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

Box 8.4
According to Broas (2008), MT treatment for traumatic scarring requires
five things in order to assure client sense of safety, comfort and acceptance
of the session.
Our conversation:
• Creating a container of safety. Is your clinic environment pleasing,
calming, free of distractions and potential hazards? Are window blinds
drawn or secured in a manner that respects privacy? Has good rapport
been established prior to commencing hands-on? The next step in
creating a container of safety is to make meaningful contact with the
client. Approach the area you are going to work on with the intention of
kindness and respect. A light touch at first sends the signal of nonthreatening,
appropriate therapeutic touch.
• Access and being attentive to the traumatic scarred area. What is
happening to the tissue? What is the response to the pressure and touch
being used? Is there a hypersensitive response, no response? Ask
questions during this time. How’s the pressure? What are you noticing in
your body when I’m working in this area? How does the area feel after
some work has been provided? Ask the client what they are feeling in
their body, in the area being treated and in general. Feedback not only
helps the therapist guide delivery of care but also helps the client
develop better body awareness.
• Processing the therapy. How is the client’s posture during the treatment?
Are they holding their breath? Are they stiffening under your touch? Do
you notice any holding patterns? This is another great opportunity to ask
questions on how their body is receiving and processing the work.
• Transformation. After negotiating the appropriate amount of pressure
and technique, do you notice a change in the client’s breathing? Has
something changed in the tissue/area you are working?
• Integration/completion. Knowing when to say ‘when’ is key in working