How to Treat Raised Scars on Joints: Effective Solutions and Myths - Dermatology

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Raised scars, particularly those that develop on joints or areas of frequent movement, can be a frustrating issue for many individuals. These types of scars, often referred to as hypertrophic scars or keloids, occur due to an overproduction of collagen during the healing process. When the skin is injured, the body naturally produces collagen to repair the tissue. However, in some cases, the body produces too much collagen, resulting in raised, thickened scars that can be itchy, painful, or aesthetically displeasing.


Effective Treatments for Raised Scars
1. Silicone Gel Sheets and Silicone Gel: One of the most widely recommended treatments for raised scars is the use of silicone gel sheets or silicone gel. These products have been shown to help flatten and soften scars over time. They work by hydrating the scar tissue and creating a protective barrier that can help regulate collagen production. For best results, silicone products should be used consistently for several months.

2. Steroid Injections: Corticosteroid injections can be effective in reducing the size and appearance of raised scars. These injections help to flatten the scar by reducing inflammation and collagen production. Typically, multiple sessions may be required, and the results can vary from person to person.

3. Laser Therapy: Laser treatments can be beneficial for improving the appearance of raised scars. Different types of lasers can target the scar tissue, helping to reduce redness and flatten the scar. This treatment is often performed in a series of sessions and can be tailored to the specific characteristics of the scar.

4. Microneedling: This technique involves using fine needles to create micro-injuries in the skin, which can stimulate collagen remodeling. Microneedling can be effective for improving the texture and appearance of raised scars.

5. Surgical Revision: In some cases, surgical intervention may be necessary, especially if the scar is particularly large or bothersome. A plastic surgeon can excise the raised scar and reclose the wound in a way that minimizes the chance of a new raised scar forming.

6. Pressure Therapy: For scars that are particularly thick or raised, applying pressure to the area can help flatten the scar over time. This is often done with specialized garments that apply consistent pressure to the scarred area.


Myths and Misconceptions
- Over-the-Counter Scar Creams: Many people wonder about the efficacy of over-the-counter scar creams, such as those containing ingredients like onion extract or vitamin E. While some individuals report positive results, scientific evidence supporting their effectiveness is limited. It's important to manage expectations and understand that results can vary widely.

- Natural Remedies: There are numerous natural remedies touted for scar treatment, but many lack robust scientific backing. While some may provide minor benefits, they are unlikely to be as effective as clinically proven treatments.

- Scars Will Always Be Raised: It's a common misconception that once a scar is raised, it cannot be improved. With the right treatment approach, many raised scars can be flattened and their appearance significantly improved.


Conclusion
If you are dealing with raised scars, especially in areas that are prone to movement, it is advisable to consult with a dermatologist or a plastic surgeon who specializes in scar management. They can assess your specific situation and recommend a personalized treatment plan that may include a combination of the therapies mentioned above. Remember, patience is key, as scar treatments often take time to show results. Additionally, maintaining a healthy lifestyle, including proper nutrition and hydration, can support your skin's healing process.