How to improve the health of your scar?

As a physiotherapist specialising in amputee rehabilitation, I frequently discuss with my patients the importance of scar care and the healing process following amputation surgery. Scars are not just reminders of the past; they are vital indicators of how well the skin and underlying tissues are recovering. In this blog post, I aim to provide some insights about the scar healing process and how to care for your scar, as well as provide tips on how individuals can enhance the appearance and health of their scars.

‍

How Scars Heal

When an amputation surgery is performed, the body's natural healing process kicks in to repair and seal the wound. Here’s a simplified breakdown of how scars typically form and heal:

1. Inflammatory Phase: Immediately after surgery, the body responds with inflammation, bringing healing cells to the area to clear debris and fight infection. This phase usually lasts a few days to a week.
2. Proliferative Phase: New tissue begins to form, characterised by the production of collagen and the growth of blood vessels. During this phase, the wound gradually closes, and scar tissue begins to develop. As scar tissue develops, your surgeon or medical professional will consider removing the stitches or staples (in part, or in full) that were in place after surgery to bring the wound edges together.
3. Maturation Phase: Over several months to years, the scar tissue remodels and matures. Initially, scars may appear red, raised, and firm. As time passes, they often become flatter, lighter in colour, and less noticeable.

‍

‍

Caring for Your Scar

Proper scar care plays a crucial role in promoting optimal healing and minimising complications. Here are some essential tips:

1. Follow Medical Advice: Always adhere to your healthcare provider's instructions regarding wound care and scar management. This may include keeping the wound clean, changing dressings as directed, and attending follow-up appointments, such as at your local General Practitioner clinic, or nursing services.
2. Protect your scar: Keep your fragile scar protected from environments that could cause undue trauma or damage.  Keep your scar covered with a dressing if you have been advised to do so, and wear your shrinker sock and rigid removable dressing (RRD) if you have been advised to do so. Prioritise the hygiene of your scar at all times – keep it free from dirt and other infiltrates, and wash properly if compromised – under the guidance of your healthcare practitioner.
3. Massage the Scar Tissue: Once you have been advised, gentle massage of the scar can improve circulation, soften the tissue, and prevent adhesions (bands of scar tissue that can limit movement). Use a circular motion with gentle pressure, starting once the wound is fully closed and stitches are removed.
4. Be Patient: Scar healing is a gradual process that varies from person to person. It’s normal for scars to evolve over months or even years, so be patient and continue to care for your skin consistently.
5. Emotional Support: Coping with changes in appearance can be challenging. Seek support from friends, family, or a counsellor if you are struggling emotionally with your scar.

‍

Conclusion

Understanding how scars heal and implementing proper care techniques can significantly influence their appearance and your overall comfort post-amputation. Taking great care of your scar will improve your health, reduce the chances of worse outcomes after amputation, and improve your prosthetic potential.  By taking proactive steps to care for your scar and seeking guidance from healthcare professionals, you can support the healing process and enhance your skin’s health.

If you have specific concerns or questions about scar care, don’t hesitate to reach out to one of our specialised amputee Physiotherapist’s here at APR, or your own trusted healthcare provider. Together, we can ensure your scar heals beautifully and you feel confident in your skin as you move forward in life.

Maximise your recovery after amputation

‍

^{This Amputee Physiotherapy & Rehabilitation blog post aims to provide an insight into scar formation after amputation as well as provide general tips and tricks that people with amputation can implement to enhance their scar healing.}

‍

Contact us now to receive the expertise in amputation you deserve today.