We present a patient with long-standing painful scars whose pain completely disappeared after injection of local anesthetic and steroid. The patient was a 61-year-old female who had had her left arm wounded by broken glass shards at age 36 years. She had been operated on for removal of the glass shards two times. Pain gradually developed in the scars at age 56 years. She received anti-inflammatory agents, anti-depressants and psychotropic drugs in the ensuing 5 years. These medications did not lessen her pain, which was continuous. Allodynia and hyperalgesia were noted over the painful scars. The pain was completely relieved one month after local injections twice of dexamethasone and lidocaine. Local injections of steroid with local anesthetic may be beneficial in some patients with the pain associated with long-standing scars.