Pericatricial pain is a chronic discomfort that occurs around scars after surgery or injury, significantly affecting the quality of life of patients.
At Clínica San Román’s Pain Management Unit, we focus on addressing this type of pain through a comprehensive and personalized approach, using advanced technologies and minimally invasive techniques to ensure lasting relief.
What is Pericatricial Pain?
Pericatricial pain is a chronic discomfort located in the tissues adjacent to a scar.
This pain can be caused by nerve damage, abnormal scarring or chronic inflammation in the wound area.
It is common after major surgeries such as cesarean sections, abdominal interventions or orthopedic repairs, and affects approximately 10-15% of postoperative patients.
Causes of Pericatricial Pain
Pericicatricial pain can have multiple origins, including:
- Nerve injuries: During surgery, nerves may be affected, resulting in persistent pain in the healed area.
- Faulty Healing: Hypertrophic or keloid scars can cause pain due to abnormal tissue tension.
- Chronic Inflammation: The presence of prolonged inflammation in the tissues surrounding the scar can be a constant source of discomfort.
Common Symptoms
Pericycatricial pain can manifest itself in different ways depending on the nature of the scar and the location.
The most common symptoms include:
- Persistent or intermittent pain at the scar site
- Burning or prickling sensation
- Extreme sensitivity to touch
- Limitation of movement or flexibility near the scar
Diagnosis of Pericatricial Pain
A proper diagnosis is essential to provide the correct treatment.
At Clínica San Román, the diagnosis of pericicatricial pain involves a detailed clinical evaluation, where the patient’s surgical history is examined, the scar is analyzed and imaging tests are performed if necessary to identify nerve injuries or underlying complications.
Available Treatments
The treatment of pericatricial pain may require a multidisciplinary approach combining pharmacological therapies, minimally invasive techniques and non-pharmacological measures.
In the Pain Management Unit of Clínica San Román, the following interventions are applied:
Pharmacological Therapy
Initial management usually involves the administration of analgesics, nonsteroidal anti-inflammatory drugs (NSAIDs) and, in some cases, antidepressants or anticonvulsants, which have been shown to be useful in the treatment of neuropathic pain.
Corticosteroid Infiltrations
Local corticosteroid injections can be effective in reducing inflammation and pain around the scar.
These injections are performed directly into the affected area and offer prolonged relief.
Peripheral Nerve Block
Nerve blocks involve the injection of local anesthetics near the nerves that transmit pain, providing temporary or prolonged relief.
In some cases, radiofrequency may be used to modulate the activity of the damaged nerves, decreasing the sensation of pain.
Radiofrequency Therapy
Pulsed radiofrequency is an advanced technique that uses heat waves to modify the pain signal transmitted by the nerves.
It is an effective and safe option for patients who have not found relief with conventional treatments.
Physical Rehabilitation
Physical therapy is essential to improve mobility and decrease stress on scar tissues.
Techniques such as therapeutic massage, ultrasound therapy and stretching exercises can be beneficial in reducing pain and improving flexibility of the affected area.
Advanced Therapies: Neuromodulation
For cases of severe and chronic pain, neuromodulation, which includes techniques such as transcutaneous electrical nerve stimulation (TENS), may be a viable option.
These techniques alter the nerve signals sent to the brain, decreasing pain perception.
Prevention of Pericatricial Pain
Although it is not always possible to avoid pericardial pain, some measures can help minimize the risk of developing this condition:
- Scar Care: Keeping the scar clean and protected, especially in the early stages of the healing process, is crucial to avoid complications.
- Postoperative rehabilitation: Following the recommendations of physical therapists and pain specialists after surgery can be key to avoiding painful scar formation.
- Early Intervention: If pain is identified near the scar in the early stages, it is important to consult with a pain specialist to initiate treatment as soon as possible and prevent the development of chronic pain.
Conclusion
Pericatricial pain can be a debilitating condition, but with advances in pain medicine, it is possible to find relief and improve quality of life.
At Clinica San Roman, our specialists in the Pain Management Unit are committed to offering personalized solutions for each patient.
From pharmacological treatments to minimally invasive interventions such as radiofrequency or nerve blocks, the goal is always to provide effective and lasting relief.
If you suffer from pericardial pain or know someone who does, do not hesitate to contact us for a personalized consultation to explore the treatment options available at Clínica San Román.
