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

One of the most obvious differences between CT and fascial/myofascial
techniques and other massage techniques is that a lubricant is generally not
applied.
Lack of lubricant allows for engaging or hooking into CT and fascia and the
ability to load the tissue and create drag. As tissue is therapeutically loaded and
moved it will eventually encounter barrier and bind. Recall, barrier is the firstfelt
slight resistance to manually applied challenge, and bind is the point where
tissue no longer moves freely/easily with mechanical force application.
Drag can be graded (Fritz 2013) (see Box 9.9). Generally speaking, when
working with traumatic scar tissue, skin/CT and fascial/myofascial techniques
are aimed at drag level 2–3.
As discussed throughout this book, pathophysiological scars are characterized by
pathologically excessive dermal fibrosis and aberrant wound healing. During the
wound-healing process, measures taken to prevent aberrant wound healing is to
be considered a primary treatment focus, and this includes employing techniques
designed to address undue tissue tension. As noted at the beginning of this
chapter, employing techniques designed to interface with the tension/tone
regulators, the nervous system (NS) and integrin system, will achieve the desired
outcome.
When working with established traumatic scar tissue, skin/CT and
fascial/myofascial techniques are directed at releasing tissue restrictions or dense
or stuck sliding layers that have been identified through assessment and
evaluation.
Box 9.9