Leah Dalby MCSP Physiotherapist 
07934 785 797 
Knowledge & experience with kindness & respect 
Leah Dalby MCSP Physiotherapist 

Myofascia & Scarring 

Pain, tight myofascia, scars or stuck after an accident, operation or radiotherapy? 
If so, some “hands on” work may help to get things moving and improve your comfort. Please feel free to ask if you hope that I can help you. 
Fascia is just under the skin. Around the muscles, in between the muscles and amongst our organs – almost everywhere in the body! It embraces the muscles so they can work efficiently and when we move, structures can slip over one another smoothly. 
When we have surgery, an injury or radiotherapy, the fascia can be scarred and get stuck – you may someone who has had painful adhesions after abdominal surgery. 
The myofascial technique I use is very effective on recent scars – perhaps after breast, gynaecological or other trunk surgery and it also works well on old scars. It has been moving to use it for women have described themselves as, “disfigured” after Caesarian Section or other abdominal surgery, sometimes many decades earlier. 
Car accidents, crush injuries (machinery at work or being rolled on by farm animals) and burns can also benefit from “hands on” work. 

Scar healing 

The first two years of healing are particularly important so I have been interested to discover that working with scars and injuries, sometimes decades old, can still respond well to treatment. 
For example, 40+ years after someone was rolled on by a large animal, their scarring benefited from treatment allowing better movement in their legs and much less back and abdominal pain. 
Restricted hip movement from extensive tight chest scarring (from infected and slow to heal wounds) responded well to physiotherapy. This was the first time that I had realised that injury above waist level could affect leg movement. 
Even a tight appendix scar can restrict shoulder movement. 
A three day course at Christie Hospital in 2013 extended my specialist knowledge working with people who have had head and neck surgery, including radiotherapy causing tightness to the face and mouth. 
I have helped people move more freely, open their mouth more comfortably and have increased facial expression after treatments for cancer, as well as car accidents, and "corrective," surgery. 
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