Treating Painful Cheloids: Seeking Relief from Inflamed Skin

Keloids are an overgrowth of scar tissue that can result from an injury, surgery, or even a minor skin trauma. Unlike regular scars, keloids extend beyond the original wound and can become raised, itchy, and painful. These inflamed skin formations can cause significant discomfort and affect confidence and self-esteem. If you are dealing with painful keloids, seeking relief becomes a priority.

While there is no guaranteed cure for keloids, various treatment options aim to reduce the size, redness, and discomfort associated with them. These treatments can be performed by dermatologists or plastic surgeons, depending on the severity and location of the keloids. Here are some commonly employed techniques:

1. Corticosteroid Injections: One of the most common treatments for painful keloids is injecting corticosteroids directly into the scar. These injections help reduce inflammation and promote the flattening of the keloid. Multiple treatments may be necessary, typically spaced a few weeks apart. Although this option is generally safe, some possible side effects include pain at the injection site, thinning of the skin, and discoloration.

2. Silicone Gel or Sheet: Another non-invasive option for treating keloids is applying silicone gel or sheet over the affected area. These products create a barrier that helps flatten the keloid and improve its texture. Silicone treatments are convenient as they can be easily used at home. However, patience is needed since it can take several months to see noticeable results.

3. Cryotherapy: Cryotherapy involves freezing the keloid with liquid nitrogen. This freezing kills the keloid cells and reduces itchiness and discomfort. The procedure itself might cause mild pain or a stinging sensation, but any discomfort is generally short-lived. Cryotherapy is often used in combination with other treatments to enhance effectiveness.

4. Laser Therapy: Laser treatment can help minimize the redness and inflammation associated with keloids. It works by targeting blood vessels within the keloid, thereby reducing their prominence. Multiple sessions are usually required, and some temporary side effects like redness or swelling may occur. Laser therapy is more suitable for smaller keloids and those located in easily accessible areas.

5. Surgical Removal: For larger or persistent keloids, surgical removal may be necessary. During this procedure, the keloid is excised, and the wound is closed with stitches. Following surgery, other treatment options like corticosteroid injections or radiation therapy may be recommended to prevent keloid regrowth. Keep in mind that surgical removal carries the risk of a new keloid forming in its place.

6. Radiation Therapy: Radiation therapy, used in combination with other treatments, can reduce the chances of keloid recurrence. It is typically administered in small doses over several weeks to prevent excessive radiation exposure. Radiation therapy may have potential complications, so it is important to discuss the risks and benefits with your healthcare provider.

Regardless of the treatment option chosen, it is crucial to protect the keloid from sun exposure as UV rays can darken the scar. Regularly applying sunscreen and using silicone gel or sheeting can aid in preventing further inflammation and discoloration.

While finding relief from painful keloids can be a complex journey, working closely with a dermatologist or a plastic surgeon will significantly increase your chances of success. They can evaluate your specific situation and recommend the most suitable treatment approach. Remember to have realistic expectations since complete removal is often not possible, and treatment aims to improve the appearance and minimize discomfort.

Ultimately, painful keloids can be managed effectively through various treatments, allowing individuals to regain their confidence and experience relief from inflamed skin.