However, Exparel once injected into the skin will induce a durable anesthesia that lasts up to three days. Regular local anesthetics provide pain relief that usually lasts about an hour. Although larger doses of narcotic pain medications can help with managing the pain, a better alternative to oral pain medicines is the usage of a durable local anesthetic medication called 'Exparel'. However, as the pain tolerance is variable among individuals, some patients will need to take acetaminophen, Ibuprofen, or even codeine for pain control.Īpplication of cryotherapy to lesions that are larger than one inch requires proper planning and adequate pain control measures. A simple local anesthetic may be all that some patients will need to overcome this pain. The peak intensity of the pain occurs 1-2 hours after the procedure. Pain of cryotherapy is short-lived and often subsides within 8-12 hours. Naturally, application of cryotherapy to larger keloids is associated with more pain. Treatment of keloids that are larger than half an inch (>1.25 cm) will naturally cause more discomfort and more pain – something that will require further attention and proper management. If needed, patients can take Tylenol or Ibuprofen. Keeping busy and distracted for several hours after treatment is all that is needed to manage the discomfort of treatment. Proper pain control is the most important factor in using cryotherapy to treat keloids.Ĭryotherapy of small keloids, measuring up to half an inch (1.25 cm) in diameter, although it can cause some pain, the discomfort is manageable and often does not require any intervention. Cryotherapy is a painful procedure, especially for large keloids. Prior to initiating cryotherapy, several factors have to be taken into consideration. Worse yet, the treating physician concludes that the cryotherapy was ineffective. As a result, treatment does not achieve the desired results and yet, it causes the pain and discomfort. Although using a spray gun may cause the surface of keloid to appear frozen, quite often, the deep tissue remains untreated. Every patient poses a unique challenge therefore, a careful cryotherapy plan must be devised for each patient.Ī common mistake in applying cryotherapy to a keloid is assuming that one can simply spray liquid nitrogen on the keloid by using a liquid nitrogen spray gun. This method of cryotherapy is highly ineffective. In freezing keloids, attention must be given to the location, shape and size of keloids.

Every keloid has a unique shape and configuration. Abdominal Keloids – General InformationĪpplication of cryotherapy is an art.KRF Treatment Guidelines for Chest Keloids.

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