What is Internal Scar Tissue?

health wellness

Internal scar tissue is scar tissue which forms inside the body. You may also hear internal scar tissue referred to as internal adhesions or just adhesions. Depending on where a scar forms, it may present no medical problems, or it may lead to serious health issues. For severe adhesions, patients may require surgery.

Scars are the body's response to injury. When the body is injured, it attempts to repair the injured site as quickly as possible. With a mild injury, the body may be able to restore the tissue to its previous state. More commonly, the tissue is replaced with an inferior barrier of scar tissue which cannot fully replace the missing tissue. Scars are often poorly supplied with blood, which is why they appear more pale than the surrounding tissue.

Inside the body, internal scar tissue forms as a result of trauma. Surgery is a common cause of adhesions, and they can also be the result of heart attacks, which cause scarring of the heart muscle, along with severe injuries like torn muscles and ligaments. Inflammatory disease can also cause internal scar tissue. In some instances, internal scar tissue goes unnoticed by its owner, illustrating the body's ability to repair itself fairly neatly when it is in good health.

In other cases, however, internal scar tissue forms an adhesion. An adhesion is a bond between two things which were not previously joined. For example, an adhesion could cause an organ to attach to the wall of the abdominal cavity, or it could lead to an obstruction of the bowel. Adhesions are often quite painful, because they restrict the freedom of movement of the organ or organs involved. Adhesions caused by pelvic inflammatory disease, for instance, can cause twisting of the reproductive organs, resulting in severe pain and fertility issues.

Surgical techniques have advanced to the point where adhesions are relatively rare, thanks to tools like adhesion barriers. Internal scar tissue can still be caused by things like sporting accidents and inflammatory diseases like irritable bowel syndrome, however. Chronic conditions are more likely to cause internal scar tissue and adhesions, and it is a good idea to talk to a doctor about getting these conditions under control and to talk about possible treatments for the resulting internal scars, ranging from steroid shots to surgery.

Doctors can check for adhesions with tools like ultrasound machines. Depending on the thickness of an adhesion, it may show up readily on an ultrasound, or it may present as a cloudy shape. Once a doctor has confirmed that adhesions exist and gauged their severity, treatment options can be considered.

Related wiseGEEK articles

Category

wiseGEEK features

Subscribe to wiseGEEK


21
I'm 16 and i frequently work out in the gym. i had a stupid accident benching where my friend made me laugh and my shoulder subluxated and my bicep tendon was torn out of the groove in my shoulder. (no skin was broken) I had a nasty bruise for a while and attended several doctors to only be told nothing can be done but physical therapy.

i went for three months and that was a year ago. about six months after the injury i built up a lump of what i assume is scar tissue in between my pectoralis minor and bicep brachii. it prevents me from a lot -- one stretch being bringing my arm across my chest to stress tricep. (i just can't do it. that lump there like doesn't let my arm close) and it is very painful. i went all the way through swim season already and didn't really hurt. but now in wrestling it is killing me. i read so many articles on how to dissolve scar tissue. one thing i found worked for people was castor oil deep tissue massages. i've been doing that and i'ts just hurting more. please if anyone has any advice i'd gladly try anything.

- anon51599
20
Bluezs (#9): I also had a fusion and scar tissue was laid down so thick it is pressing on my spinal cord causing pain down my legs. I tried four times to have a stimulator implant but the doctor said they could not get throught he scar tissue. Each talked they took 3-6 hours trying (usually a 1-2 hour max procedure!)

They would just try to get it in a place that might help. But, each time they tried to turn it on pain went to another part of the body than it was supposed to and was very painful!

It is thought the cord was twisted slightly after the fusion when the scar tissue "glued it there" so stimulation went to a different place. We gave up when it was felt the trials were causing even more scarring and pain.

I have been questioning doctors for years about scarring problems. It seems everywhere in my body they find scar tissue -- in places I don't remember an injury or surgery also! None seem to even care!

A naturopathic college and one other doctor spoke of "autoimmune disease," where the body goes into overdrive repairing (laying down scar tissue) where there is and is not injury. It becomes hyper, thus gluing down organs, squeezing on nerves etc. But they stop there.

I spoke to the Laser institute (on the web) and they know of scarring very well. They said with some people (without autoimmune problems) they can remove the tissue with very limited injury that would cause more scarring.

All might want to contact them. You send them your MRI's & med charts by mail and they will determine if you are a candidate for the surgery before you fly to Florida and waste your money (where they are).

For those with autoimmune, I am waiting for a good doctor who cares also!

- anon51550
19
I have had multiple abdominal surgeries -- too many to count -- double digits and this last one I'm hoping is my last has left one of my scars with a thickness and that in turn has pulled my upper abdominal area like a severe pulled muscle. It is quite painful, but I am hopeful that with time and normal stretching it will work itself out. if not I think I am looking at laparoscopic surgery to free up the scar from the abdominal wall. I finally found the best doctor. I had been to the best of New York City yet found this foctor who was beyond words and although I still have problems gave me my life back Dr. McCain in Hackensack Med Ctr NJ. thank you for listening.
- anon49157
18
Hi i had a gall bladder surgery in 05 and they tried a lap first that did not work. prior to that i had an ileostomy surgery over 25 years ago. And i don't know what what they did because i have been to lots of doctors but have not found the right one yet. i need a doctor like doctor house. if any one knows a great compassionate doctor willing to take a chance on me. i have no quality of life. i haven't for the past three years. i sit on a couch and can hardly stand up because it's all in my abdomen and lower back pain. And it's severe. In 01 I had a partial hysterectomy and have lots of scar tissue. I'm living every day of my life and not knowing how much more i can take. This is a tough one. is any one in my boat who can help me please? I need help right away. we don't know where to turn to anymore. thanks so much. hope i hear from someone. oh --i also had 200 hundred stones in my gall bladder and one in the bile duct so at that time my amylase and lipase levels would be really high and i would have to be admitted to hospital back then but even though i have ended up also from the 01 surgery hysterectomy surgery with a fistula on my belly because the wound wouldn't close on it's own. now i live with nausea and swelling and pain every day. i can hardly stand up. i also was told i have crohn's disease and the small bowel was inflamed somewhat. I'm really needing a good doctor who's going to be willing to sort all this out. Please i'm ready to go on tv with this story. i ca'nt even live. it's awful. i don't leave my house at all. Thanks again. i hope there's help in this world. Deneen
- anon46097
Editor's reply: Deneen, it is the wiseGEEK policy that we do not publish e-mail addresses in posts, but perhaps some other readers will have some good words for you. You will certainly be in our thoughts.
17
I had a ruptured appendix not discovered immediately which led to scar tissue and abscesses. The scar tissue is where the small intestine meets the large, where the appendix was, and causes constipation from hell. I've used castor oil topically and hope this will help.
- anon46009
16
I had a hysterectomy done with laparoscopic surgery. The main scar is starting to hurt and feels like it goes all the way to my back side. I'm wondering if the scar has grown onto another organ, or what. I can only guess. Exercise seems to make it worse, but I need to exercise.
- anon45678
15
I had four surgeries almost back to back. on different parts of the body, all intestinal. I have had pain since. There's knots feeling like rocks as big as a golf balls. You can exactly feel them they are so painful. I have no insurance and can't get not one person to help me. Life is not worth living with pain every day of your life. I hope and pray that one day someone or somebody will help me.
- anon45642
14
I had my gallbladder removed 15 months ago. I am experiencing pain on and around my scar. I am a fairly healthy person. I made it a priority to stay healthy prior to my operation and after. The scars on my abdomen healed quite fast. It feels like there's a ball in/on my upper abdomen. It hasn't gotten any smaller. Is there anything I can do beside taking meds. to lessen the pain.
- anon44839
13
I had emergency lower back surgery 8 years ago and have lived in constant pain ever since. I have had several MRI's and been told I have a lot of scar tissue and arthritis around the area. I was told there was nothing can be done about the scar tissue or the arthritis. Is there a way to dissolve the scar tissue or get rid of it?
- anon39966
12
I had a c-section eight years ago. I have excruciating pain at least three times a month. i've been to three diffrent hospitals. no one can tell me what it is. i went to uch hospital and they admitted to making my situation worse by putting me on birth control pills. is this supposed to be normal? There is a tight knot in the mid section of my stomach. no one can tell me what it is. is surgery possible?
- anon38791
11
I had my gallbladder removed and am now experincing pain in the upper right side of my abdomian. I'm also having problems breathing especially when laying on my right side. I also stay conspiated a lot. Could this be caused by scar tissue build up? My gallbladder was removed nine years ago.
- anon38692
10
I recently had a hysterectomy. After the surgery the doctor wanted to know what type of surgery I had on my left lower abdomen. I assured him there had been no surgeries in that area and asked why he was so insistant on it. I was informed there was alot of internal scar tissue and he thought is was from an unreported surgery. He dropped the issue and so did I until I found this site. Should I follow up on it to see if I need to do anything about it?
- anon38042
9
I have had 3 surgeries to my lower back: ie laminectomy and two fusions. The last was Jan. 08. I have been pain free until two weeks ago. After a recent MRI I was told my severe pain must be due to scar tissue and I have been recommended to have a spinal stimulator implanted. Are there other options like having the scar tissue removed or anything else?
- bluezs
8
i have bad discomfort due to scar tissue on my abdomen due to two major operations where the scar was twice cut.

i continously visit my gp but nobody has an answer for me

- anon37862
7
Years after being shot by a sawed off shotgun. I live with the constant pain to my stomach. 2 to 4 tylenol or advils or aleve or asprin a day. never realized until now what caused the pain. i notice after feeling around my old wounds where the pain's coming from. now i'm headed to the doctor. I just happened to stumble upon this website.
- anon37742
6
I had a lump on my thumb bout the size of a pea once and it was a build up of something on my tendon, from overuse. My doc just told me to squeeze it real hard and it worked. It popped and then was gone. Can't think of the name of it for the life of me. Only try this if it is on your tendon if it's not there then not sure what it is.

Person with the knee problems, sounds like your replacement joint is grinding to me. Had my hip replaced and it didn't make any noise at first, but it's been 4 years now and it's starting to grind. With these replacement parts they give there are certain guidelines you must follow for them to last and if you do anything your not suppose to it will cause problems. Not saying you did this but also the doc could have used a cheap one and that may be the cause. I had a good doc and he gave me the best they had. I also saw where there was a lawsuit going on for a certain brand of the replacement knees and hips. Look up class action lawsuits for knee joints replacement on google and you should be able to find it. Hope this helped some one.

- optimum
4
i have a painful lump, the size of a pea in my thumb. Is this normal after surgery to remove what at first was a cyst? How long will it hang around?
- anon24242
3
I had a total knee replacement six months ago. The only problem I have is my knee crunches and pops when I stand up and is painful. Could that be from scar tissue?
- anon18377
2
I had a knee replacement 6 years ago, after 6 months of recovery I had extreme pain and my doctor said I had to have a knee replacement revision. Well I had that done and another year went by and my doctors said I would have to have another revision. During my second and third surgeries on my knee the doctor removed a lot of scar tissue also. Today, approx. 2 years later, my knee has no strength in standing up or sitting myself down. It makes a loud scratching sound when it's bending. Is this a result from scar tissue?
- anon18173
1
i have a question regarding scar tissue. i am twenty five and had 7 surgeries on my abdominal are i have a lot of scar tissue. is there a surgery that can remove it?
- anon15874

FREE: Subscribe to wiseGEEK

 
    learn more

our strict privacy policy ensures that your email address will be safe



Written by S.E. Smith
Last Modified: 07 November 2009

copyright © 2003 - 2009
conjecture corporation