38-year-old patient who underwent a cesarean section 6 years ago, presenting with pain on the left side of the scar. The pain worsens in bad weather. Over the past 6 years, she has received various treatment methods in multiple cities in France, including traditional Chinese medicine and Western medicine, but none of them were effective. She reached out to her surgeon, requesting him to open up and take a look. The surgeon replied, "If we open it up and find nothing, how can we close it again? And what if the pain persists?" According to him, there was no surgical indication. Consequently, the patient endured the pain for 6 years.

No specific medical history.

Clinical examination:

No obvious skin abnormalities. The scar measures 15 cm in length, well-formed on the abdomen, without redness or palpable abnormalities, only moderate pain.

Diagnosis:

Postoperative scar pain.

Treatment:

According to the 3C Technique, localization of a Tianying point, acupuncture with 2 needles.

The pain decreased immediately after needle insertion. 20 minutes later, the pain completely disappeared.

3 months later, the pain reappeared but with less intensity than before.

Clinical examination:

No abnormalities on palpation, except for slight pain.

Treatment:

Acupuncture using the same method, horizontal insertion.

The pain decreased immediately after needle insertion. 20 minutes later, the pain completely disappeared.

She did not make any contact for 2 years.

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Case 36. Postoperative Scar Pain for 6 Years

(Saint Julien en Genevois Clinic)

Dr. Zhu Weimin (July 7, 2022)