Sunday February 17, 2019

Scars: Types and Treatment

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Blood Tests now available on mobile phones.
Blood Tests now available on mobile phones.
  • Scars are of many types
  • Scars’ treatment varies from type to type
  • It is important to treat scars as per their types

“Scars are tattoos with better stories”. The stories might be very interesting to hear, but the truth is that most of these stories are nevertheless based on some painful moments.

The most superficial injuries like superficial burns and abrasions will heal by epithelialization (formation of tissue over the wound), without any scar formation. But scars are inevitable in deeper injuries.  For many, scars aren’t too bad if they are found in a place easy to cover or are too small to be of any measurable significance.

To save your skin from the scars, make sure to treat them  as per their types.
To save your skin from the scars, make sure to treat them as per their types. Same Condition
Scar tissue

The scar formation rate depends on certain factors like the age of the individual, the site of the wound, the wound healing time, and also the skin tension.  Scars of the wounds on the trunk of younger patients, which may heal slowly probably due to infection, take longer to mature. Also, scars that have a lot of tension across them will take a longer time to mature than scars in older people and in thin-skinned areas, which heal rapidly. These scars have minimal tension across them. Surgical incisions that are made along the tension lines leave minimal and usually acceptable scars. These skin tension lines are where the maximum tension is found when the skin is in a relaxed position. The incisions made across these lines lead to the big, bad, and ugly scars.

There are many types of scars and the treatment mode for each of them is dependent on the factors mentioned above along with their types.

Some of the types and their treatment approaches are listed below.

Scar Treatment

Also Read: Radiations from gadgets may increase the risk of miscarriage: study

Pigmentation altered:

Scars are mostly hyperpigmented and when they are present in the areas likely to be noticed, it is advisable to cover them up with cosmetic camouflage or tattoos!!(if possible).

Tattooed scars:

During the process of healing, the implantation of any foreign object like dirt or soot can result in the formation of a tattooed scar, wherein the foreign object would be seen through the pigmentation of the scar. This type of scar can be prevented by taking adequate treatment steps in the beginning, with proper wound management by brushing off the foreign material from the abrasions. The treatment of these scars in the later stage is very difficult.

Hypertrophic Scars:

In some instances, some scars go through the process of formation or remodelling to be exact, longer than usual. Such scars become hypertrophic scars. These scars are red, raised, itchy and painful and finally become pale and mature. These scars most commonly occur in children and in wounds where the healing is delayed probably due to infection.

The occurrence of such a scar can be controlled by a quiet primary healing. But, even if the scar does occur, massage of the scar with moisturizing cream or the application of pressure to the scar can speed up the process of maturation. Scar revision surgery is usually done if the scars cross the skin tension lines or in the event of any wound healing complication. Otherwise, the revision is avoided as there are chances of the scars occurring again.

Also Read: Novel stroke treatment repairs damaged brain tissue

Keloid scars:

The major differentiating characteristic between a hypertrophic and a keloid scar is the lack of spontaneous resolution of the latter into a pale scar. There is an extreme growth of tissue beyond the boundaries of the original wound and it most commonly occurs in the Afro-Caribbean and oriental racial groups. It is surprising to note that they often occur in wounds that healed without any complication. The common locations of occurrence of this type of scar are the central chest, the back, shoulders, and the ear-lobes. It is difficult to treat this type of scar. Treatment options include the application of external pressure, injection with steroids (triamcinolone), surgical resection etc. Yet, the most successful and documented method so far has been a combination of surgery and radiotherapy or cryotherapy.

Acne Scar Treatment:

This is one of the most common issues faced by teens and adults alike. The best approach towards avoidance is to prevent the formation of acne in the first place and follow the recommended diet and hygiene practices. But if the situation is already out of control, consult your dermatologist who might recommend a microdermabrasion, commonly known as the chemical peel. You can also ask him about other options like Fractional laser therapy and laser resurfacing.

Scars' type and treatments is very important to know in order to save your skin. Same Condition
Scars’ type and treatments is very important to know in order to save your skin. Same Condition
Some more treatment modalities:

The options available are of course plentiful but no single method is considered safe or effective. Read on to find out some innovative inventions. But always consult your dermatologist to see if it’s a viable option for you.

  1. Compression by silicone gel sheeting: The anti- keloidal effect of silicone is believed to work by increasing the temperature, hydration and probably the oxygen tension of scar. No formal reports are available for this theory. But, this method has been in use since the early 1980s to treat hypertrophic burn scars with successful therapeutics effects to its advantage.
  2. Cordran tape: A surgical tape containing steroid (flurandrenolide), that has been known to soften the hypertrophic and keloid scars.
  3. Interferon therapy: The interferons by their antifibrotic action prevent the hypertrophic scar formation.
  4. Onion extracts: There are some products available, with this composition, over the counter without any prescription. Even though it was initially considered a placebo, some studies have shown a real correlation between the healing and these products. Safer to use on smaller scars!
  5. Topical vitamin E formulation: Vitamin E has also shown significant benefits in the treatment of scars and there are products available, over the counter, containing hydrocortisone, silicone and Vitamin E.

Always consult your dermatologist, even before buying the “over the counter” products. Your skin is safe as long as you keep it safe. Same Condition

Scars: Types and Treatment

Next Story

Can Medical Cannabis Help Autistic Children?

The Council of Scientific and Industrial Research (CSIR) is doing a research on the medicinal use of cannabis for treating diseases like cancer, epilepsy and sickle cell anaemia.

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Uninsured Children, U.S.
The Council of Scientific and Industrial Research (CSIR) is doing a research on the medicinal use of cannabis for treating diseases like cancer, epilepsy and sickle cell anaemia. VOA

Cannabis treatment for teenage patients with autism is well-tolerated, safe and effective option to relieve symptoms including seizures, tics, depression, restlessness, researchers say.

The study found that after six months of treatment, 30 per cent of patients reported a significant improvement, 53.7 per cent reported moderate improvement and only 15 per cent had slight or no change.

“Overall, more than 80 per cent of the parents reported significant or moderate improvement in their child,” said co-author Lihi Bar-Lev Schleider from the Ben-Gurion University of the Negev in Israel.

Autistic Spectrum Disorder (ASD) is an extensive developmental disorder that is expressed in almost all dimensions of the child’s development.

It is now common to refer to this disorder as a wide range of Pervasive Developmental Disorders (PDD) in which there are various manifestations and symptoms.

1.4 lakh people from India participate in Haj every year. Pixabay
 Autistic Spectrum Disorder (ASD) is an extensive developmental disorder that is expressed in almost all dimensions of the child’s development  . Pixabay

For the study, published in the journal Scientific Reports, the team analysed the data prospectively collected as part of the treatment programme of 188 ASD patients treated with medical cannabis between 2015 and 2017.

The treatment in majority of the patients was based on cannabis oil containing 30 per cent cannabidiol oil (CBD) and 1.5 per cent tetrahydrocannabinol (THC).

Good quality of life was reported by 31.3 per cent of patients prior to treatment initiation. At six months, good quality of life more than doubled for 66.8 per cent.

Positive mood was reported by 42 per cent before treatment and 63.5 after six months.

Victimization in early school days leads to anxiety. Pixabay
Good quality of life was reported by 31.3 per cent of patients prior to treatment initiation. At six months, good quality of life more than doubled for 66.8 per cent. Pixabay

“While this study suggest that cannabis treatment is safe and can improve ASD symptoms and improve ASD patients’ quality of life, we believe that double blind placebo-controlled trials are crucial for a better understanding…” said co-author Victor Novack from the varsity.

Also Read:Cancer May Lead to Premature Ageing, Says Study

The Council of Scientific and Industrial Research (CSIR) is doing a research on the medicinal use of cannabis for treating diseases like cancer, epilepsy and sickle cell anaemia.

In the US, medical marijuana is legal in 30 states, though the laws governing what is permitted vary from state to state, according to the National Conference of State Legislatures.(IANS)