Chronic Pain and Neuropathies

Painful Scar Neuropathy

Painful Scar Neuropathy is a common cause of chronic neuropathic pain produced by entrapment, irritation, or injury of peripheral nerves secondary to scar formation following surgery, trauma, burns, previous infiltrations, or deep soft tissue injuries.

During the healing process, fibrotic adhesions and perineural fibrosis may develop, altering the normal mobility of the nerve and causing chronic nerve compression or neuropathic sensitization. As a result, patients may experience persistent pain, hypersensitivity, and functional limitation even long after the initial injury or surgical procedure has resolved.

This condition can affect virtually any anatomical region and is especially common following spine, abdominal, chest wall, or limb surgery, as well as after orthopedic and trauma-related procedures.

Most Common Symptoms

Symptoms may vary depending on the affected nerve and the degree of scar fibrosis.

The most common symptoms include:

Persistent pain over or along the scar
Burning sensation or electric shock-like pain
Cutaneous hypersensitivity
Pain with light touch or pressure
Tingling or paresthesia
Sensation of tightness or deep adhesions
Pain radiating along the course of the affected nerve
Localized sensory disturbances
Functional limitation and pain during movement
Persistent post-surgical pain

In some patients, even mild stimuli or contact with clothing may trigger severe pain due to peripheral and central neural sensitization.

Advanced Diagnosis

Diagnosis requires a detailed clinical evaluation aimed at identifying the neuropathic component and any associated adhesions or nerve entrapments.

Specialized and Minimally Invasive Treatment

At Clínica VERTEBRA, we provide an advanced and personalized approach aimed at reducing nerve irritation, releasing adhesions, and modulating neuropathic pain through image-guided, minimally invasive techniques.

Treatment options may include:

Specialized medical treatment for neuropathic pain
Specialized Rehabilitation and Physiotherapy
Precision Infiltration Treatments
Pulsed Radiofrequency Techniques (Ruiz-López Technique)
Biological Therapies and Regenerative Medicine
Minimally Invasive Percutaneous Procedures

At VERTEBRA SpinePain & Regenerative SURGERY CENTERS, we have extensive expertise in the diagnosis and treatment of complex peripheral neuropathies and chronic post-surgical pain, using high-precision techniques together with individualized therapeutic protocols.

Our goal is to provide effective, safe, and minimally invasive treatments that relieve pain, improve function, and restore quality of life in patients with Painful Scar Neuropathy and persistent neuropathic pain.

Clínica VERTEBRA is a pioneer in the implementation and development of advanced minimally invasive techniques over the past four decades and has received international recognition for its contributions.