Scar Physical Therapy/Scar Management & Physiotherapy

Improving the look AND feel of scars

There are very few physiotherapists, who specialise in the area of burns, scars and plastic surgery. They have dedicated their career to applying their knowledge of the body and delivering common therapeutic treatment techniques such as exercise, rehabilitation, stretch and massage to scars.

Scars can result from a number of insults to the skin including accidents, burns as well as planned surgical procedures. They can be responsible for a number of complaints including pain and itch; furthermore, they can also be markedly raised or hollow, red, poorly textured, stuck, and tight. Non-invasive scar physiotherapy can help with all these symptoms.

Whether you have had a recent wound or operation or have a scar that is many years old, our specialist physiotherapist can help to prevent excessive scar formation and/or improve existing scarring.

Scars from surgery can cause deep tissue scarring, beyond the skin, which can limit movement in another area of your body; wherever your scar is or however deep it is, scar informed physiotherapy can help.

Our physiotherapist will perform a thorough assessment in order to help you understand the nature of your scar, the impact it has on you and explain what treatment plan is optimal. We will ensure that you have realistic expectation of what outcomes you may achieve based on your scar subtype and treatment proposed. Scar management offered by our physiotherapist is non-invasive; it will involve advice, education and mobilisation of the scar/body. Sometimes only one assessment with the therapist is needed; nevertheless, some patients will benefit from a course of sessions depending on the complexity of the scar they present with

Silicone gels and sheets – silicone can help prevent and treat scars, making them less red and more pliable (flexible).

Scar creams – keeping a scar hydrated helps prevent excessive scarring. Creams can also improve scars and keep them comfortable.

Pressure garments – pressure garments are measured just for you and help to reduce the height and redness of scars; they may also improve the comfort of the scar.

Stretching and exercise – if you scar is ‘stuck’, ‘tight’, painful or stiff whether within the skin or in deeper tissues, a programme of tailored stretch and exercise will help. Stretch and exercise is often given in combination with scar massage, and other invasive treatments.

Desensitisation – some scars are very sensitive, even when touched by things that normally would not hurt. Physiotherapy can help reduce this sensitivity.

Scar massage – the composition of scar is different from skin, often the scar is more rigid, less flexible and sometimes stuck to underlying tissues. The therapist uses scar massage techniques to mobilise your scar to make it freer and more relaxed. This can increase comfort and movement, help you return to more activities and improve how the scar looks.

LPG (Endermologie) – this is a technology that has a very powerful effect on scars. It is a mechanical device that massages the scar but has additional benefits in terms of fibroblast stimulation. LPG can improve the look and feel of your scar; it is especially useful in enhancing the flexibility (pliability) of your scar.

Yes, pain/discomfort are two of the main symptoms that physiotherapy can help with. Scars that are tight, itching, sensitive, sore and stuck can cause significant concerns; physiotherapy techniques can reduce pain by reducing the sensitivity of a scar and improving the movement and flexibility of the affected bodily part.

Our physiotherapist will take a full history of how you got the scar, what treatments you have already had and what your concerns and expectations are. Your scar will be then fully assessed; this involves touching and moving the scar and if necessary, the surrounding body parts/areas. If affected by your scar, your movement and posture will also be examined The physiotherapist will then discuss the findings, outline recommendations and will draw a treatment plan considering your timescale and expectations.

Often the most effective time to treat a scar with physiotherapy is within the first 2 years after injury. However, our physiotherapist can achieve great results with older scars too. The only scars that our physiotherapist does not treat are acne scars and keloid scars (although there are some exceptions). Scar physiotherapy can’t change the colour (pigmentation) of a scar.

Physiotherapy treatments are not painful in general and many patients report a feeling of increased comfort following sessions. However, sometimes stretching a scar can be tender; tight or sensitive scars may hurt when touched. However, our physiotherapist is very familiar with the feelings patients may experience and how to manage discomfort effectively.

 

Procedure Overview

  • A range of treatments are available to effectively treat a wide variety of scars
  • Due to the wide variety of scars and scar types, many different treatment options are available
  • Different treatments are better suited to specific scars
  • The cost of treatment is dependent on the nature of the scar and the treatment chosen
  • You will have an initial consultation with an expert specialist in this area

This will depend on the age, type, size, location and symptoms of your scar. Often, one session is enough to give the reassurance and guidance needed. If physical rehabilitation is necessary, this is usually needed regularly over several weeks. Scar massage is also often best received regularly (e.g., weekly) over a period of weeks. Usually on the first assessment the physiotherapist can be able to specify how many treatment sessions will be needed.

Yes, our aim is to teach you how to manage your own scar; if this is possible for you to do the treatment yourself we will provide all the necessary encouragement and guidance. Most of the advice given by our physiotherapist involves your participation outside of the treatment session.

Yes, swelling is quite common in and around scars, especially soon after the injury. In the case of big trauma, swelling may be present for longer. We will assess the cause of the swelling, advise and treat accordingly. Scar massage is not the same as the treatment needed for lymphoedema. If your swelling is due to lymphoedema we suggest that you also seek advice and treatment from a lymphoedema specialist.

Scar massage is not the same as the massage you may get for deep tissues or relaxation. It is very important that the person treating your scar has a thorough understanding of scar and treats scars regularly. Some types of massage can make scarring worse. It is especially important to receive scar massage from a scar specialist in the early stages of your injury, especially when your scar is still red and vascular. In time your scar can be massaged in the same way as any other parts of your body, but initially care and scar expertise is beneficial.

This is common advice! It is hard to know how to do this for yourself without clear guidance that is specific to your scar. Our physiotherapist can provide the guidance and reassurance you need. In many cases after surgery, you may only need one session of advice and explanation; other times scars do need therapeutic input.

At the London Scar Clinic, physiotherapy does not involve needles or medications, our physiotherapist works by using her hands and encourages you to move and help yourself. She works very closely with the surgeons, if she thinks minimally invasive techniques or surgery options will be beneficial for your scar, with your consent, she will refer you to another team member.

Although you may not know too many other people with scars or anyone with a scar like yours, our physiotherapist has treated thousands of scars. She is very familiar with treating large and troublesome scars that cover nearly the whole body, through to scars that are barely visible.

The focus of physiotherapy is often on improving the feel rather than the look of your scar. However, if scars are tight and stuck this can also affect how the surrounding area appears. Often there can be an improvement in how the scar looks with physiotherapy, as well as in how it feels.

If your scar is very recent it may be best to see a physiotherapist first as it may be too early to do invasive treatments. At the early stages of a scar, or after a newly healed wound, the focus is often on advice to help you know what to do to get the best outcome. We can advise you on how to clean the area, what silicone or creams to use, whether or how to massage the area, what to expect the scar to look like over time and what treatments may be helpful in the future. If the physiotherapist feels that you would also benefit from advice about invasive procedures or from the specialism of another team members, she will recommend which team member would help. Invasive treatments, particularly lasers are increasingly used soon after healing. Often scars need input from more than one speciality.

If you are mainly concerned about the look of your scar, especially if it is more than 2 years after injury, then we are most likely to recommend that you see a plastic surgeon. If you see a surgeon first and your scar would also benefit from a physiotherapy treatment such as scar massage, then you may be referred to our physiotherapist by the surgeon. We also offer joint assessments with two or more of our specialists in one consultation.

It will depend on the age, type, size, location and symptoms of your scar. Often, one session is enough to give the reassurance and guidance needed. If physical rehabilitation is needed this is usually needed regularly over several weeks. Scar massage is also often best received regularly (e.g., weekly) over a period e.g., 6 weeks. Usually on the first assessment the physiotherapist can tell you how many treatment sessions will be needed.

Yes, our aim is to teach you how to manage your own scar, if it’s possible for you to do the treatment yourself we will encourage that. Most of the advice given by our physiotherapist involves your participation during the day and outside of your treatment session.

Yes, swelling is quite common in and around scars, especially soon after the injury. In the case of big trauma, swelling may be a considerable problem and may be present for longer. We will assess the cause of the swelling, then advise and treat accordingly. Scar massage is not the same as the treatment needed for lymphoedema. If your swelling is due to lymphoedema we suggest that you also seek advice and treatment from a lymphoedema specialist.

Scar massage is not the same as the massage you may get for deep tissues or relaxation. It is very important that the person treating your scar has a thorough understanding of scar and treats scars regularly. Some types of massage can make scarring worse. It is especially important to receive scar massage from a scar specialist in the early stages of your injury, when your scar is still red and vascular. In time your scar can be massaged in the same way as any other parts of your body, but initially care and scar expertise is beneficial.

This is common advice! It is hard to know how to do this for yourself without clear guidance that is specific to your scar. Our physiotherapist can provide the guidance and reassurance you need. In many cases after surgery, you may only need one session of advice and explanation; other times scars do need therapeutic input.

At 152 physiotherapy does not involve needles or medications, our physiotherapist works through advice, her hands and encourages you to move and help yourself. Our physiotherapist works very closely with the surgeons, if she thinks needles or medications will be beneficial for your scar, with your consent, she will refer you to a team member.

Although you may not know too many other people with scars or anyone with a scar like yours, our physiotherapist has treated thousands of scars. She is very familiar with treating huge scars that cover nearly the whole body, through to scars that are barely visible.

The focus of physiotherapy is often on improving the feel rather than the look of your scar. However, if scars are tight and stuck this can also affect how they or the surrounding area appears. Often there can be an improvement in how the scar looks with physiotherapy, as well as in how it feels.

If your scar is very recent it may be best to see a physiotherapist first as it may be too early to do invasive treatments. At the early stages of a scar, or after a newly healed wound the focus is often on advice to help you know what to do to get the best outcome. We can advise you on how to clean the area, what silicone or creams to use, whether or how to massage the area, what to expect the scar to look like over time and what treatments may be helpful in the future. If the physiotherapist feels that you would also benefit from advice about invasive procedures or from the specialism of another team member, she will suggest which team member could also help. Invasive treatments, particularly lasers are increasingly also used early on. Often scars need input from more than one speciality.

If you are mainly concerned about the look of your scar, especially if it is more than 2 years after injury, then we are most likely to recommend that you see a plastic surgeon. If you see a surgeon first and your scar would also benefit from a physiotherapy treatment such as scar massage, then you may be referred to physiotherapist by the surgeon. We also offer joint assessments with two or more of our specialists in one consultation.

"The surgeon answered all of my concerns and I felt confident to undergo the procedure and came out feeling confident I received very good care. The staff and nurses gave me personal attention and were quite courteous, they readily gave me any information that I needed. They were particular in helping me go through all the steps I needed in preparation for the procedure."

"Relaxed, clean, calm, professional environment. I was made to feel both welcome and in very experienced and caring hands. Perfect."

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