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Are Steroid Injections for Keloid Scars Painful?

As with all injections, steroid injections for the treatment of keloids can be painful. In our Dublin Practice we combine our steroid injections with lidocaine (numbing medication) to decrease the discomfort for our patients. For those who are extra sensitive to injections a topical numbing medication may be used in addition.

Clinical Context

Keloid injections typically use triamcinolone, a corticosteroid that helps shrink the raised, overgrown scar tissue over time. Because keloids are firmer than regular skin, injections can feel more intense than a typical shot, but numbing medication helps reduce discomfort. Most patients need several treatments spaced weeks apart, as the scar gradually flattens and softens. The steroid works locally within the scar and does not circulate throughout the body.

Answered by Dr. Steven Williams, President Emeritus of ASPS

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