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Doctor insights on: Scar Tissue After Back Surgery

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Dr. Richard Guyer Dr. Guyer
Orthopedic Surgery - Spine
42 years in practice
University of Pennsylvania School of Medicine
1

1
What can you do to minimize internal scar tissue after back surgery?

What can you do to minimize internal scar tissue after back surgery?

Newer Biologics: In the past we had certain chemical materials to prevent scarring around the nerves. Ones own fat from the wound may in some cases help. There are newer biologics such as amniotic membrane that also can reduce scar formation.

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Tissue (Definition)

The body is composed of tissue that are classically described as beiing derived from three basic embyonic layers known as the endoderm, mesoderm and ectoderm that then differentiate into the structures that compose the body such as skin, soft tissues, bone, muscle, organs, etc. Stem cells are not differentiated and have the potential to ...Read more


Dr. Otto Placik Dr. Placik
Surgery - Plastics
30 years in practice
Northwestern University Feinberg School of Medicine
2

2
How long after back surgery can scar tissue cause pain?

How long after back surgery can scar tissue cause pain?

Usually 3 months: Usually this is no longer than 3 months unless the scar tissue causes nerve entrapment or surgery resulted in the development of a neuroma which may require additional therapy. First try a trial of scar massage if permitted by your surgeon.

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Dr. Jason Huffman Dr. Huffman
Orthopedic Surgery - Spine
19 years in practice
Jefferson Medical College of Thomas Jefferson University
3

3
Can internal scar tissue be removed that resulted from back surgery?

Can internal scar tissue be removed that resulted from back surgery?

Yes: Internal scar tissue can be removed but there is a risk that it will grow back and perhaps be worse than before.

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Dr. Will Moorehead Dr. Moorehead
Orthopedic Surgery - Spine
48 years in practice
Meharry Medical College School of Medicine
4

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How to you treat scar tissue from a previous back surgery? Can it be surgically moved?

How to you treat scar tissue from a previous back surgery? Can it be surgically moved?

Yes---BUT: Technically scar tissue removal following spinal surgery can be performed, but, have indepth discussion with your spinal surgeon. Regeneration of the scar tissue may occur to even a greater degree. There are new barriers to decrease scar tissue formation such as amniotic tissue called biodefense. Talk to your spinal surgeon. Get a second opinion.

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Dr. Thomas Dowling Dr. Dowling
Orthopedic Surgery - Spine
36 years in practice
Boston University School of Medicine
5

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What are cures for chronic nerve pain caused by back surgery scar tissue pressing on the nerves. L4, l5, l5, s1?

What are cures for chronic nerve pain caused by back surgery scar tissue pressing on the nerves. L4, l5, l5, s1?

If all other causes: Have been ruled out then time and medication can help along with various pain management techniques ranging from injections to a spinal cord stimulator.

Dr. Louis Delcampo Dr. Delcampo
Anesthesiology
years in practice
Universita degli Studi di Bologna
6

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I've had 2 back surgeries- a microdiscectomy at L5/S1 & L4/L5. I've got scar tissue & am still in pain. I use TENS, inversion, PT, Neurontin, Norco, Cymbalta, and am trying injections. Any new ideas/tx for me to try? I'm only 23 & I feel like I'm 80.

I've had 2 back surgeries- a microdiscectomy at L5/S1 & L4/L5. I've got scar tissue & am still in pain. I use TENS, inversion, PT, Neurontin, Norco, Cymbalta, and am trying injections. Any new ideas/tx for me to try? I'm only 23 & I feel like I'm 80.

Adhesiolysis: Cassara 1st NO more surgeries on your back. FInd an Anesthesiologist in your area who will do a minimal risk type of epidural injection BUT without steroids. This injection is called lysis of adhesions or Adhesiolysis with a medicine called "Hyaluronidase". This injection will break up the scar tissue that has entrapped the nerves in your back. It must be performed with physical therapy

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Dr. Edward Hellman Dr. Hellman
Orthopedic Surgery
25 years in practice
University of Illinois College of Medicine
7

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I had back surgery and I have a bruise on the right side and pain near the scar on my spine. What could be causing this?

I had back surgery and I have a bruise on the right side and pain near the scar on my spine. What could be causing this?

Blood: Some degree of bleeding can occur following back surgery. When blood goes into the superficial soft tissues, it causes a bruise. Just make sure your surgeon is aware.

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Dr. Lori Lange Dr. Lange
Family Medicine
years in practice
Philadelphia College of Osteopathic Medicine
8

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I recently had back surgery and the scar is getting somewhat tight when I bend or lean. I put Arbonne neck cream there. Are there better products?

I recently had back surgery and the scar is getting somewhat tight when I bend or lean. I put Arbonne neck cream there. Are there better products?

Yes: I like Mederma Skin Care for Scars. It is available over the counter in the drugstore. Most of these products need daily application for up to a year while the scar matures. After a year the scar is usually what you will be left with. The ingredients are not as important as using it daily to help moisturize the skin. There are other helpful products available at the drugstore as well.

Dr. Joy Jackson Dr. Jackson
Family Medicine
15 years in practice
9

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I had back surgery in december this was because my previous surgery caused a infection why does the scar burn like fire 1st surgery was to put rods in lower back this caused a bow in my back so he went back in and put longer rods this cause bones in my

I had back surgery in december this was because my previous surgery caused a infection why does the scar burn like fire 1st surgery was to put rods in lower back this caused a bow in my back so he went back in and put longer rods this cause bones in my

I: I am so sorry to hear of your unfortunate situation. Obviously you need close follow up with the surgeon in order to address your complaints. As far as the scar burning "like fire", this is likely nerve pain due to nerve damage sustained during the surgery. The nerve will regenerate but this will take time. In the meantime, there are medications aimed at relieving nerve pain (i.E neurontin, (gabapentin) lyrica) please ask your doctor about these medications. I wish you the very best.

Dr. Karen Butler Dr. Butler
Family Medicine
17 years in practice
Central University of the East School of Medicine (UCE)
10
Dr. Audie Rolnick Dr. Rolnick
Orthopedic Surgery
36 years in practice
Mount Sinai School of Medicine
11

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Having surgery to remove scar tissue behind kneecap to relieve pain. Will scar tissue build back up since it's likely due to kc tracking to outside?

Having surgery to remove scar tissue behind kneecap to relieve pain. Will scar tissue build back up since it's likely due to kc tracking to outside?

Not clear: Was there prior surgery? If there are patellofemoral tracking issues, these need to be corrected for success. This can be done with multiple surgical procedures. Sometimes therapy and bracing are sufficient.

Dr. Richard Zimon Dr. Zimon
Internal Medicine
55 years in practice
Harvard Medical School
12

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I tore my ACL and miniscis in July 2015. I had surgery at the end of July to repair them Then in August I had surgery to remove scar tissue The scar tissue has come back forming a knot which is painful and limits my mobility what should I do?

I tore my ACL and miniscis in July 2015. I had surgery at the end of July to repair them Then in August I had surgery to remove scar tissue The scar tissue has come back forming a knot which is painful and limits my mobility what should I do?

Where is: The "scarring" you mention. In the joint?? (Arthrofibrosis) or around the joint???? ("keloid") In any case if there is a "knot" possibly a steroid injection will help...or surgical excision is needed! Your Orthopedist is the person you should be in contact with! Hope this helps! Dr Z

Dr. John Goldman Dr. Goldman
Internal Medicine - Rheumatology
51 years in practice
University of Cincinnati College of Medicine
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I get diarrhoea a lot, I've had bowel surgery twice second time to remove scar tissue everything ok, diarrhoea started does it mean adhesions back?

I get diarrhoea a lot, I've had bowel surgery twice second time to remove scar tissue everything ok, diarrhoea started does it mean adhesions back?

May not be adhesions: Without knowing all the issues regarding your intestine it may not be the adhesions. We need more of a background of understanding why you're having these type of symptoms what was the original work up. What was the reason for surgery, and what did your gastroenterologist say. I would advise you discuss this with your gastroenterologist

Dr. Larry Armstrong Dr. Armstrong
Neurosurgery
23 years in practice
University of North Texas Health Science Center at Fort Worth Texas College of Osteopathic Medicine
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Scar tissue after microdiskectomy causing same pain in back and leg as before surgery according to 2nd MRI will I need further surgeries to correct?

Scar tissue after microdiskectomy causing same pain in back and leg as before surgery according to 2nd MRI will I need further surgeries to correct?

More not better: Scar tissue builds after every surgery. Scar can cause some of the pain but usually traction of the nerve which is scarred in place is the culprit during movement. Removing scar doesn't typically help- first rule of surgery is "scar begets scar"- meaning that more surgery only causes more scar. See your spine surgeon or get another opinion and even get an evaluation from a pain specialist.

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Dr. Wayne Ingram Dr. Ingram
Obstetrics & Gynecology
years in practice
Wayne State University School of Medicine
15

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What r success rates after having surgery to remove scar tissue from tubes (c-section) - larcoscopy. My hsg came back with one side not disperse dye?

What r success rates after having surgery to remove scar tissue from tubes (c-section) - larcoscopy. My hsg came back with one side not disperse dye?

Very high: The success rates from freeing up externally adherent Fallopian tubes is very high as long as the adhesions don't reform after the second surgery. Many surgeons use an adhesive barrier to prevent that from occurring at the time of the surgery. The good news is that it only takes one open Fallopian tube to get pregnant again.

Dr. Paul Grin Dr. Grin
Pain Management
32 years in practice
UCLA School of Dentistry
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Could your gums be white from scar tissue after having oral surgery to remove teeth a few years back? If not, what could cause it. Tested neg for hiv

Could your gums be white from scar tissue after having oral surgery to remove teeth a few years back? If not, what could cause it. Tested neg for hiv

Visit a dentist: Any white or scar lesion that does not resolve itself in two-three weeks should be reevaluated by your dentist and considered for biopsy to obtain a definitive diagnosis. Visit your dentist for evaluation.

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Dr. Padraic Obma Dr. Obma
Orthopedic Surgery
15 years in practice
Medical College of Wisconsin
17

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I had knee arthroscopic surgery removal of scar tissue under the patella. Did a squat in pt and felt a painful pop in the back of knee. Help explain?

I had knee arthroscopic surgery removal of scar tissue under the patella. Did a squat in pt and felt a painful pop in the back of knee. Help explain?

Bakers cyst?: Pain in the back of the knee after arthroscopic surgery can be quite a few things but a common cause is a Baker's Cyst. This is excess swelling in the back (posterior) part of the knee that can occur after surgery. A deep squat can cause the cyst to rupture creating the sensation of a pop. It can cause calf pain. See your medical provider to rule out blood clots and other issues first.

Dr. Seth Zeidman Dr. Zeidman
Neurosurgery
29 years in practice
Duke University School of Medicine
18

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Pain from spine surgery years after 3 failed back surgeries. I also have spinal stenosis, spinal fusions, fibromyalgia, severe scar tissue, bad hip?

Stimulator may help: If you're still having pain after your 3 failed spine surgeries you could benefit from a spinal cord stimulator. I have seen many people helped tremendously by this implantable device. Find someone reputable and they may be able to help.

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Dr. James Rochester Dr. Rochester
Family Medicine
22 years in practice
19

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How many surgeries is to much to remove scar tissue from the throat? I had 3 so far. Keeps growing back. Started with tonsils removed in 2001.

How many surgeries is to much to remove scar tissue from the throat? I had 3 so far. Keeps growing back. Started with tonsils removed in 2001.

Seems a lot: 3 so far. What symptoms are you having or problems are you having that necessitate the repeat surgeries? Depending on where you live might consider next opinion with university based ENT surgeon.

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Dr. Jeffrey Wint Dr. Wint
Surgery - Hand Surgery
31 years in practice
Columbia University College of Physicians and Surgeons
20

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Can you have scar tissue under your kneecap? When someone arthroscopic surger can the doc view the back of the knee during the scope? Please explain

Can you have scar tissue under your kneecap? When someone arthroscopic surger can the doc view the back of the knee during the scope? Please explain

Sure you can have scar: Anywhere there's been an injury. As far as the back of any yet see you can see the back of the knee with arthroscope within the joint space. What you cannot see is the back of the knee where the jerk where you go outside the joint space so sometimes if you're asking the physician about condition at the very back of the knee they may tell you they can't see it arthroscopically because it's outside the joint capsule.

Dr. Barry Press
1,955 Doctors shared insights

Scarring (Definition)

A scar is the result of the body healing. It is the end product of a long cascade of signals and cellular repair that takes approximately a year to complete, and a lifetime to maintain. It is a normal process that occurs whenever ...Read more


Back Surgery (Definition)

Any surg that enters the muscles & beyond. Usually means involving work on the bone structurs disks r considered back surgery. They include a multitude of procedures. 2 ...Read more