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If you’ve recently undergone surgery, you might find that scar tissue buildup is causing discomfort and mobility issues. Fret not, however, as massage therapy for scar tissue offers a viable option for long-term management and relief. In this post, I want to share essential tips and info about massaging scar tissue, and how you can use this knowledge to further your post-surgical and post-injury recovery.

What Causes Scar Tissue Buildup?

Scar tissue forms as a natural part of the healing process after an injury or surgery. It occurs when the body lays down collagen fibres to repair and protect the wound. However, this new tissue is often denser and less flexible than the original tissue, leading to stiffness and discomfort. 

Symptoms of Problematic Scar Tissue

Problematic scar tissue may lead to symptoms such as swelling, sensitivity, and reduced range of motion, all of which can interfere with daily activities and overall mobility. Other complications that may arise as a result of scar tissue include:

  • Pain and Discomfort: As scar tissue builds up, it can pull on surrounding tissues and nerves, causing pain or discomfort during movement or even at rest. This pain might be sharp during certain movements or a dull ache that persists, impacting overall quality of life.
  • Swelling and Tenderness: Scar tissue can cause localized swelling as it can interfere with the natural drainage of fluids in the affected area. This can lead to tenderness or a feeling of tightness around the scar, which may be uncomfortable or even painful to the touch.
  • Itchiness: Scars can often be itchy due to the healing processes in the skin. However, excessive itchiness can also indicate issues with how the scar is healing, particularly if it’s accompanied by redness or raised tissue.
  • Numbness or Tingling: In some cases, scar tissue can affect the nerves in and around the wounded area. This can result in a loss of sensation (numbness) or the opposite effect of increased sensitivity, such as tingling or a ‘pins-and-needles’ sensation.
  • Redness and Heat: Persistent redness and a feeling of warmth in the scar area can be signs of inflammation, which may indicate complications in the healing process.

The Role of Massage in Breaking Down Scar Tissue

Massage can help break down scar tissue. Through targeted techniques, massage can promote circulation, stimulate collagen production, and improve flexibility in the affected area, ultimately aiding in the reduction of scar tissue.

  • Improved Circulation: Massage therapy enhances blood flow to the scarred area, which is crucial in the healing process. Improved circulation not only delivers more oxygen and nutrients, which facilitate healing but also helps remove waste products and cellular debris from the tissue. This increased blood flow can speed up the repair process of damaged tissues and reduce the buildup of scar tissue.
  • Enhanced Collagen Production: Collagen is a primary component of scar tissue and plays a vital role in wound healing. Through the mechanical action of massage, there is stimulation of the fibroblasts—cells responsible for collagen production. This stimulation enhances the alignment and remodelling of collagen fibres, making the scar tissue less rigid and more flexible. As a result, the scar becomes smoother and blends better with the surrounding tissues.
  • Improved Mobility and Flexibility: Scar tissue can be restrictive, limiting the range of motion and causing discomfort or pain during movement. Massage helps to elongate and realign the collagen fibres within the scar tissue, reducing the force on surrounding tissues. This leads to increased mobility and flexibility in the area, allowing for easier and pain-free movements. Regular massage therapy can progressively restore the functionality of the affected area and decrease the stiffness associated with scar tissue.

How Long Does It Take to Massage Out Scar Tissue?

The time it takes to massage out scar tissue can vary depending on factors such as the size and severity of the scar, as well as the individual’s response to treatment. Consistent massage over several weeks or months is typically needed to see significant improvement. It’s essential to be patient and persistent with scar massage for the best results.

Best Type of Massage for Breaking Down Scar Tissue

Various massage techniques can be effective in breaking up scar tissue. Deep tissue massage, myofascial release, and cross-friction massage are among the most commonly used methods. These techniques target different layers of tissue and can help loosen and break down scar tissue over time.

  • Deep tissue massage targets the deeper layers of muscle and connective tissue, using slow strokes and firm pressure to reach below the superficial muscles. For scar tissue, it helps break down the fibrous tissue, improving elasticity and reducing pain associated with scars.
  • Myofascial release focuses on reducing pain by easing the tension and tightness in the trigger points. It involves applying gentle, sustained pressure on the soft tissues while traction is applied to the fascia. This technique helps to soften and lengthen the fascia and can break up scar tissue significantly, improving mobility and reducing pain associated with movement.
  • Cross-friction massage, also known as transverse friction massage, involves applying pressure across the scar tissue to promote the realignment of the fibrous tissues within the scar. This technique enhances healing by increasing blood flow and reducing the adhesions that contribute to stiffness and pain. Cross-friction is particularly useful for tendons, ligaments, and muscle sheaths to prevent and break down adhesions and improve range of motion.

Post-Surgery Massage for Scar Tissue: When to Start 

It’s crucial to follow your healthcare provider’s recommendations regarding scar massage after surgery. In many cases, scar massage can begin once the incision has healed, usually around 2-4 weeks after surgery. Starting scar massage early can help prevent excessive scar tissue buildup and promote better healing outcomes.

Erase Scars, Embrace Health

Scar buildup is a natural part of recovering from injury. If you’re experiencing issues with surgery or injury scars, Body Works Physiotherapy is here to help. We can guide you towards a healthier, happier you. Not only will you have access to fully licensed and registered massage therapists in Scarborough, but you’ll also receive free introductions to our full team of practitioners including physiotherapists and chiropractors. Don’t wait any longer to start seeing the results you deserve. Book your appointment today!

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