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[libribook.com] Traumatic Scar Tissue Management 1st Edition
Comparison of before and aftertreatmentMassage therapists can play an active role in a client’s healing andrecovery. By implementing the appropriate technique at the correctintensity and time, massage therapy can facilitate the healing process andminimize the aesthetic/cosmetic, emotional and functional impact on thepatient. Clients with long-standing mature scars can also benefit fromtreatment.This series of comparative photos (pre/post-treatment) illustrates some ofthe potential changes facilitated by safe and effective treatment.Figure A.1 Pre-treatment
Medial thigh 4th degree skin grafts from a degloving injury. Initial insult was in 1986. First specificwork began in Winter 2009.Note bandaged posterior popliteal fascia ulceration. This was a condition due to the lack of pliabilityof the scar tissue from the hamstrings and quads.Yellow lines indicate scar keloid that is adhered to the muscle.Red lines indicate scarred pockets of edema.Figure A. 2 Post-treatmentMedial thigh 4th degree keloid and hypertrophic scar release, Sring 2015.Note popliteal fossa is no longer bandaged due to the scar releases. Note the leather look of thegrafted skin. Due to the lack of a dermis in the 4th degree insult, keeping the scar tissue moisturizedis a high priority for home care treatment.Notice the yellow and red lines indicating scar release and release of edema pockets in the leg.Also worthy of attention is the pallor of the skin and muscle development of the area from Figure A-1.
- Page 800 and 801: One of the most obvious differences
- Page 802 and 803: Clinical ConsiderationVarious forms
- Page 804: Box 9.10Sensory amnesia and proprio
- Page 808 and 809: Clinical ConsiderationAs all of the
- Page 810 and 811: Compression techniqueCompression te
- Page 812 and 813: Figure 9.8Tension. The lower leg is
- Page 814: Figure 9.9Approximation-compression
- Page 818 and 819: Figure 9.11(A) Shear: begin by enga
- Page 820 and 821: Clinical ConsiderationIt is common
- Page 823 and 824: Figure 9.12Torsion/rotation. Begin
- Page 826 and 827: Figure 9.13Lifting. Begin by graspi
- Page 828 and 829: Gross stretchGross stretch techniqu
- Page 830 and 831: Figure 9.15‘Cs’. Begin as noted
- Page 833 and 834: Figure 9.17J-stroke. Begin at one e
- Page 835 and 836: Clinical ConsiderationIrritated ner
- Page 837 and 838: Pathophysiological ConsiderationCha
- Page 839 and 840: Clinical ConsiderationAs the mechan
- Page 841 and 842: Clinical ConsiderationIn various st
- Page 843 and 844: Chaudhry H, Schleip R, Ji Z et al (
- Page 845 and 846: principles and methods. Philadelphi
- Page 847 and 848: Pilat A (2003) Myofascial therapies
- Page 849: Yang G, Im HJ, Wang JHC (2005) Repe
- Page 853: Figure B.2 Post-treatmentSurgical s
- Page 857 and 858: Figure C.2 Post-treatment2 December
- Page 859 and 860: and to be consistent with any selfc
- Page 861 and 862: ability to resume social responsibi
- Page 863 and 864: Clinical ConsiderationTrauma can be
- Page 865 and 866: MaintenanceSelfcare maintenance is
- Page 867 and 868: ManagementSelfcare management is de
- Page 869 and 870: Client and Therapist PartnershipTo
- Page 871 and 872: Box 10.1Factors affecting, effectiv
- Page 873 and 874: Strategies to Facilitate Engagement
- Page 875 and 876: Clinical ConsiderationThe authors u
- Page 877 and 878: instances. Make your clients aware
- Page 879 and 880: Relaxation MeasuresVarious relaxati
- Page 881 and 882: scope of practice, such as relaxati
- Page 883 and 884: Silicone gel and silicone sheetingS
- Page 885 and 886: Medicinal honeyThe use of honey for
- Page 887 and 888: Wise Use of Your BodyIt is not esse
- Page 889 and 890: Empathy Strain and BurnoutEmpathy,
- Page 891 and 892: Box 10.3A reflection on reasons for
- Page 893 and 894: Clinical ConsiderationIn the author
- Page 895 and 896: trauma are the therapist’s person
- Page 897 and 898: Care for the care providerIt is imp
- Page 899 and 900: body. Edinburgh: Churchill Livingst
Medial thigh 4th degree skin grafts from a degloving injury. Initial insult was in 1986. First specific
work began in Winter 2009.
Note bandaged posterior popliteal fascia ulceration. This was a condition due to the lack of pliability
of the scar tissue from the hamstrings and quads.
Yellow lines indicate scar keloid that is adhered to the muscle.
Red lines indicate scarred pockets of edema.
Figure A. 2 Post-treatment
Medial thigh 4th degree keloid and hypertrophic scar release, Sring 2015.
Note popliteal fossa is no longer bandaged due to the scar releases. Note the leather look of the
grafted skin. Due to the lack of a dermis in the 4th degree insult, keeping the scar tissue moisturized
is a high priority for home care treatment.
Notice the yellow and red lines indicating scar release and release of edema pockets in the leg.
Also worthy of attention is the pallor of the skin and muscle development of the area from Figure A-
1.
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