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All scars have a story. Whether it’s an emergency surgery, elective surgery, or an accident/trauma, there is a story.

The definition of a scar is a mark left on the skin or within body tissue where a wound, burn, or sore has not healed completely and fibrous connective tissue has developed. It is important to note that scars are not only external (visible on skin), but also internal (within the body tissue).

From a physiological standpoint, the body has an innate intelligence to repair what has been “damaged”. The body works to do this as fast as it can, and in doing so, the connective tissue that is produced and laid in a somewhat haphazard way. The result is a scar with dense, rigid tissue. When there is a disruption in the alignment of the layers of fascia (band or sheet of connective tissue, primarily collagen, beneath the skin that attaches, stabilizes, encloses, and separates muscles and other internal organs), it can create “roadblocks” to the continuity and function of the tissue. With current science and technology, we are learning the importance of the health of our connective tissue (fascia) and the role it plays in chronic pain and dysfunction in the body. For example, a c-section scar may be causing pain in other areas of the body due to the disruption in the continuity and the quality of the connective tissue.

Massage and bodywork can have a profound effect on the post surgery/injury healing process. The goal is to minimize not only the external scar site, but also the effects of internal connective tissue scarring. Massage techniques that are focused on re-aligning fascia and softening dense scar tissue are very effective. Movement such as yoga can be extremely beneficial in working to open areas that may be restricted due to scarring.

In addition to the physical aspect of scars, we must not diminish or forget the importance of the emotional “scars”. A physical trauma in the body has emotional impacts. The stories behind the scars are important and real. Scar and surgical recovery massage should NOT be painful. Results can be achieved with mindful, intentional touch.

Debby Smith

Author