended to help alleviate symptoms associated with scar tissue.

In summary, if you are experiencing unusual sensations near a scar that have persisted for some time, it is advisable to see a doctor. A dermatologist or general practitioner would be appropriate specialists to consult. They can provide a thorough evaluation and determine the best course of action for your specific situation. Early intervention can often lead to better outcomes, so it is always better to err on the side of caution when it comes to your health.

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