Extracorporeal shock wave therapy (ESWT) is a type of pulsed acoustic wave resulting from excessive pressure changes. It has been used to treat musculoskeletal diseases (plantar fasciitis, lateral epicondylitis of the elbow, etc.) and wounds. Recent research has shown that ESWT is effective in stimulating biological activities that involve cellular activity. These results suggest that ESWT improves blood perfusion and can be used in tissue regeneration/ scar remodelling. Shockwave treatment is performed without anaesthesia; a treatment head and gel are applied to the area of scar treated.
Elastic taping (kinesio tape) is an acrylic adhesive that is often used as a physiotherapeutic tool for the treatment of various musculoskeletal problems and other clinical conditions in athletes and patients.
There are many treatments for keloid and hypertrophic scar. In addition to corticosteroid injections many other chemotherapeutic agents have become popular as injectable anti-scarring agents.
Corticosteroid therapy has been commonly used for years to treat hypertrophic and keloid scars. Corticosteroids suppress inflammation, reduce collagen synthesis and inhibit cell proliferation; itch and thickness of scars is reduced. Corticosteroids can be given through injection, steroid tape or topically (by cream). Intralesional injections (injections into the scar) are common treatments for linear scars, hypertrophic scars and small keloids. Other treatments alongside corticosteroid therapy are often required for large keloids and thick hypertrophic scars.
Micro-needling is a semi-invasive technique that can be used on the face and body to achieve collagen induction (production). In this technique the skin or scar is pricked with needles to cause percutaneous collagen induction, this builds up connective tissue underneath retracted (contracted/stuck) or hypertrophic scars and wrinkles.
