What are postsurgical adhesions?

Adhesions are compacted structures of connective tissue that have lost their original flexibility. These prevent the skin and the individual tissue layers from adapting easily and flexibly to acting forces. This results in the formation of glued tissue layers that should normally be able to move freely in relation to each other and with each other.

On the one hand, this happens automatically in the course of the normal wound healing process to heal a defect. On the other hand, restraint and immobilisation can lead to further fascial adhesions that impair the body and cause it to “freeze” in areas where mobility and flexibility in the tissue are actually needed.

Even superficially well-healed scars that look inconspicuous and beautiful on the outside can show adhesions in the underlying tissue layers.

Does scar therapy hurt?

Yes, most of the time it does. This is because nerve cells that normally lie freely in the tissue grow into the compacted tissue structures. Since we want to change exactly these structures in the therapy, the nerve cells initially react with them. However, it is important to know that all applied techniques are ALWAYS individually adapted to the respective sensation and dosed accordingly!

The stimuli applied in the course of the therapy session areALWAYS done IN CONSULTATION AND UNDERSTANDINGwith the respective patient.

What reactions or pain can/should I expect during scar therapy?

Pain may occur during the treatment, but it quickly subsides. The manual techniques are adapted to you in each individual case and the strength modulated at any time, paused, and the technique or treatment also discontinued if desired.

What is the purpose of scar therapy?

Scar therapy is about using certain manual techniques and mobilisations of the Liedler Concept to loosen and change the adhesions that have developed in the tissue and to improve or restore the sliding behaviour of the individual tissue layers in relation to each other.

In any case, after the scar therapy you will also notice better mobility in the scar area and in the surrounding tissue structures. This leads to relief of tension in the entire body. Breathing can flow better again and spread throughout the body. Pain in the scar area and/or also states of tension in other parts of the body ease and you feel more comfortable in your body.

Why are the treatments so painful? Do the treatments have to be so painful?

Scar treatment is about loosening the adhesions that have formed in the tissue and improving or restoring the sliding behaviour of the individual tissue layers in relation to each other.

Since the adhesions can be partially innervated and supplied with blood and scar tissue often reacts more sensitively to pain, the treatment is initially painful and can also leave bruises.

What happens during scar therapy?

Adhesions are compacted structures of connective tissue that have lost their original flexibility. These prevent the skin and individual tissue layers from adapting easily and flexibly to incoming forces.

Adhesions prevent movement between tissue layers that should normally be able to move freely towards and with each other. Scar treatment is about dissolving these adhesions and breaking them up where they cause the body to stiffen. This allows the tissue to change structure, realign and restore tissue mobility.

What after-effects can occur?

The occurrence of pulling pain, aching muscles and a feeling of soreness after the scar therapy is NORMAL and normally DISAPPEARS WITHIN 2-7 DAYS. Bruises and small skin tears only occur in areas of the body with strong and underlying adhesions when these become loose!

The change in these stuck and rigid tissue structures can result in a sore feeling or pulling in the affected area, occasionally bruises or superficial skin changes such as slight abrasions. In any case, there is ALSO a noticeable improvement in the flexibility of the scar tissue and the affected area and a feeling of relief in the body.

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What should be done if redness, bruises or small skin tears occur?

Small skin tears should be treated like superficial wounds and, if necessary, smeared with Bepanthen or a similar wound ointment.

Bruises are very unpleasant and cause the most soreness. They will go away on their own.

The basic rule is: breathe well into the treated area and continue with your daily routine, sports and exercise as normal and adapted to how your body feels.

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Will the adhesions come back?

NO, for the most part not. Since the body is constantly adjusting and adapting to the new possibilities and conditions, it normally takes over the gained mobility and incorporates it into the possible body experience and movement. Since the treatment is geared in such a way that you can continue your everyday life normally afterwards, the gained tissue mobility is automatically embedded in the body image.

How many scar treatments do I need?

Normally you can count on 2 – 3 TREATMENTS to achieve a noticeable, clear improvement of the scar AND the feeling in the body. The change in the scar and in the body is already noticeable after the first treatment.

My scar is already several years old. Will scar therapy still help me?

Yes! The difference is only in the frequency of the treatment sessions. Basically, the older a scar is, the more often it needs to be treated, as the adhesions become more solidified over the years and the body develops additional compensation patterns.

I have had several surgeries. What does that mean for me?

Every surgery or scar leaves tension in the body.

Each additional surgery on the same area of the body reinforces the adhesions that are already there. In addition, the body develops compensatory mechanisms to incorporate the scars as best it can so that we do not notice that we have one or more scars.

In terms of scar therapy, this means that often SEVERAL TREATMENTS OVER A LONG PERIOD are necessary to integrate the scars well into the body.

When is my scar alright?

In principle, every scar is part of the personal life and body history that will always be there. That is why it is sensible and important to deal with the scar again and again, if necessary. At first more often, later perhaps only now and then. A scar is really good when it leaves no functional restriction in the body and feels fine.

It was good for a few weeks/months now. Now it feels like it did before. Have the adhesions come back?

NO, that is usually not the case. Everything that is loosened is also kept moving through normal daily activities. What is more likely is that deeper layers of tissue are now showing which contain further adhesions. These were previously well fixed by the outer adhesions and therefore not/barely noticeable. Due to the gained mobility, they may now go on tension and become noticeable. This can feel as if nothing has changed and everything has come back. But this is not true!

Normally it is actually the case that the body simply points out the next layers where it needs help and support to release them.

Shouldn't the scar be treated prophylactically after every surgery?

YES, in my opinion the scar should be checked at least. Since the adhesions in the abdominal cavity are already formed within the first 8 days due to normal wound healing and are then successively compacted, in my opinion it is important to start scar therapy as early as possible in order to support the body in maintaining its flexibility and to prevent adhesions.

Can you already work with such intensive techniques shortly after the surgery?

NO! By means of gentle techniques of the Liedler concept, the body can be supported in reducing and balancing the tension in the wound area as best as possible. This promotes blood circulation and supply to the surgical area and relaxation. The more relaxed the tissue, the better the wound healing process.

Why is breathing so important? What is it about breathing?

Normally, patients do not breathe into the affected area of the body out of fear and tension. However, this is particularly important because this gentle movement of breathing is a rocking movement that enables the body to balance itself and any tensions that arise and to create optimal conditions for wound healing.

The aim of the Liedler Concept and the pre- and post-surgical support is to assist the body in such a way that optimal conditions are created for the wound healing processes to take place and at the same time adhesions are prevented.

I have only had one laparoscopy, do I then also need scar treatment?

Yes! At least come to check your scar. Even if the surgical entry points are minimal and hardly visible from the outside, a whole surgery happens inside the abdomen! There is cutting and stitching, which leads to bleeding, which in turn promotes adhesions. The abdomen is inflated with a gas mixture, which can dry out the mucous membranes and in turn lead to adhesions.
Even if the scar is small and inconspicuous on the outside, you never know how many adhesions have formed on the inside!