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[libribook.com] Traumatic Scar Tissue Management 1st Edition
changed since the last session; medication changes and new diagnosis should befleshed out at the beginning of each session so alterations in the protocol can bemade immediately.Constructive questions that lead to the client’s awareness of what they arepresently feeling in the physical, physiological and internal areas of their bodywill help to focus the conversation on how the injury or traumatic scar tissuerelated impairments are manifesting on that given day (Fitch 2014). Simplyasking, ‘How is _________ manifesting in your body?’, helps set a focus for theMT session and helps to springboard an end to the conversation and thebeginning of the hands-on part of treatment.Box 8.3
Interview exampleMary is a client with mastectomy scars on her right chest wall. She statesshe has pain in her neck, upper back and shoulder. Restriction ofmovement in her right shoulder limits her ability to move her steeringwheel properly, reach for items above the first shelf in her kitchen andcauses her issues with sleep.After going through initial range of motion (ROM) and muscle testingassessments, I asked Mary about her medications. She was on two types ofanti-depressants and narcotic pain medication.Our conversation:• Therapist (T): ‘Mary, thank you for being patient during the assessment.Before we begin the session, I need to know more about yourmedications. Can you tell me what these medications are used for?’• Mary: ‘My oncologist put me on this anti-depressant after my breastcancer surgery. The other anti-depressant I’ve been taking since mydaughter passed away a few years ago.’• T: ‘I’m sorry for your loss. How did this loss affect you physically?’• Mary: ‘I didn’t move for months. It hurt too much.’• T: ‘It must have been difficult for you to do daily tasks.’• Mary: ‘Yes, it was.’• T: ‘What daily tasks are difficult for you now?’• Mary: ‘I would love to reach the second shelf in the kitchen. I would loveto make a full rotation on my steering wheel in the truck. I would love toplay soft-ball again at the 4th of July picnic.’• T: ‘Those are great goals. Let’s take them one by one. With theassessment, the scarring from the surgery is showing some restrictionacross your chest wall and is inhibiting the movement you use to reach. I
- Page 609 and 610: Clinical ConsiderationAccording to
- Page 611 and 612: DissociationDissociation is describ
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- Page 615 and 616: not only does the brain carry memor
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- Page 619 and 620: Somatoemotional ResponseDuring trea
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- Page 625 and 626: Given the impact of trauma on the b
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- Page 629 and 630: The Massage Therapist and TraumaThe
- Page 631 and 632: Bordoni B, Zanier E (2014) Skin, fa
- Page 633 and 634: Foex (2013) Surgical Tutor UK Avail
- Page 635 and 636: Kutner JS, Smith MC, Corbin L et al
- Page 637 and 638: Schmidt NB, Richey JA, Zvolensky MJ
- Page 639 and 640: CHAPTER 8Communication and the ther
- Page 641 and 642: The Therapeutic RelationshipThe the
- Page 643 and 644: Needs assessment, treatment plannin
- Page 645 and 646: Clinical ConsiderationIt is importa
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- Page 649 and 650: BoundariesOver the course of our li
- Page 651 and 652: Box 8.1Aside from obvious sexually
- Page 653 and 654: Box 8.2Eight principles that guide
- Page 655 and 656: Effective Listening and Empathetic
- Page 657 and 658: Clinical ConsiderationNever underst
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- Page 663 and 664: SummarySeveral pieces of informatio
- Page 665 and 666: with traumatic scar tissue clients.
- Page 667 and 668: ‘Physicians’ perspective of mas
- Page 669 and 670: Referral exampleTonya, a 21-year-ol
- Page 671 and 672: Referral exampleJane experienced me
- Page 673 and 674: CHAPTER 9Assessment and treatmentHe
- Page 675 and 676: MT. Additionally, sometimes people
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- Page 681 and 682: Clinical ConsiderationMT has been f
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- Page 685 and 686: Health History and InterviewA stand
- Page 687 and 688: surrounding muscle structures that
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- Page 695 and 696: Pre-treatment assessment/evaluation
- Page 697 and 698: Scar scalesScar scales can be used
- Page 699 and 700: response to negative pressure. It h
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- Page 705 and 706: Table 9.1Comparative of normal and
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changed since the last session; medication changes and new diagnosis should be
fleshed out at the beginning of each session so alterations in the protocol can be
made immediately.
Constructive questions that lead to the client’s awareness of what they are
presently feeling in the physical, physiological and internal areas of their body
will help to focus the conversation on how the injury or traumatic scar tissue
related impairments are manifesting on that given day (Fitch 2014). Simply
asking, ‘How is _________ manifesting in your body?’, helps set a focus for the
MT session and helps to springboard an end to the conversation and the
beginning of the hands-on part of treatment.
Box 8.3
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