Sports Massage Therapy & Scar Tissue Release
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Scar Tissue Release - The STRAIT method ​

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A huge part of therapy left unspoken is scar tissue release after operations, burns or even minor cuts. The responsibility of the medical world stops once you are stitched up and ready to go home, but no one talks about the physiological impact that scars have on the body. While not every scar presents a problem, many do. If your body does not break down scar tissue completely, it will often spread. Think of it as a thick sticky substance whose original purpose was to stick cells together and close openings. Unfortunately it won't stop its 'mission' unless it's cleared. If left in the body, it will collect other floating cells and tissue sticking to it, making the original scar tissue bigger and bigger. Coupled with our movement habits, this scar tissue may spread towards the creases and folds of the body, eventually creating fascial tightness and limitation.

I had the pleasure of learning the STRAIT method from Marjorie Brook, who is a pioneer of scar tissue management. The course included not only education about operative procedures that help understand how scars may develop, but provide the key on how to help it unfold. Straight away we worked on real patients with scars and I was amazed at the outcome. Many previous courses have touched upon friction and other techniques to help break down scar tissue, but none of them had the same results, not even close. 

STRAIT method helps guide the body to break down some of the scar tissue, it may help reduce the 'height' of the scar if it protrudes from the healthy skin around it, but most importantly it helps to diminish any anchoring to structures below it, which may otherwise cause a restriction on movement or a blockage of fluids. 

I have been working on many post operative scars (C-section, mastectomy, appendicitis, knee and hip replacement just to name the most common ones). Generally fresh scars need to heal for at least 12-15 weeks (depending on location and without any complications) before I can work on it, so as not to disturb the initial healing phase of the tissues. 

If working on a C-section scar, I always recommend seeing a Women's Health Specialist physiotherapist, who is able to assess you from a different angle and cover other areas of possible concern, such as bladder dysfunctions (e.g.: urgency, incontinence) and intra-vaginal issues (e.g.: pain during intercourse). All of these are more common than most of us think, so getting ahead on diagnosis brings you a step closer to treatment and solution.

USEFUL LINKS ABOUT THE STRAIT METHOD:
STRAIT METHOD: An innovative scar tissue therapy - Interview transcript with Marjorie Brook
STRAIT METHOD: An innovative scar tissue therapy - Audio link to interview with Marjorie Brook
Understanding fascia scar tissue release by Marjorie Brook

LINKS ABOUT SCAR TISSUE I FOUND USEFUL:
​Surgical scar tissue: A less-talked-about side effect
Osteopathic scar tissue release
Scar tissue that I wish you saw by Jocelyn Kope (Physiotherapist and STRAIT method practitioner)
The importance of scar tissue release therapy by Marjorie Brook
Scar remodelling, adhesions and nerve pain by Erik Dalton

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