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[libribook.com] Traumatic Scar Tissue Management 1st Edition
CONTENTSForewordPamela Fitch BA RMTForewordSandy Fritz BS MS BCTMBPrefaceAcknowledgementsGlossary and key concepts1 Introduction2 Skin and fascia3 The lymphatic system4 Neurology5 Wound healing and scars6 Burns, mastectomies and other traumatic scars7 Trauma8 Communication and the therapeutic relationship9 Assessment and treatmentComparison of before and after treatment10 Client and therapist self careAppendix: Massage therapy research resourcesIndex
FOREWORDEveryone has scars: visible and invisible. Every scar contains stories or secretsabout a person’s life. They may even represent specific emotions associated withthe event that caused the wound. When someone shares the story of their scar orallows the scar to be touched, he or she must recall the story, feel the emotionsand relive the secrets.Applying massage therapy to manage scars reveals an ancient history.‘Rubbing’, as the technique was described in antiquity, is mentioned byHippocrates. First World War nursing sisters massaged patients with complexwounds and burns in order to help them gain function and mobility, long beforeantibiotics or advanced orthopedic surgical techniques. And yet scar massagetherapy principles and evidence have, at times, been forgotten within standardmassage therapy training. The reasons for this avoidance seem unclearconsidering how apt the treatment can be for certain scar conditions.Once a therapist has acknowledged a scar, questions immediately surface and thetherapist must connect with the individual’s history and personality. By askingabout a scar, a therapist must engage interpersonally and behavecompassionately. It is possible that the client may feel pride regarding a scar. Orthe individual may feel embarrassed or even ashamed of the scar. It is impossibleto simply touch a scar without considering the story or asking questions: whatdoes this scar represent? How did it happen? Did it hurt? Does it hurt now? Howdoes this scar affect the client’s capacity to move or function? Does this scaraffect the client’s self-image negatively or positively?Massage therapists commonly encounter client scars when they effleurage overthe body. Many therapists may feel curious about the scar but until recently,massage therapy training did not include specific knowledge or clinicalconsiderations about scar tissue. Traumatic Scar Tissue Management: Massage
- Page 2 and 3: Traumatic Scar Tissue ManagementMas
- Page 4: Letter to NKS - from Camp Amigo cam
- Page 7: Important noticeNeither the publish
- Page 11 and 12: stories about how basic massage the
- Page 13 and 14: to the events that resulted in the
- Page 15 and 16: PREFACEMore people are surviving tr
- Page 17 and 18: and
- Page 19 and 20: ACKNOWLEDGEMENTSA thank you to the
- Page 21 and 22: Lastly, thank you, the reader; the
- Page 23 and 24: GLOSSARY AND KEY CONCEPTSAll the wo
- Page 25 and 26: AdhesionsScar-like tissue that form
- Page 27 and 28: Alphabet techniquesCs, Js, and Ss -
- Page 29 and 30: AngiogenesisGrowth of new blood ves
- Page 31 and 32: AponeurosesDense, sheet-like fascia
- Page 33 and 34: Autonomic balanceHomeostatic and co
- Page 35 and 36: BarrierIs defined as the point wher
- Page 37 and 38: Best research evidenceThe best avai
- Page 39 and 40: Body AwarenessConscious, attentiona
- Page 41 and 42: BradykininInflammatory mediator - a
- Page 43 and 44: Capsular contractureEnvelopment of
- Page 45 and 46: ChemokinesSmall molecules released
- Page 47 and 48: CicatrixAnother term for scar - the
- Page 49 and 50: Collagen crimpThe wavy formation se
- Page 51 and 52: Compassion fatigueThe profound emot
- Page 53 and 54: Compression techniqueA therapeutic
- Page 55 and 56: Consolidated edemaChronic stage ede
- Page 57 and 58: CortisolHormone released in respons
FOREWORD
Everyone has scars: visible and invisible. Every scar contains stories or secrets
about a person’s life. They may even represent specific emotions associated with
the event that caused the wound. When someone shares the story of their scar or
allows the scar to be touched, he or she must recall the story, feel the emotions
and relive the secrets.
Applying massage therapy to manage scars reveals an ancient history.
‘Rubbing’, as the technique was described in antiquity, is mentioned by
Hippocrates. First World War nursing sisters massaged patients with complex
wounds and burns in order to help them gain function and mobility, long before
antibiotics or advanced orthopedic surgical techniques. And yet scar massage
therapy principles and evidence have, at times, been forgotten within standard
massage therapy training. The reasons for this avoidance seem unclear
considering how apt the treatment can be for certain scar conditions.
Once a therapist has acknowledged a scar, questions immediately surface and the
therapist must connect with the individual’s history and personality. By asking
about a scar, a therapist must engage interpersonally and behave
compassionately. It is possible that the client may feel pride regarding a scar. Or
the individual may feel embarrassed or even ashamed of the scar. It is impossible
to simply touch a scar without considering the story or asking questions: what
does this scar represent? How did it happen? Did it hurt? Does it hurt now? How
does this scar affect the client’s capacity to move or function? Does this scar
affect the client’s self-image negatively or positively?
Massage therapists commonly encounter client scars when they effleurage over
the body. Many therapists may feel curious about the scar but until recently,
massage therapy training did not include specific knowledge or clinical
considerations about scar tissue. Traumatic Scar Tissue Management: Massage
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