What is Post-Burn Contractures & Scarring?
Post-burn contractures and scarring are long-term complications that occur following severe burn injuries. These conditions significantly impact the skin's flexibility, appearance, and overall functionality. They arise due to the body’s natural healing process, which often involves excessive scar tissue formation
Understanding Post-Burn Contractures
Post-burn contractures develop when the skin loses elasticity after a burn injury. This often happens because of deep burns that damage the skin's layers, including the underlying connective tissues. As the wound heals, the scar tissue that forms is less flexible, causing the skin to tighten and restrict movement
Contractures are most common in areas of the body that experience frequent movement, such as the neck, hands, elbows, knees, and shoulders. When these areas are affected, it can lead to reduced mobility and, in severe cases, complete loss of function. For example, contractures in the fingers can make it difficult to grasp objects, significantly impacting daily activities
Scarring After Burn Injuries
Burn scars occur as the body works to repair the damaged tissue. The severity of scarring depends on factors like the burn's depth, size, and location. Burn scars are often classified into
- Hypertrophic scars: Raised, thick scars that stay within the boundary of the burn.
- Keloid scars: Thick, raised scars that extend beyond the original burn area.
- Atrophic scars: Sunken scars that may occur when the underlying structures, such as fat or muscle, are damaged.
The appearance of burn scars can cause aesthetic concerns and affect a person’s self-esteem. They may also become itchy, painful, or sensitive to touch
Treatment Options
Effective management of post-burn contractures and scarring is essential to restore functionality and improve appearance. Treatments include
- Physical Therapy: Stretching and exercises help improve mobility in affected areas.
- Pressure Garments: These are used to flatten scars and prevent their overgrowth.
- Surgical Intervention: Skin grafts or reconstructive surgery may be required for severe contractures.
- Laser Therapy: Helps reduce the thickness and discoloration of scars.
- Silicone Gel Sheets: Applied to scars to soften and reduce their visibility over time.
Post-burn contractures and scarring can significantly impact a person’s quality of life. Understanding their causes and focusing on early treatment can help minimize complications and improve outcomes. Consulting a burn specialist or plastic surgeon is essential for personalized care and recovery strategies