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Scar Tissue Removal

bjfergebbjferge Posts: 123
edited 06/11/2012 - 8:42 AM in Chronic Pain
Hi All,

I was reading a post on here started by Meydey about scar tissue, and possible treatments to remove it. They discussed laser, and convential surgery to remove it. They talked about an Fibrinolytic Enzyme Scar Tissue Removal, where they use an enzyme like Neprinol or Trevinol to break up the scar tissue. They also talked about study in the British Journal of Radiology, where they combined pentoxifylline (PTX)–tocopherol (Vit.E)to shrink the scar tissue over time.

I was wondering if anyone has tried any of these treatments? And how you did on them? What your dr had to say about any of these procedures? Are there any other procedure for scar tissue removal?

Thanks for your your help.
Bobbi Jo
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Comments

  • I don't know much about scar tissue removal, but in looking at different lumbar pain management options my doctor directed me to a pretty neat procedure they are doing to remove scar tissue from the lumbar spine. It's also used to treat disc issues, so if you look into it you'll find a lot about that. Basically, they thread an endoscope up through the epidural space in the lumbar spine and use a laser to remove scar tissue. I'm not sure where your scar tissue is, but if it's in the lumbar spine you may add that to your list of things to look into. This may have been mentioned in the other post as well? It's called the accurascope and it's done in Dallas. If you google accurascope you should come up with a link to some better info.
  • I have scar tissue in my neck from spinal surgery. The scar tissue is impinging on the nerve root exiting the spine and is causing tingling and muscle atrophy in my shoulder blade and shoulder. What can I do for this? Please advise
    Currently getting medical myofacial release trmnts & taking NSAI. It is very painful!
    Julie
    from what I have read, sounds like frozen shoulder syndrone
    04/09 Cervical Foraminotomy C5-6,C6-7
  • My pressure point guy said only to get laser trmnt (if all else fails, e.g. time & massages) for scar tissue breakup, because all other procedures have a huge risk of more scar tissue forming. This guy worked as an MD in viet nam, and has offered so much info & he gets so frustrated to see people in pain with no one out there to give them any direction.... like him ALOT
  • I'm trying this stuff to see if it helps. It is expensive so unless I see real results it will be the first and last purchase.

    My PT is working on my scar tissue. One side is smoothing out nicely. The other side is hard to break up. She has used a wooden dowel and literally dug it into my back. I can assure you it hurts. I have my wife working on it a bit every other day. It does help.

    Now that idea that it comes back. I don't get it. I thought it was like a scab. It goes away. I have to read up on this some more.

    Graham
  • I thought of someone on the board who could offer you some information. I just sent him a PM with a link to this thread, so I hope he'll see it. He's not on the board on a regular basis.
  • The deal with scar tissue reforming is when it is physically removed...like with the lysis of fibrosis procedure, or when a surgeon goes in and strips it out while performing additional surgery.

    When scar tissue is manipulated manually, the tissue is still present. It is just rearranged. The idea is that it is loosened up so it is not restricting other tissue. The collagen fibers are "organized" so they run in the same direction as muscle fiber, for example, rather than being all snarled up like a little kid's hair.

    I have no idea what happens if the tissue is chemically dissolved somehow....but it sounds scary.
  • Your PCP sounds great. Anyway I hope your appt with the psyiatrist goes your way. I know it will because you are so well informed and ready to take care of business. My NS decided against surgery to remove my scar tissue because of the risk of it growing back worse. I also have a tendency to form a lot of scar tissue so it's best to leave things as is. I did try having an ESI but it only aggravated my nerve pain. My doctor and I already were planning to go ahead with surgery to implant a pain pump anyway. Well, I wish you the very best and also success with this endeavor. Take care :H
  • Yes, a traditional surgery to remove scar tissue in the epidural space (epidural fibrosis as it is called on MRI) is very tricky because it is the bodies nature to rebuild the scar tissue in that area. I actually had the "Accurascope" procedure specifically to address my left side L4/5 nerve root scar tissue that had encased the nerve. They were able to release it with the laser and the latest MRI did not report any scar tissue issues. Unfortunately, I came out of surgery with some right leg issues that I didn't have beforehand (shin muscle didn't work), but it is slowly resolving. My current issues stem from the L4/5 disc itself.

    As for the PTX/Vitamin E study: I brought that study to the attention of my surgeon AFTER the first surgery (micro-d) when the MRI revealed the scar tissue problem and he was very encouraged and interested in it. We didn't go into any further exploration of its use as a viable option to minimize scar tissue internally, since I found a more immediate solution. I think the study is very worthy of being a possible treatment. Not sure how safe the PTX is over time though. The vitamin E component is what does the actual collagen breakdown because it is a free radical scavenger and the PTX is a peripherial artery drug (I believe), so it aids the vitamin E to get further into our bodies. That's how I understand it. If I had no other option, I would talk to my doctor again (bringing the study) and see what he/she thinks.

    http://bjr.birjournals.org/cgi/content/full/77/922/885#F1

    GL all. Scar tissue is a pain, that is for sure.

    ~BB

  • Good Luck Bobbi Jo! I hope the PTX/VIT E has the same effect on you. Please make sure it is safe for you to take. I think the quality of Vitamin E is VERY important. Your doc should know what to go with. :)

    Please keep us posted!

    ~BB
  • bj,
    please let us know what you decide to do. My PT said the only way to remove scar tissue without messing up something else, is to have it done with a "laser" - this guy works on doctors, nurses, & professional athletes. Have you exercised that option?
    julie
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