{"id":4651,"date":"2025-12-02T18:35:43","date_gmt":"2025-12-02T18:35:43","guid":{"rendered":"https:\/\/handtherapie-kruse.de\/?p=4651"},"modified":"2025-12-02T18:40:26","modified_gmt":"2025-12-02T18:40:26","slug":"was-verschlimmert-narben-haeufige-fehler-und-risikofaktoren-im-heilungsprozess","status":"publish","type":"post","link":"https:\/\/handtherapie-kruse.de\/en\/was-verschlimmert-narben-haeufige-fehler-und-risikofaktoren-im-heilungsprozess\/","title":{"rendered":"What worsens scars? Common mistakes and risk factors in the healing process"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"4651\" class=\"elementor elementor-4651\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-262fff1a e-flex e-con-boxed e-con e-parent\" data-id=\"262fff1a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-4b71d4c7 e-con-full e-flex e-con e-child\" data-id=\"4b71d4c7\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a57dafd elementor-widget elementor-widget-heading\" data-id=\"a57dafd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What worsens scars? Common mistakes and risk factors in the healing process\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1b5b816b elementor-icon-list--layout-inline elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"1b5b816b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items elementor-inline-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-globe\" viewbox=\"0 0 496 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M336.5 160C322 70.7 287.8 8 248 8s-74 62.7-88.5 152h177zM152 256c0 22.2 1.2 43.5 3.3 64h185.3c2.1-20.5 3.3-41.8 3.3-64s-1.2-43.5-3.3-64H155.3c-2.1 20.5-3.3 41.8-3.3 64zm324.7-96c-28.6-67.9-86.5-120.4-158-141.6 24.4 33.8 41.2 84.7 50 141.6h108zM177.2 18.4C105.8 39.6 47.8 92.1 19.3 160h108c8.7-56.9 25.5-107.8 49.9-141.6zM487.4 192H372.7c2.1 21 3.3 42.5 3.3 64s-1.2 43-3.3 64h114.6c5.5-20.5 8.6-41.8 8.6-64s-3.1-43.5-8.5-64zM120 256c0-21.5 1.2-43 3.3-64H8.6C3.2 212.5 0 233.8 0 256s3.2 43.5 8.6 64h114.6c-2-21-3.2-42.5-3.2-64zm39.5 96c14.5 89.3 48.7 152 88.5 152s74-62.7 88.5-152h-177zm159.3 141.6c71.4-21.2 129.4-73.7 158-141.6h-108c-8.8 56.9-25.6 107.8-50 141.6zM19.3 352c28.6 67.9 86.5 120.4 158 141.6-24.4-33.8-41.2-84.7-50-141.6h-108z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Leonie Kruse<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"rtmicon rtmicon-item-list\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Hand therapy and occupational therapy - Frankfurt<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d3ebe62 elementor-widget elementor-widget-theme-post-featured-image elementor-widget-image\" data-id=\"d3ebe62\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"theme-post-featured-image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"534\" src=\"https:\/\/handtherapie-kruse.de\/wp-content\/uploads\/2025\/12\/Depositphotos_81823658_XL-1024x683.jpg\" class=\"attachment-large size-large wp-image-4472\" alt=\"\" srcset=\"https:\/\/handtherapie-kruse.de\/wp-content\/uploads\/2025\/12\/Depositphotos_81823658_XL-1024x683.jpg 1024w, https:\/\/handtherapie-kruse.de\/wp-content\/uploads\/2025\/12\/Depositphotos_81823658_XL-300x200.jpg 300w, https:\/\/handtherapie-kruse.de\/wp-content\/uploads\/2025\/12\/Depositphotos_81823658_XL-768x512.jpg 768w, https:\/\/handtherapie-kruse.de\/wp-content\/uploads\/2025\/12\/Depositphotos_81823658_XL-1536x1024.jpg 1536w, https:\/\/handtherapie-kruse.de\/wp-content\/uploads\/2025\/12\/Depositphotos_81823658_XL.jpg 1600w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-193c656c elementor-widget elementor-widget-text-editor\" data-id=\"193c656c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><b>What makes scars worse?<\/b><span style=\"font-weight: 400;\"> The healing process of scars is complex and can be negatively affected by various factors. If you are wondering, <\/span><b>What worsens scars?<\/b><span style=\"font-weight: 400;\">, You must consider both mechanical stress and the body&#039;s biological reactions. Understanding the risk factors is crucial for actively preventing unsightly, raised, or painful scarring.<\/span><\/p><h2><b>1. What worsens scars? Mechanical and physical influences<\/b><\/h2><p><span style=\"font-weight: 400;\">Physical treatment and exposure of the scar in the first few months are the most common reasons for a worsening of the scar&#039;s appearance.<\/span><\/p><h3><b>Excessive tension and strain<\/b><\/h3><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Effect:<\/b><span style=\"font-weight: 400;\"> Constant or strong pulling on the wound edges during the healing phase causes the body to produce more collagen in response to stabilize the wound.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Consequence:<\/b><span style=\"font-weight: 400;\"> This leads to the formation of <\/span><b>wider, flatter<\/b><span style=\"font-weight: 400;\"> or <\/span><b>sublime, hypertrophic<\/b><span style=\"font-weight: 400;\"> Scars. Scars that run across joints (such as on the hand or elbow) are particularly vulnerable, as every movement puts strain on them.<\/span><\/li><\/ul><h3><b>UV radiation and sun<\/b><\/h3><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Effect:<\/b><span style=\"font-weight: 400;\"> Fresh scar tissue contains no melanocytes (pigment cells) that provide protection against UV radiation. Sun exposure disrupts the healing process and stimulates the pigment cells in the area surrounding the scar.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Consequence:<\/b><span style=\"font-weight: 400;\"> The scar is discolored <\/span><b>permanently dark (hyperpigmentation)<\/b><span style=\"font-weight: 400;\"> and thus becomes significantly more visible than the surrounding skin. Consistent sun exposure is essential for the scar to heal.<\/span><\/li><\/ul><h3><b>Mechanical friction and scratching<\/b><\/h3><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Effect:<\/b><span style=\"font-weight: 400;\"> Rubbing with clothing or scratching when itchy constantly irritates the young scar and triggers a renewed inflammatory reaction.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Consequence:<\/b><span style=\"font-weight: 400;\"> This can trigger scarring and thicken the scar tissue deep within, leading to the development of a <\/span><b>hypertrophic scar<\/b><span style=\"font-weight: 400;\"> can lead to this.<\/span><\/li><\/ul><h2><b>2. What worsens scars? Biological and inflammatory factors<\/b><\/h2><p><span style=\"font-weight: 400;\">Certain bodily processes or complications can biologically impair the healing of the scar.<\/span><\/p><h3><b>Wound infections<\/b><\/h3><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Effect:<\/b><span style=\"font-weight: 400;\"> A wound infection triggers a strong, long-lasting inflammatory response as the immune system fights the pathogens.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Consequence:<\/b><span style=\"font-weight: 400;\"> The inflammation significantly delays primary wound healing. This often leads to a <\/span><b>massive collagen production<\/b><span style=\"font-weight: 400;\"> and is one of the main reasons for the formation of <\/span><b>unsightly, highly raised scars<\/b><span style=\"font-weight: 400;\">.<\/span><\/li><\/ul><h3><b>Individual genetic predisposition<\/b><\/h3><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Effect:<\/b><span style=\"font-weight: 400;\"> Some people are genetically predisposed to forming excessive amounts of scar tissue.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Consequence:<\/b><span style=\"font-weight: 400;\"> This manifests itself as <\/span><b>Keloid<\/b><span style=\"font-weight: 400;\"> (a scar that grows beyond the original wound edges) or as severe <\/span><b>hypertrophic scar<\/b><span style=\"font-weight: 400;\">. In cases of known predisposition, early, aggressive scar prophylaxis (silicone, pressure) is necessary to prevent the scar from worsening.<\/span><\/li><\/ul><h3><b>Chronic inflammation or autoimmune diseases<\/b><\/h3><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Effect:<\/b><span style=\"font-weight: 400;\"> Diseases that affect the immune system or cause chronic inflammation can disrupt the wound healing cascade.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Consequence:<\/b><span style=\"font-weight: 400;\"> The healing of the scar can be delayed or disrupted by excessive scarring.<\/span><\/li><\/ul><h2><b>3. What worsens scars? Incorrect scar care.<\/b><\/h2><p><span style=\"font-weight: 400;\">Incorrect or insufficient care during the active scar maturation phase is a common reason why scars worsen.<\/span><\/p><table><tbody><tr><td><p><b>Mistakes in scar care<\/b><\/p><\/td><td><p><b>Negative impact on the scar<\/b><\/p><\/td><\/tr><tr><td><p><b>No massage<\/b><\/p><\/td><td><p><span style=\"font-weight: 400;\">This leads to adhesion with deeper layers and reduces flexibility.<\/span><\/p><\/td><\/tr><tr><td><p><b>No silicone\/print<\/b><\/p><\/td><td><p><span style=\"font-weight: 400;\">Increases the risk of <\/span><b>hypertrophic<\/b><span style=\"font-weight: 400;\"> and <\/span><b>Keloid formation<\/b><span style=\"font-weight: 400;\"> (the scar becomes raised).<\/span><\/p><\/td><\/tr><tr><td><p><b>Premature stress<\/b><\/p><\/td><td><p><span style=\"font-weight: 400;\">This leads to tensile stress and widening of the scar (the scar worsens mechanically).<\/span><\/p><\/td><\/tr><tr><td><p><b>Scar dehydration<\/b><\/p><\/td><td><p><span style=\"font-weight: 400;\">The scar becomes hard, brittle, and more prone to itching and hardening.<\/span><\/p><\/td><\/tr><\/tbody><\/table><h2><b>4. The importance of early scar prevention<\/b><\/h2><p><span style=\"font-weight: 400;\">Since it is difficult to completely eliminate noticeable scars once they have formed, prevention is the best way. <\/span><b>What worsens scars?<\/b><span style=\"font-weight: 400;\"> The problem is often the neglect of care in the first few weeks.<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Conservation:<\/b><span style=\"font-weight: 400;\"> Avoid extreme movements of the affected area for the first 4\u20136 weeks.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Hydration:<\/b><span style=\"font-weight: 400;\"> Begin applying moisturizing gels or creams (with massage) as soon as the scab falls off.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Silicone:<\/b><span style=\"font-weight: 400;\"> Use silicone products (patches or gel) consistently to keep the scar soft and flat.<\/span><\/li><\/ul><p><img decoding=\"async\" class=\"alignnone wp-image-4475 size-full\" src=\"https:\/\/handtherapie-kruse.de\/wp-content\/uploads\/2025\/12\/Depositphotos_106495294_XL.jpg\" alt=\"\" width=\"1600\" height=\"1068\" srcset=\"https:\/\/handtherapie-kruse.de\/wp-content\/uploads\/2025\/12\/Depositphotos_106495294_XL.jpg 1600w, https:\/\/handtherapie-kruse.de\/wp-content\/uploads\/2025\/12\/Depositphotos_106495294_XL-300x200.jpg 300w, https:\/\/handtherapie-kruse.de\/wp-content\/uploads\/2025\/12\/Depositphotos_106495294_XL-1024x684.jpg 1024w, https:\/\/handtherapie-kruse.de\/wp-content\/uploads\/2025\/12\/Depositphotos_106495294_XL-768x513.jpg 768w, https:\/\/handtherapie-kruse.de\/wp-content\/uploads\/2025\/12\/Depositphotos_106495294_XL-1536x1025.jpg 1536w\" sizes=\"(max-width: 1600px) 100vw, 1600px\" \/><\/p><h2><b>5. Frequently asked questions about the causes and what worsens scars<\/b><\/h2><h3><b>1. What worsens scars the most in terms of color?<\/b><\/h3><p><span style=\"font-weight: 400;\">Scars are most aggravated by their color. <\/span><b>direct UV radiation (sunlight)<\/b><span style=\"font-weight: 400;\">. Fresh scars have no natural protection against the sun, and UV exposure almost inevitably leads to [a specific condition\/condition]. <\/span><b>permanent hyperpigmentation<\/b><span style=\"font-weight: 400;\">, This causes the scar to become dark and clearly visible. Therefore, the scar must be consistently protected from the sun for at least 6 to 12 months.<\/span><\/p><h3><b>2. Can poor diet worsen scars?<\/b><\/h3><p><span style=\"font-weight: 400;\">An improper diet can indirectly worsen scar healing by impairing the body&#039;s overall wound-healing ability. <\/span><b>deficiency of protein, vitamin C or zinc<\/b><span style=\"font-weight: 400;\"> It can disrupt collagen synthesis and immune function. This can delay healing and negatively affect scar quality, potentially making the scar less attractive.<\/span><\/p><h3><b>3. What worsens scarring after carpal tunnel surgery?<\/b><\/h3><p><span style=\"font-weight: 400;\">After surgery on <\/span><b>Carpal tunnel syndrome<\/b><span style=\"font-weight: 400;\"> The scar can be caused primarily by <\/span><b>lack of mobilization<\/b><span style=\"font-weight: 400;\"> The condition can worsen. If the scar becomes fused with the underlying median nerve or tendons, this can lead to pain, a feeling of tightness, and restricted movement. Consistent scar massage is crucial to prevent this and ensure proper scar healing.<\/span><\/p><h3><b>4. Can wearing clothes that are too tight worsen the scar?<\/b><\/h3><p><span style=\"font-weight: 400;\">Yes, wearing clothes or shoes that are too tight can worsen the scar, especially if they rub directly against the scar tissue. The constant... <\/span><b>mechanical friction<\/b><span style=\"font-weight: 400;\"> It irritates the young tissue and can perpetuate the inflammation. This increases the risk of the scar becoming raised and unsightly (hypertrophic scarring).<\/span><\/p><h3><b>5. Why does smoking worsen scar healing?<\/b><\/h3><p><span style=\"font-weight: 400;\">Smoking significantly impairs scar healing because nicotine... <\/span><b>Blood vessels constricted<\/b><span style=\"font-weight: 400;\"> and thereby reduces the oxygen supply to the wound area. Poor blood circulation leads to slowed and inefficient wound healing and increases the risk of complications. <\/span><b>Wound healing disorders<\/b><span style=\"font-weight: 400;\"> and infections. This can have a very negative impact on the scar&#039;s appearance.<\/span><\/p><h3><b>6. What makes scars worse when they start to itch?<\/b><\/h3><p><span style=\"font-weight: 400;\">When scars start to itch, that&#039;s <\/span><b>Scratch<\/b><span style=\"font-weight: 400;\"> The biggest factor that worsens them is scratching. Scratching mechanically damages and irritates the young, delicate scar tissue, which reignites the inflammatory response. This can lead to thickening and enlargement of the scar. It is better to cool or keep the scar moist to relieve the itching.<\/span><\/p><h3><b>7. Can too much massage worsen the scar?<\/b><\/h3><p><span style=\"font-weight: 400;\">Too much or too intense massage in the <\/span><b>very early phase<\/b><span style=\"font-weight: 400;\"> (Before the wound has stabilized) it can pull the wound edges apart and widen the scar. However, a <\/span><b>gentle, regular massage<\/b><span style=\"font-weight: 400;\"> In the later maturation phase (after about 2\u20134 weeks), proper scar healing is crucial. The correct technique and timing are important to prevent deterioration.<\/span><\/p><h3><b>8. How long do I need to avoid pulling to prevent the scar from worsening?<\/b><\/h3><p><span style=\"font-weight: 400;\">You must avoid putting any strain on the scar for the entire duration of the active healing phase, ideally for <\/span><b>six to twelve months<\/b><span style=\"font-weight: 400;\">. The wound is least resistant to tensile stress during the first six weeks. After that, gradual stress is possible, but strong tensile forces should still be avoided, as these can widen the scar and negatively affect the cosmetic result.<\/span><\/p><h3><b>9. Can certain medications worsen scar healing?<\/b><\/h3><p><span style=\"font-weight: 400;\">Yes, certain medications, especially those that... <\/span><b>Suppress immune response<\/b><span style=\"font-weight: 400;\"> (Immunosuppressants) or those that <\/span><b>influence blood clotting<\/b><span style=\"font-weight: 400;\"> (For example, high doses of cortisone) can delay wound healing and increase the risk of wound healing disorders, which can worsen the scar. Always talk to your doctor about all medications you are taking.<\/span><\/p><h3><b>10. What worsens scars in patients with dark skin?<\/b><\/h3><p><span style=\"font-weight: 400;\">Patients with dark skin have a higher risk of <\/span><b>Hyperpigmentation<\/b><span style=\"font-weight: 400;\"> (dark discoloration of the scar) and a greater tendency to <\/span><b>Keloid formation<\/b><span style=\"font-weight: 400;\">. In these cases, UV protection must be applied even more consistently, as otherwise the scar will worsen significantly, and the early application of silicone and, if necessary, cortisone injections for prophylaxis is particularly important.<\/span><\/p><p><img decoding=\"async\" class=\"alignnone wp-image-4467 size-full\" src=\"https:\/\/handtherapie-kruse.de\/wp-content\/uploads\/2025\/12\/Depositphotos_35602185_XL.jpg\" alt=\"\" width=\"1600\" height=\"1067\" srcset=\"https:\/\/handtherapie-kruse.de\/wp-content\/uploads\/2025\/12\/Depositphotos_35602185_XL.jpg 1600w, https:\/\/handtherapie-kruse.de\/wp-content\/uploads\/2025\/12\/Depositphotos_35602185_XL-300x200.jpg 300w, https:\/\/handtherapie-kruse.de\/wp-content\/uploads\/2025\/12\/Depositphotos_35602185_XL-1024x683.jpg 1024w, https:\/\/handtherapie-kruse.de\/wp-content\/uploads\/2025\/12\/Depositphotos_35602185_XL-768x512.jpg 768w, 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7.4 36.8s-24.5 103.8-29 123.2c-5 21.4-3 51.6-.9 71.2C65.4 450.9 0 361.1 0 256 0 119 111 8 248 8s248 111 248 248z\"><\/path><\/svg>                                    Pinterest                                <\/a>\n                                            <\/dt>\n                                <dt class=\"elementor-repeater-item-8c4b51c\">\n                                                        <a type=\"button\" data-social-media=\"linkedin\" class=\"rkit-social-share__link linkedin\">\n                                    <svg aria-hidden=\"true\" class=\"rkit-social-share__icon e-font-icon-svg e-fab-linkedin\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 32H31.9C14.3 32 0 46.5 0 64.3v383.4C0 465.5 14.3 480 31.9 480H416c17.6 0 32-14.5 32-32.3V64.3c0-17.8-14.4-32.3-32-32.3zM135.4 416H69V202.2h66.5V416zm-33.2-243c-21.3 0-38.5-17.3-38.5-38.5S80.9 96 102.2 96c21.2 0 38.5 17.3 38.5 38.5 0 21.3-17.2 38.5-38.5 38.5zm282.1 243h-66.4V312c0-24.8-.5-56.7-34.5-56.7-34.6 0-39.9 27-39.9 54.9V416h-66.4V202.2h63.7v29.2h.9c8.9-16.8 30.6-34.5 62.9-34.5 67.2 0 79.7 44.3 79.7 101.9V416z\"><\/path><\/svg>                                    LinkedIn                                <\/a>\n                                            <\/dt>\n            <\/dl>        <\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-24c98731 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"24c98731\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3874b47c e-con-full e-flex e-con e-child\" data-id=\"3874b47c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-aca9e46 elementor-widget elementor-widget-global elementor-global-3219 elementor-widget-search\" data-id=\"aca9e46\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;submit_trigger&quot;:&quot;click_submit&quot;,&quot;pagination_type_options&quot;:&quot;none&quot;}\" data-widget_type=\"search.default\">\n\t\t\t\t\t\t\t<search class=\"e-search hidden\" role=\"search\">\n\t\t\t<form class=\"e-search-form\" action=\"https:\/\/handtherapie-kruse.de\/en\/\" method=\"get\" data-trp-original-action=\"https:\/\/handtherapie-kruse.de\/en\">\n\n\t\t\t\t\n\t\t\t\t<label class=\"e-search-label\" for=\"search-aca9e46\">\n\t\t\t\t\t<span class=\"elementor-screen-only\">\n\t\t\t\t\t\tSearch\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<\/label>\n\n\t\t\t\t<div class=\"e-search-input-wrapper\">\n\t\t\t\t\t<input id=\"search-aca9e46\" placeholder=\"Discover topics...\" class=\"e-search-input\" type=\"search\" name=\"s\" value=\"\" 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class=\"e-search-results\"><\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/output>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<button class=\"e-search-submit\" type=\"submit\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t<span class=\"\">\n\t\t\t\t\t\tSeek\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<\/button>\n\t\t\t\t<input type=\"hidden\" name=\"e_search_props\" value=\"aca9e46-4651\">\n\t\t\t<input type=\"hidden\" name=\"trp-form-language\" value=\"en\"\/><\/form>\n\t\t<\/search>\n\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-71af1b27 e-con-full e-flex e-con e-child\" data-id=\"71af1b27\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5a747e8 elementor-widget elementor-widget-global elementor-global-1596 elementor-widget-heading\" data-id=\"5a747e8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Overview<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a1c2c60 elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-global elementor-global-1599 elementor-widget-icon-list\" data-id=\"a1c2c60\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/handtherapie-kruse.de\/en\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-arrow-alt-circle-right\" viewbox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8c137 0 248 111 248 248S393 504 256 504 8 393 8 256 119 8 256 8zM140 300h116v70.9c0 10.7 13 16.1 20.5 8.5l114.3-114.9c4.7-4.7 4.7-12.2 0-16.9l-114.3-115c-7.6-7.6-20.5-2.2-20.5 8.5V212H140c-6.6 0-12 5.4-12 12v64c0 6.6 5.4 12 12 12z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Homepage<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/handtherapie-kruse.de\/en\/behandlung-von-ueberlastungssyndromen\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-arrow-alt-circle-right\" viewbox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8c137 0 248 111 248 248S393 504 256 504 8 393 8 256 119 8 256 8zM140 300h116v70.9c0 10.7 13 16.1 20.5 8.5l114.3-114.9c4.7-4.7 4.7-12.2 0-16.9l-114.3-115c-7.6-7.6-20.5-2.2-20.5 8.5V212H140c-6.6 0-12 5.4-12 12v64c0 6.6 5.4 12 12 12z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Treatment of overuse syndromes<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/handtherapie-kruse.de\/en\/arthrose-und-rheuma-der-hand\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-arrow-alt-circle-right\" viewbox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8c137 0 248 111 248 248S393 504 256 504 8 393 8 256 119 8 256 8zM140 300h116v70.9c0 10.7 13 16.1 20.5 8.5l114.3-114.9c4.7-4.7 4.7-12.2 0-16.9l-114.3-115c-7.6-7.6-20.5-2.2-20.5 8.5V212H140c-6.6 0-12 5.4-12 12v64c0 6.6 5.4 12 12 12z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Osteoarthritis and rheumatism of the hand<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/handtherapie-kruse.de\/en\/behandlung-von-ueberlastungssyndromen-2\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-arrow-alt-circle-right\" viewbox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8c137 0 248 111 248 248S393 504 256 504 8 393 8 256 119 8 256 8zM140 300h116v70.9c0 10.7 13 16.1 20.5 8.5l114.3-114.9c4.7-4.7 4.7-12.2 0-16.9l-114.3-115c-7.6-7.6-20.5-2.2-20.5 8.5V212H140c-6.6 0-12 5.4-12 12v64c0 6.6 5.4 12 12 12z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Hand rehabilitation after surgery<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.doctolib.de\/ergotherapie\/frankfurt-am-main\/leonie-kruse-frankfurt-am-main\/booking\/patient-insurance-sector?specialityId=1230&#038;telehealth=false&#038;placeId=practice-730072&#038;bookingFunnelSource=profile\" target=\"_blank\" rel=\"noopener\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-arrow-alt-circle-right\" viewbox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8c137 0 248 111 248 248S393 504 256 504 8 393 8 256 119 8 256 8zM140 300h116v70.9c0 10.7 13 16.1 20.5 8.5l114.3-114.9c4.7-4.7 4.7-12.2 0-16.9l-114.3-115c-7.6-7.6-20.5-2.2-20.5 8.5V212H140c-6.6 0-12 5.4-12 12v64c0 6.6 5.4 12 12 12z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Book an appointment directly<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/handtherapie-kruse.de\/en\/#kontakt\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-arrow-alt-circle-right\" viewbox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8c137 0 248 111 248 248S393 504 256 504 8 393 8 256 119 8 256 8zM140 300h116v70.9c0 10.7 13 16.1 20.5 8.5l114.3-114.9c4.7-4.7 4.7-12.2 0-16.9l-114.3-115c-7.6-7.6-20.5-2.2-20.5 8.5V212H140c-6.6 0-12 5.4-12 12v64c0 6.6 5.4 12 12 12z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">contact<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7dbbc3f e-con-full e-flex e-con e-child\" data-id=\"7dbbc3f\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;sticky&quot;:&quot;top&quot;,&quot;sticky_offset&quot;:146,&quot;sticky_parent&quot;:&quot;yes&quot;,&quot;sticky_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;],&quot;sticky_effects_offset&quot;:0,&quot;sticky_anchor_link_offset&quot;:0}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8459413 elementor-widget elementor-widget-global elementor-global-1602 elementor-widget-image\" data-id=\"8459413\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1536\" height=\"1536\" src=\"https:\/\/handtherapie-kruse.de\/wp-content\/uploads\/2026\/03\/DSC07119-1-scaled-e1773767655231-1536x1536.jpg\" class=\"attachment-1536x1536 size-1536x1536 wp-image-5630\" alt=\"\" srcset=\"https:\/\/handtherapie-kruse.de\/wp-content\/uploads\/2026\/03\/DSC07119-1-scaled-e1773767655231-1536x1536.jpg 1536w, https:\/\/handtherapie-kruse.de\/wp-content\/uploads\/2026\/03\/DSC07119-1-scaled-e1773767655231-300x300.jpg 300w, https:\/\/handtherapie-kruse.de\/wp-content\/uploads\/2026\/03\/DSC07119-1-scaled-e1773767655231-1024x1024.jpg 1024w, https:\/\/handtherapie-kruse.de\/wp-content\/uploads\/2026\/03\/DSC07119-1-scaled-e1773767655231-150x150.jpg 150w, https:\/\/handtherapie-kruse.de\/wp-content\/uploads\/2026\/03\/DSC07119-1-scaled-e1773767655231-768x768.jpg 768w, https:\/\/handtherapie-kruse.de\/wp-content\/uploads\/2026\/03\/DSC07119-1-scaled-e1773767655231.jpg 1707w\" sizes=\"(max-width: 1536px) 100vw, 1536px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-01d1e32 elementor-widget elementor-widget-global elementor-global-1605 elementor-widget-heading\" data-id=\"01d1e32\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Schedule an appointment now<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-18b37f7 elementor-align-start elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-global elementor-global-1608 elementor-widget-icon-list\" data-id=\"18b37f7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-check-circle\" viewbox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M504 256c0 136.967-111.033 248-248 248S8 392.967 8 256 119.033 8 256 8s248 111.033 248 248zM227.314 387.314l184-184c6.248-6.248 6.248-16.379 0-22.627l-22.627-22.627c-6.248-6.249-16.379-6.249-22.628 0L216 308.118l-70.059-70.059c-6.248-6.248-16.379-6.248-22.628 0l-22.627 22.627c-6.248 6.248-6.248 16.379 0 22.627l104 104c6.249 6.249 16.379 6.249 22.628.001z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Holistic perspective<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-check-circle\" viewbox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M504 256c0 136.967-111.033 248-248 248S8 392.967 8 256 119.033 8 256 8s248 111.033 248 248zM227.314 387.314l184-184c6.248-6.248 6.248-16.379 0-22.627l-22.627-22.627c-6.248-6.249-16.379-6.249-22.628 0L216 308.118l-70.059-70.059c-6.248-6.248-16.379-6.248-22.628 0l-22.627 22.627c-6.248 6.248-6.248 16.379 0 22.627l104 104c6.249 6.249 16.379 6.249 22.628.001z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Capacity to act<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-check-circle\" viewbox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M504 256c0 136.967-111.033 248-248 248S8 392.967 8 256 119.033 8 256 8s248 111.033 248 248zM227.314 387.314l184-184c6.248-6.248 6.248-16.379 0-22.627l-22.627-22.627c-6.248-6.249-16.379-6.249-22.628 0L216 308.118l-70.059-70.059c-6.248-6.248-16.379-6.248-22.628 0l-22.627 22.627c-6.248 6.248-6.248 16.379 0 22.627l104 104c6.249 6.249 16.379 6.249 22.628.001z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Activity orientation<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-62dc69b elementor-align-justify elementor-widget elementor-widget-global elementor-global-1278 elementor-widget-button\" data-id=\"62dc69b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/www.doctolib.de\/ergotherapie\/frankfurt-am-main\/leonie-kruse-frankfurt-am-main\/booking\/patient-insurance-sector?specialityId=1230&#038;telehealth=false&#038;placeId=practice-730072&#038;bookingFunnelSource=profile\" target=\"_blank\" rel=\"noopener\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-far-calendar-check\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M400 64h-48V12c0-6.627-5.373-12-12-12h-40c-6.627 0-12 5.373-12 12v52H160V12c0-6.627-5.373-12-12-12h-40c-6.627 0-12 5.373-12 12v52H48C21.49 64 0 85.49 0 112v352c0 26.51 21.49 48 48 48h352c26.51 0 48-21.49 48-48V112c0-26.51-21.49-48-48-48zm-6 400H54a6 6 0 0 1-6-6V160h352v298a6 6 0 0 1-6 6zm-52.849-200.65L198.842 404.519c-4.705 4.667-12.303 4.637-16.971-.068l-75.091-75.699c-4.667-4.705-4.637-12.303.068-16.971l22.719-22.536c4.705-4.667 12.303-4.637 16.97.069l44.104 44.461 111.072-110.181c4.705-4.667 12.303-4.637 16.971.068l22.536 22.718c4.667 4.705 4.636 12.303-.069 16.97z\"><\/path><\/svg>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Book an appointment<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Was verschlimmert Narben? H\u00e4ufige Fehler und Risikofaktoren im Heilungsprozess Was verschlimmert Narben? Der Heilungsprozess von Narben ist komplex und kann durch verschiedene Faktoren negativ beeinflusst werden. Wenn Sie sich fragen, was verschlimmert Narben, m\u00fcssen Sie sowohl mechanische Belastungen als auch biologische Reaktionen des K\u00f6rpers in Betracht ziehen. Das Wissen \u00fcber die Risikofaktoren ist entscheidend, um [&hellip;]<\/p>","protected":false},"author":2,"featured_media":4472,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-4651","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/handtherapie-kruse.de\/en\/wp-json\/wp\/v2\/posts\/4651","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/handtherapie-kruse.de\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/handtherapie-kruse.de\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/handtherapie-kruse.de\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/handtherapie-kruse.de\/en\/wp-json\/wp\/v2\/comments?post=4651"}],"version-history":[{"count":7,"href":"https:\/\/handtherapie-kruse.de\/en\/wp-json\/wp\/v2\/posts\/4651\/revisions"}],"predecessor-version":[{"id":4843,"href":"https:\/\/handtherapie-kruse.de\/en\/wp-json\/wp\/v2\/posts\/4651\/revisions\/4843"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/handtherapie-kruse.de\/en\/wp-json\/wp\/v2\/media\/4472"}],"wp:attachment":[{"href":"https:\/\/handtherapie-kruse.de\/en\/wp-json\/wp\/v2\/media?parent=4651"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/handtherapie-kruse.de\/en\/wp-json\/wp\/v2\/categories?post=4651"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/handtherapie-kruse.de\/en\/wp-json\/wp\/v2\/tags?post=4651"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}