Keloids on the Elbow: Causes and Treatment Options

A keloid has formed on the elbow joint?

Hello, when I was 20 years old, I bumped my elbow against a wall and developed a keloid measuring about 2 cm in length and 0.5 cm in width, with a raised area of about 0.3 cm that has since scabbed over.
It has been painful whenever I touch it or bump into something.
I consulted the school physician, who said it is due to my skin type and does not require treatment.
Is that true? Thank you.

A-Kai, 20~29 year old female. Ask Date: 2012/08/04

Dr. Guo Fengsheng reply Dermatology

Local steroid injections can also be considered as a treatment option to improve the appearance of scars.

Reply Date: 2012/08/04

More Info

Keloids are a type of raised scar that occurs when the body produces too much collagen during the healing process after an injury. They can develop after various types of skin trauma, including cuts, burns, surgical incisions, and even minor injuries like the one you described when you bumped your elbow against a wall. The fact that your keloid has been present for several years and is painful upon contact suggests that it may be causing discomfort and could potentially benefit from further evaluation.

Causes of Keloids
Keloids form as a result of an overproduction of collagen, which is the protein that helps heal wounds. The exact cause of keloid formation is not fully understood, but several factors may contribute to their development:
1. Genetic Predisposition: Some individuals are more prone to keloids due to their genetic makeup. If you have a family history of keloids, you may be at a higher risk.

2. Skin Type: Keloids are more common in individuals with darker skin tones, although they can occur in anyone.

3. Location of Injury: Certain areas of the body, such as the chest, shoulders, and earlobes, are more prone to keloid formation.

4. Type of Injury: The severity and type of injury can influence keloid formation. Even minor injuries can lead to keloids in susceptible individuals.

Treatment Options
While your school physician may have suggested that no treatment is necessary, it is essential to consider the impact of the keloid on your quality of life, especially if it is painful or bothersome. Here are some treatment options that may be considered:
1. Corticosteroid Injections: These can help reduce inflammation and flatten the keloid. Multiple sessions may be required for optimal results.

2. Surgery: Surgical removal of the keloid is an option, but it carries the risk of recurrence, often leading to the keloid returning larger than before.

3. Silicone Gel Sheets: These can be applied to the keloid to help flatten it over time. They are a non-invasive option and can be used in conjunction with other treatments.

4. Cryotherapy: This involves freezing the keloid with liquid nitrogen, which can help reduce its size.

5. Laser Therapy: Laser treatments can help flatten keloids and improve their appearance, although multiple sessions may be necessary.

6. Pressure Therapy: Applying pressure to the keloid using specialized dressings can help flatten it over time.

7. Radiation Therapy: This is sometimes used after surgical removal to prevent recurrence.

Conclusion
While your physician's advice may be appropriate based on your current situation, it is essential to monitor the keloid for any changes in size, color, or pain level. If the keloid continues to cause discomfort or if you are concerned about its appearance, seeking a second opinion from a dermatologist or a plastic surgeon specializing in scar management may be beneficial. They can provide a comprehensive evaluation and discuss the most suitable treatment options tailored to your specific needs. Remember, the goal of treatment is not only to improve the appearance of the keloid but also to alleviate any associated discomfort.

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