[libribook.com] Traumatic Scar Tissue Management 1st Edition
treatment strategies are difficult to establish. Patel and Yosipovitch (2010) citethat there is no universally accepted treatment protocol for pruritus andmanagement is to be tailored based on an individualistic approach.Recent findings suggest that itching associated with inflammatory dermatosiscan be reduced by antihistamines (Cheng et al. 2011). However, antihistaminesare not effective for all presentations of pruritus associated with hypertrophicscars in post-burn patients. Opioid receptors in skin – when activated – can alsoprovoke itching (Cheng et al. 2011).Persistent or frequently intense bouts of pruritus can impact quality of life asdisturbances in sleep, concentration and social interactions can occur(Yosipovitch et al. 2000, 2002a, 2002b).
Clinical ConsiderationBurn rehabilitation MT has been shown to be effective in improving pain,pruritus, depression and scar characteristics in hypertrophic scars in postburnpatients (Roh et al. 2007, Cho et al. 2014).
- Page 471 and 472: Pathophysiological ConsiderationAcc
- Page 473 and 474: Pathophysiological ConsiderationNeu
- Page 475 and 476: The diverse biological effects of N
- Page 477 and 478: Clinical ConsiderationCareful appli
- Page 479 and 480: Clinical ConsiderationSome patholog
- Page 481 and 482: Pathophysiological ConsiderationSom
- Page 483 and 484: compressive effect in the keloidal
- Page 485 and 486: alterations in the mechanical envir
- Page 487 and 488: Clinical ConsiderationMechanical fo
- Page 489 and 490: Table 5.4Role of neuropeptides (NP)
- Page 491 and 492: Fitch P (2005) Scars of life. Journ
- Page 493 and 494: Langevin HM (2006) Connective tissu
- Page 495 and 496: active scars. Journal of Bodywork a
- Page 497 and 498: trauma.
- Page 499 and 500: Clinical ConsiderationPostsurgical
- Page 501 and 502: following burn injury,bacterial col
- Page 503 and 504: Table 6.1Comparison of scars (Ogawa
- Page 505 and 506: Pathophysiological ConsiderationAcc
- Page 507 and 508: BurnsA burn injury to the skin or o
- Page 510 and 511: Figure 6.1Depth of burn trauma and
- Page 512 and 513: • Stimulate ECM formation• Regu
- Page 514 and 515: Clinical ConsiderationIt has been i
- Page 516 and 517: Clinical ConsiderationMT may be a v
- Page 518 and 519: ThermoregulationThermoregulation (t
- Page 520 and 521: from the tissues and taken up by th
- Page 524 and 525: Clinical ConsiderationSkin rolling
- Page 526 and 527: Sequelae and ComplicationsAdvances
- Page 528 and 529: • Paresthesia - 47%• Arm/should
- Page 530 and 531: breast or around the edge of the ar
- Page 532 and 533: Radiation scarringScar tissue as a
- Page 534 and 535: Implants and painPain of fluctuatin
- Page 536 and 537: LymphedemaBreast cancer treatment o
- Page 538 and 539: volume of fluid that accumulates or
- Page 540 and 541: OneTwoThreeCommonly referred to as
- Page 542 and 543: myokinetic chain/myofascial meridia
- Page 544: • Loss of touch sensation• Clum
- Page 548 and 549: Figure 6.3Distribution of nerves in
- Page 550 and 551: include preservation of as much of
- Page 552 and 553: complication is present there is de
- Page 554 and 555: Clinical ConsiderationScar complica
- Page 556 and 557: BreastCancer.org (2015c) Side Effec
- Page 558 and 559: 323-9.Kania A (2012) Scars. In: Dry
- Page 560 and 561: Slemp AE, Kirschner RE (2006) Keloi
- Page 562 and 563: scar tissue, while being mindful of
- Page 564 and 565: Physiological ResponseAs discussed
- Page 566 and 567: • The realization that one is abo
- Page 568 and 569: Stress Response and Stress Hormones
- Page 570 and 571: dissociation and inner shakiness) (
treatment strategies are difficult to establish. Patel and Yosipovitch (2010) cite
that there is no universally accepted treatment protocol for pruritus and
management is to be tailored based on an individualistic approach.
Recent findings suggest that itching associated with inflammatory dermatosis
can be reduced by antihistamines (Cheng et al. 2011). However, antihistamines
are not effective for all presentations of pruritus associated with hypertrophic
scars in post-burn patients. Opioid receptors in skin – when activated – can also
provoke itching (Cheng et al. 2011).
Persistent or frequently intense bouts of pruritus can impact quality of life as
disturbances in sleep, concentration and social interactions can occur
(Yosipovitch et al. 2000, 2002a, 2002b).