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Scar Tissue ((• Scar tissue – forms to repair damaged or traumatized…
Scar Tissue
• Scar tissue – forms to repair damaged or traumatized skin
and underlying tissues by lying down a haphazard network of collagen fibers.
• Purpose of scar tissue is to seal the wound and bind it,
as a result the sense of feeling in the area can be diminished.
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• Every restriction forms scar tissue, although some are not visible.
• All MFR techniques work on scar tissue and adhesions.
Specific techniques can be worked on surgical and injury sites a
s well as known areas of dysfunction, pain, and tension.
• Direct work on surgery or incision sites should only be done
6-8 weeks post-surgery / injury. Treatment above and below site
is appropriate any time.
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• Breaking up scar tissue? Collagen is stronger than steel and
the surrounding tissue. If we were going to break anything down
with our hands it would not be the collagenous fibers.
Wound Healing
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• Hemostasis – first moments of injury. Vasoconstriction occurs to stop bleeding and a clot is formed.
• Inflammatory Phase - Once hemostasis has been achieved, blood vessels then dilate
to allow essential cells; antibodies, white blood cells, growth factors, enzymes and nutrients t
o reach the wounded area. Characteristic signs of inflammation can be seen.
The predominant cells at work here are the phagocytic cells; ‘neutrophils and macrophages’. I
nflammation is critical to healing, but if it continues too long can be damaging to the tissue.
• Proliferation Phase – The wound is “rebuilt.” Fibroblasts and fibroclasts take up extra collagen and make it more useful, make it so that it can function. With repeated trauma or if function was never restored the tissue loses mobility
• Maturation Phase – final phase occurs when the wound has closed. Remodels collagen from from Type III to Type I.
Assessment
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How can I support the structure? How can I make it
feel better? May not make changes to the appearance.
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