I've always had a small area that stayed numb after my tummy tuck 6 yrs ago. I sometimes got itch-like feelings that seemed to originate far below the surface but due to the numb skin it’s impossible to relieve the itching. They usually they went away after about 5 min anyway. However, I got an itch yesterday that was nearly constant. I could get no relief and resorted to various prescription pain and anti-anxiety meds with no relief. It’s maddening. Please help me, what can I do?
How Can I Relieve the Itching That Originates Deep Below the Surface but the Skin is Numb After TT?
Doctor Answers 4
How can I relieve the itching that originates deep below the surface but the skin is numb after TT?
The usual signs of the nerves regenerating and neuropraxia resolving is itching, followed by a burning sensation and then occasional sharp, shock-like pains. These will be normal to experience, and actually a promising sign. Usually, normal sensation returns, but is is also possible to have decreased sensation or even increased sensation to the areas affected. Re-educating nerves postoperatively is often helpful and will allow proper instruction for the affected sensory nerves - methods include using different textures to the affected areas when showering, bathing, applying lotion, etc. If bothersome, there are some medications that may be helpful, including Neurontin for pain for hypersensitivity. You can try various textures such as washcloths, loofahs, cotton sheets, etc. Massaging the areas is also beneficial for the incision to make the finest scar possible. The last place to regain the sensation will be directly adjacent to the incision/scar as the nerves will make its way from the periphery to this location. If continual pain arises, evaluation is warranted. After ruling out other causes, one rare explanation may be that a neuroma has developed and may require surgical excision. This is very unlikely unless a large sensory nerve has been transected inadvertently during the procedure. Hope that this helps! Best wishes!
Numbness and Swelling post tummy tuck
Pablo Prichard, MD
Itching after a tummy tuck
there are several options for chronic pain , itching or dysesthesia
- pain managment consult
- physical therapy
- injections by your physician with marcaine
- tegretol or similar
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