For relief from a synovial effusion, temporary use of oral nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help reduce pain and inflammation. If these aren't enough, a doctor can perform a joint aspiration to drain the excess fluid, which often brings rapid relief. During this process, an intra-articular corticosteroid injection (such as triamcinolone) can be administered directly into the knee to powerfully target swelling. I highly recommend seeking a second opinion from another specialist to safely discuss these fluid-drainage and injection options.

A keloid that has been present for many years and keeps coming back after steroid injections is a stubborn type of scar where the skin produces excess collagen in response to even minor injury. It is common for keloids to recur or continue growing despite multiple injections, and itching is also a frequent symptom. Home remedies like apple cider vinegar, baking soda, or hydrogen peroxide are not helpful for keloids and may actually irritate the skin or worsen inflammation. Long-term control usually needs a combined medical approach rather than a single treatment. Dermatologists may use options like repeated steroid injections in a planned schedule, silicone gel sheets or pressure therapy, cryotherapy, laser treatment, or, in selected cases, surgical removal followed by preventive therapy to reduce recurrence. The key is prevention after any procedure because keloids have a strong tendency to return. Since yours has persisted for 8 years, it is important to get a specialist review for a tailored combination plan rather than repeated single treatments. You should seek medical care if there is rapid growth, severe pain, ulceration, or bleeding from the lesion.

Keloids after ear piercing happen when the skin produces excess scar tissue while healing. These scars may become raised, thick, itchy, painful, or continue growing slowly over time. Some people develop keloids more easily because of family tendency or sensitive skin healing patterns. Small keloids may improve with silicone gels, pressure earrings, steroid creams, or steroid injections that help flatten the thick scar tissue gradually. Larger or harder keloids sometimes need procedures such as cryotherapy, laser treatment, or surgical removal combined with steroid treatment to reduce the chance of the keloid growing back again. Surgery alone may not always give permanent results because keloids can recur if healing becomes overactive again. Avoid repeated irritation, tight earrings, or re-piercing near the same area because this may worsen scar growth. If the keloid becomes rapidly larger, very painful, repeatedly infected, or starts bleeding, it should be checked properly by a skin specialist to decide the safest treatment approach.