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Understanding and Treating Scar Sensitivity: Itching, Pain & Nerve Issues

Understanding and Treating Scar Sensitivity: Itching, Pain & Nerve Issues

If your scar feels itchy, sore, or sends strange tingling sensations—you’re not imagining it. These uncomfortable symptoms are incredibly common, especially after surgeries, burns, or injuries that go deep into the skin.

The good news? There are simple, science-backed ways to ease the irritation and help your scar heal more comfortably.

Why Do Scars Itch, Hurt, or Tingle?

When your skin is healing, your body is hard at work—regenerating nerves, rebuilding tissue, and fighting inflammation. But sometimes, that healing process can cause discomfort that lingers.

Here’s why that happens:

  • Your nerves are waking up: After injury or surgery, nerve endings may regenerate in unusual ways. This can lead to excessive sensitivity or even pain. One study found that hypertrophic scars had increased levels of neuropeptides like substance P (SP) and CGRP, both associated with pain and itch (Kwak et al., 2014).

  • There’s small nerve fiber dysfunction: Especially in keloid scars, the small nerve fibers that carry itch and pain signals may behave abnormally, contributing to ongoing discomfort (Lee et al., 2004).

  • Ongoing inflammation: Persistent inflammation in scar tissue keeps the area irritated and hypersensitive. Researchers have found that chronic pain in scars is often linked to neuroinflammation and nerve growth factor activity (Bijlard et al., 2017).

If your scar feels itchy, painful, or hypersensitive—you’re not alone. But more importantly, you’re not without options.

How to Soothe Sensitive Scars

You don’t have to suffer through discomfort. Several simple, evidence-based treatments can make a real difference.

1. Use Silicone Therapy

Medical-grade silicone has long been a go-to solution for scar management—and for good reason. It helps hydrate the scar, regulate collagen production, and protect nerve endings from irritation.

That’s why Rejûvaskin’s scar care solutions are trusted by healthcare professionals and patients worldwide.

  • Rejûvaskin® Scar Fx® Silicone Sheeting provides soft, flexible coverage for healing scars. It not only improves appearance, but also soothes itch and discomfort by creating a protective barrier that mimics natural skin.

  • RejuvaSil® Silicone Scar Gel is perfect for daytime use. It’s lightweight, non-irritating, and formulated to calm sensitivity on the go.

Studies support silicone’s role in managing discomfort. For example, one trial found silicone sheeting significantly reduced scar-related itch and pain after just two months of use in post-mastectomy patients (Macek et al., 2015).

2. Target Inflammation and Nerve Irritation

In clinical settings, combinations of botulinum toxin A and corticosteroids have shown significant reductions in itching by reducing inflammation and nerve fiber overgrowth (Huang et al., 2021).

While these treatments may require a doctor’s supervision, topical silicone remains the most accessible and non-invasive first-line solution.

3. Incorporate Gentle Scar Massage

After full healing, soft tissue massage can ease tension and stimulate blood flow—both of which help improve scar pliability and reduce irritation. When paired with silicone therapy, this can support more complete healing (Tuckey et al., 2022).

You Deserve Relief That Works

Scar sensitivity can be frustrating, even painful—but it doesn’t have to be permanent. With the right care, you can ease the itch, soothe the sting, and help your skin heal beautifully.

At Rejûvaskin, we believe in helping your skin feel as good as it looks. That’s why our scar products are gentle, effective, and backed by science—so you can get back to feeling like yourself.

Works Cited

Bijlard, E., et al. (2017). A systematic review on the prevalence, etiology, and pathophysiology of intrinsic pain in dermal scar tissue. Pain Physician, 20(2). link

Huang, S. H., Wu, K. W., Lo, J. J., & Wu, S. H. (2021). Synergic effect of botulinum toxin type-A and triamcinolone alleviates scar pruritus. Aesthetic Surgery Journal. link

Kwak, I., Choi, Y., Jang, Y., & Lee, Y. K. (2014). Immunohistochemical analysis of neuropeptides in hypertrophic burn scar with pain and itching. Burns, 40(8), 1661–1667. link

Lee, S., Yosipovitch, G., Chan, Y., & Goh, C. (2004). Pruritus, pain, and small nerve fiber function in keloids. Journal of the American Academy of Dermatology, 51(6), 1002–1006. link

Macek, P., et al. (2015). Pressotherapy of a postoperative scar with non-sterile silicone dressings. Studia Medyczne, 31(4), 281–285. link

Tuckey, C., Kohut, S., & Edgar, D. (2022). Case study: Pilot testing of local acupuncture to reduce scar itch and pain. Scars, Burns & Healing, 8. link

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