Scars and Its Removal- Ayurvedic Treatment, Diet, Exercises, Research

Scars can happen anywhere in the body regardless of age or gender. Other than complications, the cosmetic issue it is causing can be intimidating especially in youngsters. In reality, scars are a natural part of the body’s healing process. A scar results from the biologic process of wound repair in the skin and other tissues. Most wounds, except for very minor ones, result in some degree of scarring. Scars can result from accidents, diseases, skin conditions such as acne, or surgeries. Some scars can be managed by therapies to an extend but most of them are incurable. Covering or hiding them can help in the presentation.

You Might Be Interested In: Chirattai Thailam – an Ayurvedic oil to help manage scars.

Signs and Symptoms

Scars come in many shapes and sizes.

Cicatrix-when this scar first appears it tends to be pink to reddish in colour and slightly raised. It may also be itchy or painful. As skin continues to heal, the scar will flatten and change colour. In time, many flat scars are nearly the same colour as skin. A flat scar may also be paler or slightly darker than surrounding skin.

Hypertrophic scar-This scar rises above the surface of skin.

Atrophic scar- below the surface of skin or depressed.

Keloid- This scar rises above the surface of the skin. Unlike other raised scars, keloids grow much larger than the wound that caused the scar.

Causes

A scar forms when body heals an injury like burns, cuts, etc.

Some skin conditions like Epidermolysis bullosa and hidradenitis suppurativa, can also cause scars.

Murivenna Oil – apply this oil to fresh or old wounds for faster recovery.

Physiopathologie

Scarring is a natural part of the healing process after an injury. Its appearance and its treatment depend on multiple factors. When the deeper layers of skin are injured, cells make collagen to repair the wound. Because body makes this collagen quickly, it’s thicker and less flexible than the rest of skin. The thicker, less flexible tissue is a scar.

Diagnostic

Visually diagnosed by a physical examination

Traitements

Silicone gel (sheet or ointment)
Polyurethane dressing
Laser treatment
Corticosteroid injections
Cryosurgery
Rayonnement

Pronostic

The scar will never completely go away. But there are some methods that can help reduce its size and change its appearance.

Complications

Infections
Emotional Stress

Maladies et Ayurveda

Removing scars comes under the name Vaikrutaapaham described in Ayurveda while explaining the post-operative management. It explains the possibilities to manage a scar after a surgical procedure.

Nidana

Kshata – injury (can be accidental or due to any disease like kushtha or induced as part of surgery etc.)

Purvaaroopa

Not mentioned separately

Samprapti

When the Vaata & Pitta gets vitiated on the site of injury, the skin wounded gets abnormal discoloration & inflammation. Kapha causes swelling and hardness. After the injury, a scar is formed due to all three doshas get stucked & vitiated at the site causing discolouration & thickened skin.

Lakshana

Discolouration of skin

Raised skin/thickened skin areas with well-defined or poor defined margins

Divisions

Non mentionné

Pronostic

Kricchrasadhya or Yaapya

Chikithsa

The tissue repair and wound healing are a very important section in Shallyatantra in Ayurveda. Details are in Sushruta Samhita where Varana and vranaropana(wound and its management) are elaborated with sixty treatment modalities of wound care & wound healing. This is called shashtirupakrama(60 fold treatments) for stepwise instructions on therapies for wound healing.

Vaikrutapaham(getting rid of ugliness/abnormality) is the last stage explained it, regarding the management of scars with or without discolouration. It can be done by various methods namely,

Krishnakarma – blackening of a white cicatrix by mdicines like bhallataka, gomootra etc.

Pandukarma – bringing back the normal skin colour to a dark/black scar by using specially prepared medicines with rohiniphala, goat’s milk, kapittha fruit, goat’s urine, kasisa, rasanjana, arjuna etc

Pratisarana -rubbing the area with powder made from shell of hen’s egg, kataka, madhuka, pearl oyster etc mixed with cow’s urine.

Romasanjanana – producing hair by using medicines with burnt ash of ivory, rasanjana etc.

Lomaapaharana/Lomapaatana – removal of hair using medicines like conch shell, haritaala etc.

Samana

Swedanam
Lepanam with Rookshana dravyas
Varnyalepas
Parisheka with varnyakashayas
Abhyanga with varnya oils

Sodhana

Virechana

Médicaments couramment utilisés

Marques disponibles

AVS Kottakal
AVP Coimbatore
SNA oushadhasala
Vaidyaratnam oushadhasala

Remèdes maison

Vinaigre de cidre de pomme
Aloe vera
Tea tree oil
Curcuma
Milk
Miel
Extra virgin coconut oil

Régime alimentaire

À éviter

Les repas lourds et les aliments difficiles à digérer provoquent des indigestions.
Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine
Boissons gazeuses - rendent l'estomac plus acide et perturbent la digestion
Aliments réfrigérés et congelés - provoquent une digestion faible et paresseuse en affaiblissant Agni (le feu digestif).
Milk and milk products – increase kapha, cause obstruction in channels and obesity
Curd – causes vidaaha and thereby many other diseases4

A ajouter

Des repas légers et des aliments faciles à digérer
Green gram, soups, fresh fruits and vegetables
Aliments fraîchement cuits et chauds traités avec des graines de cumin, du gingembre, du poivre noir, de l'ajwain, etc.

Comportement

Protect yourself from extreme changes in climate.
Il est préférable d'éviter une exposition excessive à la lumière du soleil, au vent, à la pluie ou à la poussière.
Maintenir une alimentation et un sommeil réguliers.
Évitez de retenir ou de forcer les envies comme l'urine, les selles, la toux, les éternuements, etc.
Avoid sedentary lifestyle. Be active

postures de Yoga

Regular stretching and mild cardio exercises are advised. Also, specific yogacharya including naadisuddhi pranayama, bhujangaasana, pavanamuktasana is recommended.

L'exercice régulier contribue à améliorer la biodisponibilité des médicaments et des aliments ingérés et favorise la santé.

Le yoga permet de maintenir l'harmonie à l'intérieur du corps et avec le système environnant.

Pavanamuktasana

Nadisudhi pranayama

Bhujangasana

Exercices simples pour la santé des poumons et du cœur

Tous les exercices et les efforts physiques doivent être décidés et effectués uniquement sous la supervision d'un expert médical.

Research Articles

PMID: 30793408

The study was done to evaluate long‐term patient‐reported quality of burn scars. Adults with a burn center admission of ≥1 day between August 2011 and September 2012 were invited to complete a questionnaire on long‐term consequences of burns. The vast majority reported at least minor differences with normal skin (POSAS item score ≥2) on one or more scar characteristics and 78.9% of the patients’ overall opinion was that their scar deviated from normal skin. Patients with severe burns had higher POSAS scores, representing worse scar quality, than patients with mild/intermediate burns, except for color, which was high in both groups. A longer hospital stay predicted reduced scar quality in multivariate analyses. In addition, female gender was also associated with a poorer overall opinion of the scar. In conclusion, this study provides new insights in long‐term scar quality. Scars differed from normal skin in a large part of the burn population more than 5 years after burns, especially in those with severe burns.

Ces déclarations n'ont pas été évaluées par la Food and Drug Administration des États-Unis. Ce produit n'est pas destiné à diagnostiquer, traiter, guérir ou prévenir une quelconque maladie. Veuillez consulter votre médecin généraliste avant de prendre ce produit.

Rédacteur :
Rajesh Nair, cofondateur et consultant en chef d'Ayurvedaforall.Com, est diplômé du prestigieux Vaidyaratnam Ayurveda College (affilié à l'université de Calicut), au Kerala, en Inde. Il est également titulaire d'un diplôme de troisième cycle en thérapie par le yoga de l'université d'Annamalai.

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