Understanding scar formation 

Scars are a natural part of the body's healing process. When the skin is injured due to trauma, surgery, or burns, the body initiates a repair process involving collagen production. Collagen forms the basis of scar tissue, which replaces the damaged skin. 

Causes of finger, hand, and upper limb scars 

Injuries to the finger, hand, or upper limb can result from various causes, including: 

Trauma: Accidents, falls, or sports injuries that lead to cuts, lacerations, or abrasions. 

Surgery: Procedures such as hand surgery, joint replacement, or skin grafting. 

Burns: Thermal, chemical, or electrical burns that affect the skin and underlying tissues. 

Preventing scar formation 

While it may not be possible to prevent scarring completely, certain steps can help minimise scar formation: 

Prompt wound care: Cleanse and dress wounds promptly to minimise infection risk. 

Suture choice: Surgeons may use fine, absorbable sutures to reduce visible scarring. 

Topical ointments: Some ointments or gels may be applied to surgical wounds to aid healing. 

Scar management strategies 

Proper scar management is crucial to ensure scars heal optimally and maintain the best possible function and appearance: 

Consult with an expert: An Accredited Hand Therapist is a physiotherapist or occupational therapist with expertise in the finger, hand, wrist, elbow, and shoulder.

Massage: Gentle, regular massage of the scar tissue can help break down collagen fibres, making the scar flatter and softer. 

Topical treatments: Silicone gel sheets or creams may be recommended to hydrate and soften scars, reducing their visibility. 

Pressure garments: Pressure garments can help flatten and soften the scar for hypertrophic or keloid scars. 

Scar taping: Surgical or silicone tape can help support scar management by reducing tension and promoting healing. 

Corticosteroid Injections: In some cases, corticosteroid injections can help flatten raised or keloid scars. 

Laser therapy: Laser treatments may improve the appearance and texture of scars. 

Scar revision surgery: In cases where scar management techniques are insufficient, scar revision surgery may be considered to improve the scar's appearance and function. 

Strategies for living with scars 

Living with scars involves not only proper management but also adopting a positive mindset: 

Self-care: Maintain good overall health through a balanced diet, regular exercise, and adequate sleep to support optimal wound healing. 

Protection: Protect scars from excessive sun exposure to prevent hyperpigmentation or darkening. 

Embrace the process: Understand that scars evolve and may take months to mature and settle. 

Seek support: Consider joining support groups or seeking counselling if you're struggling with the emotional impact of visible scars. 

Follow advice: Adhere to your Accredited Hand Therapist’s scar management and follow-up care recommendations. 

Find a local Accredited Hand Therapist

Patients can find a local Accredited Hand Therapist on our website using the link below.

Find an Accredited Hand Therapist