What’s the best thing to do about itchy scarring?

Causes of scar itching Itching is a common symptom that occurs in the scar tissue after the burn wound has healed, and the main cause of itching is due to the increase in the release of transmitters such as Substance P, histamine, etc. Scar itching causes great pain in the patient’s life and lasts for a long period of time, so the burn rehabilitation therapy in hospitals alone does not satisfy the needs of burn patients. There are many treatment methods for scar itching, commonly used in the clinic are pressure therapy, immersion bath therapy, laser therapy, drug therapy, physical factor therapy, hypothermia therapy, massage therapy, psychotherapy, etc. Among these methods, after the patient leaves the hospital, the patient will be treated with massage therapy. Among these methods, only pressure therapy, massage therapy, hypothermia therapy and psychotherapy can be implemented after patients leave the hospital. Pressure therapy can interfere with the microcirculation and oxygen exchange of the local tissues of scar tissue, effectively reducing the release of itch-causing mediators and inflammatory cells. Reduce itching symptoms. Therefore, burn patients should insist on wearing pressure garments after leaving the hospital, which can not only inhibit scar proliferation but also alleviate the itching symptoms of scar. Massage therapy Massage therapy can improve the softness of the scar, increase blood circulation, relieve the itching sensation of patients, mainly by pressing, rubbing, kneading, pushing, lifting, kneading techniques, the strength of the patient can withstand appropriate, should not be too heavy, so as not to produce blisters. Cooling treatment When the itching of post-burn proliferative scarring is intense, the local skin temperature is high, and ice water or ice can be used to apply cold compresses to reduce the skin temperature, stimulate the fiber injury receptors, and competitively inhibit the transmission of itching signals to stop itching. However, this method should not be too long, generally no more than 15min, especially the chest and abdomen scar, cold easy to stimulate internal organs, causing cough, diarrhea and other symptoms. Psychological treatment After burn scar itching and neuropsychiatric factors are closely related to the patient’s emotional depression will aggravate the itching symptoms, in the itching is serious, the patient needs to learn to guide the imagination method, such as fantasizing that they are in the vast grassland to appreciate the blue sky and white clouds, listening to the waves on the beach, and so on. Distraction through chatting, listening to music, entertainment, etc. to relieve itching.