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Cica silicone
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11/11/2013 06:23
pia2some 
11/11/2013 06:23
pia2some 
Cica silicone

I know some on the forum have used this but I don't remember how it was for them.

I'm six weeks out from surgery and my hand is a mess. There is some serious scar tissue forming under the skin. I had the pinky and middle finger and the palm operated on, so lots of zigzag incisions. The scarring on my middle finger is so bad that it is pulling the entire finger downward. There seems to be a band of scar tissue from the base of that finger into the middle of the palm. But there is no incision going that way. The OT speculated that the scar tissue has adhered to something in the hand and is pulling. She doesn't feel that there is much more she can do to make a significant difference. I'm still in OT twice a week. She continues to do ultrasound treatments, deep tissue massage and of course all my stretching exercises and such.

Last week we talked about trying the Cica silicone. It's too expensive for the PT office to carry so I ordered it off Amazon. It came yesterday and I put it on tonight. It took some trial and error to get it placed just right. When I go to OT next time, she will help to make sure I am doing it correctly. I wanted to go ahead and start using it now.

I'm really afraid my hand is going to be worse off than before surgery. That is very frustrating. Oh, the pinky is not staying straight at all, even wearing the splint that I have (full hand extension splint). The OT is getting an individual splint that I can wear during the day. Some of you have posted a picture of this kind before. It has what looks like a spring around the PIP joint. I can't remember what it's called though. Anyway, we're going to try that during the day on the pinky. What a mess.

Anyway, anyone with experience using the Cica silicone on scars?


~ dawn

12/21/2013 21:08
cokiwi 
12/21/2013 21:08
cokiwi 
Re: Cica silicone

I am about 9 weeks out from my first dupuytrens surgery and 6 weeks from the last skin graft. We are using silicone strips and a silicone putty to soften the scarring which goes from the tip of my pinky to the bottom of my palm. I am also using Aquaflor to moisturize and as a massage oil. I use a scar pen, which is just a smooth plastic half ball attached to the end of a wooden dowel about 6" long, to massage the scar repeatedly, zig zags and all. I also massage with my fingers. My PT tells me that her Dupuytrens patients always scar worse that people without it. I assume it has something to do with the way that the formation of nodules in the palm and scar tissue are similar.
The silicone putty was used to form a kind of mold of my palm. She formed it to fit under my night splint. After forming, it hardens but still can be dented with your fingernail, so is not super hard. I wear that at night and sometimes use the gel strips during the day, depending on how much I am using my hand. The scarring is softening.

I had N/A done twice on this finger (my pinky) but the Dupuytrens came back and I had to resort to surgery. The Dr did skin grafts to help prevent recurrence. When reading this forum earlier, I wondered why people assumed silicone night splints might be beneficial, but they way it is used on scarring, I can now see the connection. I hope the silicone is helping you!

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