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Scar's(10 posts)

Scar'sFender
May 15, 2002 10:18 AM
Everybody probably has several of these all over their hips, shoulders, butt, legs, etc..
I particularly have about 6 on my right butt/hip area. Some of them are about an 1" in size, while others are a little bigger, say 2" in diameter (long painful story).
Now, I want to get rid of them, and some people have suggested surgery since they are "raspberry scars". Is there some other kind of alternative to surgery, same a lotion or something.. thanks.
re: Scar'sbrider
May 15, 2002 12:02 PM
Skin creams with alpha-hydroxy acids and vitamin E will help with the appearance of scars. Nothing will totally eliminate them, and I'd even question the validity of surgical procedures (they'd produce scars themselves). For vitamin E, many people just use vit E gel caps and open them up, applying the liquid inside directly to the skin.
2 things to do:lonefrontranger
May 15, 2002 1:52 PM
1) ignore them because they don't go away without surgery.

2) crash again and rub them off, then treat the resulting wound PROPERLY this time:

a) Clean very thouroughly, like with a vigorously applied scrub brush. If you cannot accomplish this without passing out or screaming so loud the neighbors call the police, then consider topical Lidocaine (readily available through veterinary supply).

b) apply a liberal layer of antibiotic ointment, cover with non-stick, non-adhesive burn dressings. Hold in place with white elastic netting, readily available in multiple sizes from medical supply sources.

c) Repeat step b twice a day, keeping the wound moist, covered, and scrupulously clean for at least a week or until new skin has formed and is strong enough to expose to air.

d) Once the wound is stable enough to remove the dressing, apply liberal Vitamin E, aloe and SPF 30 suntan lotion until it returns to normal coloration.
Umm...Sherpa23
May 15, 2002 3:11 PM
I tried that crashing and rubbing off existing scar part. Twice. It didn't work for me. I have two scars in the same place in a couple of areas and the second scar looks way worse than the first one. And I did take really good care of them. The vitamin E part wroks reasonably well and if there is any kind of ridge or texture, rub vigourously with vaseline and then will smooth things out. I am sorry to say that you are probably a little late for cleanup, though.
success stopping scaring with saran wrapishmael
May 15, 2002 4:22 PM
someone told me they wrapped their wounded arm in saran wrap with antibiotics underneath and they ended up without any scar at all...it sounds nice and simple but im not sure if i trust it..it would be good for keeping it moist but id imagine getting fresh air in there also would be good, but then again the air might only be to help stop bacteria growth and the intibiotics can do that...any feelings...i havent scraped myself bad enough to warrant anything other than a band-aid so far but im planning for the future
perhapslonefrontranger
May 16, 2002 7:40 AM
I've recently been hearing about the Saran Wrap angle. Haven't tried it, because we have a good supply of the netting. I'm guessing this is just a cheap nonstick solution to elastic netting, but the netting is washable and reusable. Our 25' roll has lasted us 5+ years, and is maybe half gone. This is with many "donations" to random crash victims at bike races over the years; we were promoters for several seasons so our first aid kit was the one raided at each race we held.

The Saran wrap still doesn't exempt you from the responsibility of cleaning & changing dressings 2x every day, though. I think the key here is that you want to keep the wound moist, *EXTREMELY* clean, and let it heal from the "bottom up" as it were.

Those big gnarly keloid scars (I have an "alien" on my shoulder from an improperly treated wound years ago) result from a couple things: overuse of peroxide, and / or letting a hard thick scar form that keeps you from proper cleaning, because infection invariably forms under these things. Plus the hard scars are rotten to have on knees, etc... as they will break open (wince) every time you get on the bike for the next week or so.

Peroxide is fine for "triage", i.e. the initial cleaning of the wound at the race site, because there typically aren't many other antibacterial / sterile options. Peroxide is a major irritant however, and under repeated use will rapidly cause the skin to form "granulation" tissue, which then forms a keloid. Once you get home and to the shower to scrub out the wound, though, just use clean hot water and antibacterial soap, plus topical anaesthetic if you can't face cleaning the wound correctly without. If you can't get the anaesthetic and can't stand to scrub, go to the Dr. to have the initial cleaning done to be sure all the dirt, etc... is gone.

The *very* worst thing you can do according to the Cat II general practicioner who used to help us with this stuff is to flush the wound with water from your water bottle, because then all the bacteria from your mouth goes right into the wound. Don't use water bottles at all for wound flush, the nipples are a great breeding ground for all kinds of fun germs.

Last but not least: if you have any suspicion at all that your road rash is, or is becoming infected, hie thee immediately to the Dr. and get a good 5-day course of Zithro or other strong antibiotics. Road rash carries all kinds of nasty bugs, staph being among the more common, and it will make you very, very sick if you're not careful.

I learned all this after tearing a 4" x 8" patch off my shin at a crit 3 years ago, then letting it dry up and not cleaning it thoroughly. 2 days later I was running a 102* fever and felt like hell. I went to our Cat II Dr. and he gave me the lecture while he applied Lidocaine and proceeded to debride an unholy mess of scabs and pus from my leg. He then dressed it, and gave me antibiotics and my marching orders for changing dressings and keeping it clean and covered. A couple months later you couldn't even tell I ever had road rash in that spot, and I used to think I just "scarred easily".
QuestionsSherpa23
May 17, 2002 8:12 AM
What's a CatII doctor? Is that a PA or a 4th year med student or something? I only know doctors, PA's, nurses, aides, orderlies. I didn't know they had categories. Anyways, as far as the saran wrap goes, it is a bastardization of the 3M Tegaderm or 2nd Skin products. I have never gotten 2nd skin to stick but the Tegaderm is awesome. It helps that 2 years ago I had a madison partner a couple years ago that is now a top scientist at 3M. Anyways, I am interested in hearing about how to find out about my doctor's category.
Questionslonefrontranger
May 17, 2002 12:07 PM
:-)

sorry, guess that was a confusing reference... Our General Practicioner (Dr.) in Cincinnati is a guy who is also a USCF Cat II / Masters racer, and a pretty darn good one in the region. He's won several state / district championships there. He came out to all the races and was a good friend of ours, and as soon as he let us know that he had a gap in his busy patient schedule, we took him on as our family Dr.

I've been sort of on the hunt for a Dr. out here who's a serious cyclist as well. It's nice to have one who understands the demands of training and who empathizes with a patient hell-bent on inflicting serious damage to themselves.

Tegaderm is good stuff, but it can get expensive, and there again it needs to be kept clean and changed regularly or else infection gets going underneath.
DoctorsSherpa23
May 17, 2002 2:24 PM
Oh, I didn't connect on the reference as there was no mention of the doc being a cyclist as well. I leave the Tegaderm on for days until the cuts get all pink, and then it is a cakewalk when I take off the tegaderm. Never had any problems and I checked that with a doctor to make sure that it is okay to leave in on for a week or more. As far as doctors here go, all of the doctors that I have seen are specialists and some are avid cyclists (not racers) and some are just damn good doctors(the guy who put my pelvis back together is one of the Avalanche doctors). As far as family doctors, I don't actually have one. My wife (who is a Denver/Boulder native) and I know a lot of doctors so when something goes wrong, we know who to see. We don't really get sick, though, so we don't have a regular doctor. I guess that if you need a list of reliable people I am sure that I could help but as far as racer/gp/internists go, I don't know anyone personally although some of the masters racers here are doctors.
saran wrapJohnG
May 18, 2002 12:54 PM
I'm not sure if it's the same thing but at a recent crit I saw a gal with what looked like saran-wrap applied to a large portion of her shoulder and face. It looked pretty novel to say the least.

She wasn't a happy camper so I didn't ask for the gory details.

JohnG