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FAQ’s – questions and answers

what are adhesions?

Adhesions are compacted structures of connective tissue which have lost their initial flexibility. They prevent skin and individual tissue layers from reacting quickly to outside forces. The result is bonded layers of tissue, which normally move freely and flexibly with one another.

On the one hand, this happens during the normal process of wound healing, to heal a defect. On the other hand, a change in posture or resting position can cause further adhesions, which hinders the body and causes tensions where tissue mobility and flexibility should be.
Even scars which have healed well on the surface and are relatively inconspicuous can conceal adhesions in deeper tissue layers.

what kind of reactions and pain should I expect after a scar treatment?

The scar treatment is intended to release adhesions and to restore or improve the movability of individual tissue layers. Using manual techniques and mobilisations, which will only be conducted after a thorough explanation and with your consent and which are oriented around your needs, small tears and bruising may occur in the treated tissue. In rare cases, surface tears, similar to an abrasion, can occur.

The treatment may cause pain. In the days following the treatment, you may experience a raw feeling or a tightening sensation. The manual techniques and level of pressure can be adapted to meet your needs, paused and the technique or treatment can be interrupted at any time, if you wish. If you have any worries or concerns, please call me at +43 660 764 2402.

In any case, you will gain mobility and flexibility in the scar and surrounding tissue structures. This helps relax the entire body. You will breathe more easily and with your whole body. Pain in scar tissues and tension in other parts of the body subside and you feel better in your body

why are the treatments so painful? is it necessary?

The scar treatment is intended to release adhesions and to restore or improve the movability of individual tissue layers.
Adhesions are thick structures made of connective tissue which have lost their original flexibility. They prevent the skin and individual tissue layers from easily and flexibly adapting to outside forces. Adhesions prevent movement between tissue layers which normally should move freely with and past one another. The goal of the scar treatment is to release these adhesions and to break them up where they cause tension. This allows the tissue to change its structure, to reorient and to restore movability in the tissue.
Since adhesions may also contain nerve endings and blood vessels, and since scars are sometimes more sensitive to pain, the treatment may be experienced as painful and could causing some bruising.

what should I do if physical symptoms appear, such as small tears or bruises?

The occurrence of aches, pains and soreness is normal and should subside within the first week.
Small tears should be treated as surface wounds and can be treated with Bepanthen, for example.
Bruises are very unpleasant and are the cause of soreness. These will heal on their own.  As a rule: breathe into the affected area and continue with your daily activities, sport and movement with your new body feeling.
If you have any worries or concerns, please call me at +43 660 764 2402.

will the adhesions return?

NO, generally not. The body is constantly restoring itself and adapting to new opportunities and situations. The treatment is structured so that you can continue with your daily life, and your body will implement the newly won flexibility into its daily body life and movement.

how many scar treatments do I need?

As a rule of thumb, the older the scar the thicker and harder the adhesions have become over the years. Each further operation on that area of the body strengthens the adhesions. The body develops wonderful compensation mechanisms to integrate scars, so that we are not even aware we have it/them. These compensation mechanisms sometimes correct themselves automatically and sometimes the body requires osteopathic support.

Normally, you can plan on needing 2 – 3 treatments to really feel improvement in the scar tissue AND your body feeling, although even after only one treatment, the changes in your scar will be noticeable.

Basically, every scar is part of our personal life story, which will always be there. That is why it makes sense to dedicate some attention to scars. More at the beginning, and later maybe only here and again. A scar is good when it feels like every other part of your body.

it was okay for a few weeks/months. Now it feels like it did before treatment. Did the adhesions come back?

NO, generally not. Everything that has been treated will maintain its flexibility. It can be the case, that the body is responding to adhesions in deeper layers of tissue. These layers were held in place by the adhesions above and were not noticeable. Due to the increased mobility, the tension becomes noticeable. It can feel like nothing has changed or that the unpleasant sensations have returned. Normally though, it is just the body discovering further layers of tissue which need support.

should scar treatment be considered as a prophylactic after any operation?

YES, in my opinion. Adhesions in the abdomen form within eight days as a normal part of the wound healing process. After that, they become successively thicker and more fibrous, and in my opinion, it is important to start scar treatment as early as possible, to help the body maintain its flexibility and to prevent adhesions.

can these intense techniques be used directly after surgery?

NO! Using gentle osteopathic techniques, I can support the body in reducing tension around the wound and restore balance, which in turn promotes circulation and better supplies the operated area. Relaxed tissue heals better.
Often, fear and tension prevent patients from breathing into their entire bodies. However, it is of great importance for the wound healing process, since breathing yields a gentle rocking motion which allows the body to balance itself and its tensions. It is my goal to support the body, to create ideal conditions for the wound healing process and to prevent adhesions.

I only had a laparoscopy, do I need a scar treatment?

YES! Even if the operative entry wound is small on the outside and barely visible, an entire surgery has taken place inside the abdomen! You have been cut and stitched, and bleeding can lead to adhesions. The abdomen is inflated with a mix of gas which can dry out sensitive mucous membranes and can cause adhesions. Even if the scar appears small, you never know how many adhesions have formed on the inside!