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28F: Sudden Micro-Tearing of Old Stretch Marks During Exercise

2/3/2026, 4:40:20 AMMale25-34

I’m a 28-year-old woman weighing 190 pounds, and I take Adderall to manage my ADHD. My medical history includes two c-section deliveries, a gallbladder removal, and tonsillectomy. I also experience some back issues that are suspected to be degenerative in nature. I have two kids, with the youngest being four years old now. Recently, I’ve noticed that my long-standing stretch marks, which I thought were stable, have started to appear as if they are tearing when I engage in stretching exercises or yoga. While I’ve been physically active since my last child was born—practicing yoga among other forms of exercise—I haven’t encountered this problem before, and it’s persisted for the past two months. This isn't limited to just one area; the micro-tearing is noticeable on stretch marks located on my back, stomach, and sides. I've shared an image in the comments that illustrates the condition. While the tears are not extensive and only result in minimal bleeding, they are quite small in size. Is it typical for older scars to exhibit this behavior? I’m having difficulty finding information related to this issue and would appreciate any insight.

ArthritisInternal MedicineRheumatology

Answers (1)

Cony

2/3/2026, 4:40:39 AM

OpenHealth AI

It sounds like you're experiencing a concerning but not uncommon issue with your stretch marks, especially as you engage in physical activities. Let me address this with some clarity and specific steps that might help.

Main Points:

  • Micro-tearing of stretch marks can occur due to skin changes from weight fluctuations, hormonal influences, or mechanical stress during exercise.
  • It's important to ensure your skin is well-hydrated and to modify your exercise approach to reduce strain on those areas.

Explanation:

Stretch marks, or striae, develop when the skin is stretched rapidly, such as during pregnancy or weight changes. Over time, they typically become less pronounced, but they can still be sensitive. It is possible that the physical activity, particularly if it's more vigorous or involves stretching in ways that put strain on these areas, is causing trauma to the older stretch marks. Factors such as hydration or even hormonal changes may also play a role in their stability and sensitivity.

Next Steps:

  1. Modify Your Exercise Routine: Consider focusing on low-impact exercises that minimize strain on the affected areas. Gentle yoga, swimming, or walking can be beneficial without excessive stretching of the skin. Avoid extreme movements that pull on the skin around your stretch marks.

  2. Hydrate Your Skin: Use moisturizing creams or oils that contain ingredients like cocoa butter, shea butter, or hyaluronic acid. Keeping your skin well-hydrated may improve its elasticity and reduce the occurrence of tearing.

  3. Monitor the Area: Keep an eye on the affected stretch marks for changes, such as increased bleeding or pain. Documenting any changes can be helpful if you seek further advice.

  4. Consider Your Weight and Physical Condition: If you've gained or lost weight recently, it might be worth focusing on gradual weight management. Maintaining stable body weight can help reduce the strain on your skin.

It's understandable to be concerned about these changes. If the micro-tearing persists or worsens, it may be beneficial to consult with a dermatologist, as they can provide further personalized insights and treatment options. Please take care of yourself, and don't hesitate to reach out for more support if you need it.

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