[libribook.com] Traumatic Scar Tissue Management 1st Edition

Clinical Consideration
It has been demonstrated – via ultrasound imaging – that skin rolling can
modify collagen density (Pohl 2010).
Scar tissue can develop up to 6 months after treatment is complete. The skin may
become hard, thick or feel bound in the areas that have been irradiated; surgical
sites can also be aggravated (MacDonald 2003).
Scarring from radiation or surgery disturbs the lymphatic flow and, if not
addressed, can create an environment for fibrosis. Add to this the fact that
lymphatic pathways do not re-establish themselves across scars and you could
draw the conclusion that un-drained lymphatic fluid contributes to the
pathogenesis of the raised and swollen tissues abutting a scar (Warren & Slavin
2007).
Although no protocols exist, several excellent case studies indicate that a
combination of manual lymph drainage techniques, myofascial release, snapping
or popping of the cords and ROM exercises with passive stretching can bring
about productive outcomes (Bock, 2013).
Breast Cancer-Related Neuropathy
Chemotherapy-associated peripheral neuropathy is the most common cause of
breast cancer-related neuropathy. Chemotherapy medications travel throughout
the body, where they can cause damage to the nerves (BreastCancer.org. 2015c).
Certain chemotherapy medications can cause neuropathy. Chemotherapyassociated
neuropathy may begin as soon as treatment starts, and it may worsen
as treatment continues. Usually it begins in the toes, but it can expand to include
the legs, arms, and hands. The most common symptoms include:
• Pain, tingling, burning, weakness, tickling, or numbness in arms, hands, legs,
and feet
• Sudden, sharp, stabbing, or shocking pain sensations