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

Alphabet Techniques
Most massage therapists will readily recognize the terms Cs, Ss and Js in
reference to technique application. These techniques can be utilized to address
both superficial and deeper tissues/layers. Barrier considerations apply (see Figs.
9.14–9.16):
• Cs (Fig. 9.14): a form of compression and bending loading – where one side of
the tissue compresses and the other is tensioned – elicits both circulatory and
lengthening effects, generally aimed at engaging deeper layers/tissue,
although can be applied to engage the skin and SF layer Ss (Fig. 9.15), a
multidirectional form of loading, similar to Cs.
• J-stroke (Fig. 9.16A & 9.16B): combination of tension, compression and
bending that elicits both circulatory and lengthening effects, generally aimed
at engaging more superficial layers/tissue. Like gentle circles, this technique
can be used in the earlier stages of healing, once the scar is stable (i.e. no risk
of dehiscence). Typically, pressure grades 1–4 (see Box 9.8) are used when
applying this technique. J-stroke can be performed with or without the use of
lotion/lubricant.