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What is scar tissue ? What is your approach when dealing with this problem ?

I/ How can wheather conditions effect the ankle joint with scar tissue ? eg why is it so much worse when its cold wheather ?

2/ Is it true to state the body will keep replacing the scar tissue  cells whilst it is still attached year on year. 

3/ when scar tissue is broken down and removed from tissue is it the lymph system that then consumes it ? what mechanism stops it from doing just that whilst in situe.?

4/ what is the oldest scar tissue injury you have successfully treated.


 

There are many questions asked here, please don't feel you have to have answere's to all of them ! 

 
Thankyou in advance for replying.

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I'd rather speak from the perspective of someone who has been treated...when I was in high school I was a runner, and had torn the ligaments in both ankles (two separate injuries, not at the same time, thank God.) My ankles were never the same. When I'd get up in the morning I'd be shuffling along like some 90-year old because of the restrictions.

When I was in my 40's I started my first series of Rolfing. Rolfers tend to focus their sessions on different body parts. The first time the Rolfer worked on my feet and ankles, I knew the instant I got off the table that it was a whole different ballgame. It was incredible to me at the difference in the way my ankles felt.

While I do use MFR techniques myself, I'm not a Rolfer and don't have their knowledge of it. To anyone who has old scar tissue, especially if it is restricting motion in any way, I'd highly recommend hooking up with a Rolfer. In the past ten years I've gone through the whole series three times and get occasional tuneups. It changed my life.
I use Korean Martial Therapy MFR and Acupressure for ankles with scar tissue and general injuries. The oldest ankle injury I have worked on and restored was 35 years old from a childhood injury. Until questioned the individual had even forgotten when the problem happened because it took 10 years for the scarring to get bad enough to create the limp they had for 25 years.

From my observations scar tissue remains and worsens as cells regenerate over time. On the other hand, they also can lessen or disappear. A bad cut on my right thumb happened 46 years ago and the scar is barely noticeable now. Working on people who had gall bladder surgery, I often find the scarring years later spread out in the abdomen (based on palpation).
Several therapies on the abdomen usually relieves abdominal pains related to this. These pains the client's doctor has usually found no cause for and two were told to get massage.

We are in a period of exploration and development. A great time to be a Massage Therapist.
Hi Laura, so glad you found the right therapist at the right time, so many will go through a lifetime of suffering without getting effective treatment. ( does this then go on to cause arthritis in the joint ?)

I have often thought I should set up a clinic with this one focus as a specialty, having had very good outcomes with clients who have suffered for many years and given up all hope of a pain free existance and return to sporting activity.

The NHS physio's here, seem only to offer a varying number of 15 min sessions of ultrasound, before giving up.
Ultrasound seems to fry the scar tissue into being more elastic = increased joint range and movement = giving false results. As is evident 24 hrs later when the scar tissue resumes its dibilitating strangle hold on the ankle joint. I've met lots of depressed clients who then assume, it's only for them the magic of ultrasound has failed.
Hi Daniel, great to hear you are getting good results with this, my approach may be simular to yours in that I use v slow compression to break the scar tissues bonding to healthy tissue.

I was taught completely opposite in training, = DEEP crossfiber friction, !!.................I feel a bit ashamed I used to use this technique, but it was what I was taught at the time.

Daniel Cohen said:
I use Korean Martial Therapy MFR and Acupressure for ankles with scar tissue and general injuries. The oldest ankle injury I have worked on and restored was 35 years old from a childhood injury. Until questioned the individual had even forgotten when the problem happened because it took 10 years for the scarring to get bad enough to create the limp they had for 25 years.

From my observations scar tissue remains and worsens as cells regenerate over time. On the other hand, they also can lessen or disappear. A bad cut on my right thumb happened 46 years ago and the scar is barely noticeable now. Working on people who had gall bladder surgery, I often find the scarring years later spread out in the abdomen (based on palpation).
Several therapies on the abdomen usually relieves abdominal pains related to this. These pains the client's doctor has usually found no cause for and two were told to get massage.

We are in a period of exploration and development. A great time to be a Massage Therapist.
Bohdi has just offered this

http://mtabcmsk.wordpress.com/2009/11/26/interaction-between-trigge...

as an explanation of triggerpoints effecting joint hypomobility. Could it be that scar tissue has the same affect via a nociceptive barrage to the dorsal horn neurons. = clients commonly inverting collapse of ankle joint ???? so no amount of muscle strenghtening for the joint is effective with the scar tissue still in place???

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