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Evidence Based Manual Therapy for Scars and Adhesions

Evidence Based Manual Therapy for Scars and Adhesions: Does Massage Work? 

This paper was written to examine current manual therapy practices and the effect on the treatment of scars and adhesions. It is published in the current manual on Fascia for Osteopaths in Europe.

The modern education system for manual therapy, including Massage Therapy, Physiotherapy, Osteopathy and Chiropractic works on the acceptance that manipulation of tissues for scars and adhesions is of therapeutic value. This paper examines the current scientific literature on mechanical force and its effect on connective tissue.

Scars and Adhesions: 

The formation of scars and adhesions is a ubiquitous process that is naturally occurring and most often, not pathological.  As a profession, manual therapists have long held the belief that restrictions in tissue movements can result in a more global dysfunction. There is little support for this concept. There are little data available that would suggest validity of manual treatment to scar tissue. As well, fascia has little proven innervation, thus the implications in pain or pathology remain poorly understood.

In this chapter, we will explore the healing mechanism as they relate to different types of tissue, and best treatment protocols and outcomes based on current published evidence for tissue manipulation and manual therapy.

Please click on the link below to read the full text of the chapter. This chapter was written for professionals. If you are interested in learning more about your postsurgical care, book an appointment with any of our therapists to learn how manual therapy can help you recover and have less pain and more understanding about your postoperative pain.

Evidence Based Scars & Adhesions

Attenuation of postoperative adhesions using a modeled manual therapy