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

Fig 9.1
Yellow lines represent palpable scarring.
Client-relayed fascial/myofascial indicators
Having the client describe the character and quality of what they feel can
provide valuable information. Certain characteristics and qualities are commonly
associated with CT and fascial distress. Additionally, certain indicators are
useful for differential assessment:
• Stiffness – as stiffening is a physiological property of CT and fascia, consider
stiffness a primary indicator of CT/fascial distress
• Burning, prickling or tingling sensation when tissue is manually loaded – due
to drag on stuck or restricted tissue
• Compression, pulling or tugging sensation with or without movement or
manual challenge – due to dense and/or stuck tissue
• Muscle weakness and fatigue not associated with muscle atrophy or motor
dysfunction – restricted fascia can impair muscle contraction and force
transmission capabilities
• Tension or tightness that does not resolve with linear stretching or other muscle
targeted forms of therapy/treatment
• Tension or tightness that is non-responsive to muscle relaxants
• Muscular focused manual therapy techniques have produced non-satisfactory
results or results are short lived
• Joint instability or feeling of giving-out with no mechanical laxity of joint
associated tissues – associated with dense or restricted CT/fascia mediated
proprioceptive dysfunction – see Sensory amnesia and proprioceptive
disinformation example in Box 9.10 (p. 217)
• Pain referral pattern not associated with a neural path or pattern.