RE: Collagen/Scar tissuePosted by Mar on 3/17/03 at 18:10 (113245)
I did a search but haven't found what I am looking for. Has anyone had collagen injections to 'breakup scar tissue'? My doctor is considering this for me. Mar
Re: RE: Collagen/Scar tissueEd Davis, DPM on 3/18/03 at 01:01 (113276)
Are you sure that the substance to be used is 'collagen?' Collagen is a component of connective tissue and may be used to build up skin to eliminate wrinkles. A form of collagen was used back in the late 80's to inject over boney prominences in the foot to create padding. Injections of collagen would not break up scar tissue though.
Substances that may break up scar tissue include the enzyme hyaluronidase (Wydase) and steroids such as triamcinolone acetonide.
Re: RE: Collagen/Scar tissueMar on 3/18/03 at 05:26 (113277)
Dr Ed -
Well, that's what I wrote down when i was in his office, but maybe I misunderstood or maybe he used the wrong word by accident. When I got home I realized what collagen is used for and that's why I searched here. I just emailed him with your info and asked him if I misunderstood. Forget the steroid - I've had too many of them. Are there any negative effects of Wydase? Thanks -- Mar
Re: RE: Collagen/Scar tissueEd Davis, DPM on 3/18/03 at 14:41 (113348)
Wydase has few side effects if any. There are many different types of steroids with widely varying effects, so, depending on what you have had previously and depending on where and how it was used, I would not completely write that type of treatment off.
Re: RE: Collagen/Scar tissueSharon W on 3/18/03 at 14:54 (113349)
I had the beginnings of scar tissue around the nerve, following my TTS surgery. I was really hesitant about another steroid injection -- as you said, I felt I'd already had too many of them -- but I (reluctantly) agreed to it and it worked like a charm! I feel that my surgery might have turned out to be a disaster if it hadn't been for my pod keeping a close watch for this problem and quickly giving me the appropriate treatment when signs of scar development began to appear. (The steroids were combined with physical therapy, which was very helpful too...)
Re: RE: Collagen/Scar tissueMar on 3/18/03 at 16:51 (113358)
Dr Ed -
Thanks for your thoughts. I haven't heard back yet from my pod, but in conversation with my regular pod (non ESWT), he said the same thing about not writing off the steroid injections. I was surprised when he said it so when you said the same thing, I felt better about it. We'll see... Mar
Re: RE: Collagen/Scar tissueMar on 3/18/03 at 16:52 (113359)
Thanks Sharon for your encouragement and support! I'll keep your thoughts in mind -- Mar
Re: RE: Collagen/Scar tissueDrZ on 3/18/03 at 18:18 (113364)
There was a conversation from the past on this board that talked about local steriod injections being more effective after failed ESWT. It was from a dornier representative from Austrialia
Re: RE: Collagen/Scar tissueMar on 3/18/03 at 20:06 (113384)
Hmmm -- interesting Dr Z -- I just got out my notes -- had cortisone injections 3 weeks after 2nd ESWT - no help! Maybe it was too soon! Maybe I'm just an anomaly (when it comes to any treatment!!) ;-) I'll keep it in mind though and keep an open mind about it -- Mar
Re: RE: Collagen/Scar tissueDRZ on 3/18/03 at 20:10 (113386)
Probaby not going to help if it didn't help before.