If you indeed have problematic scar tissue (it happens), it will be consistently tight or painful when it is put on tension. There won’t be normal days and tight days. Or good mornings and bad afternoons. Or pain-free months and painful months.
Scar tissue is normal, and only sometimes becomes a problem. When appropriately challenged with movement, it will normally become as elastic as the tissue it replaced (the previously injured tissue). Think of a cut on your skin. Scar tissue will replace the skin that’s been cut and, almost always simply through normal daily life, you will gain full mobility of that tissue. In the event the scar tissue hasn’t been moved well for years, it may not be possible to get it as elastic as the prior tissue was. This premise applies to cut skin as well as tissue injuries inside the body. Tight tissue is tight tissue - and, though it can be lengthened with movement, it will not demonstrate variability when problematic. This is why I am sure to ask patients if their complaint is consistent (meaning each time) or variable; it’s an important part of differential diagnosing. Before we start to think scar tissue is your problem it has to at least fit this one basic criterion. -- Laura
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