Treatments for scars and oedema
Our therapists use innovative and evidence-based treatment solutions for difficult and stubborn scarring and oedema issues following trauma and surgery. We also provide education and advice regarding the impact of trauma and surgery on function and activity, to improve daily participation in all occupations.
Compression therapy
Compression bandaging and compression garments provide gentle pressure to the scar which assists in the breakdown and reorientation of collagen fibres. Compression also acts on the scar by decreasing tension on the scar. Compression is effective in reducing hypertrophic scar thickness and colour, and assists in the reduction of post-injury and surgical swelling.
Scar Taping
Just as with compression bandaging, scar taping provides support to the scar by reducing tension at the site. Adhesive medical tape is applied to the scar to provide gentle pressure on it. This helps to reduce the possibility of the scar becoming thick and raised.
Silicone therapy
Silicone therapy is used as a first-line treatment for scars and can be used alone or in combination with compression. Silicone therapy can be applied in gel form, in sheeting or as molds. The silicone improves scar elasticity and softness, decreases scar volume, helps to normalise colour, reduce itching and incidence of keloid scars.
Vacuum therapy
Vacuum therapy is usually used in conjunction with scar and oedema massage. Vacuum therapy massage lifts the skin by means of mechanical suction, creating a skin fold and mobilising that skin fold. This can assist in the movement of swelling, increased skin pliability, reduction of scar adhesions, improved movement and reduced pain.
Scar massage
Massage therapy is the manipulation of the skin and underlying tissues and is particularly useful in the prevention and treatment of scar adhesions. Research shows us massage decreases scar thickness; decreases pain and itch; improves scar characteristics including decreased vascularity, increased pliability and decreased scar height; and contributes to improvements in depression and mood state.
Lymphatic drainage
Lymphatic drainage can assist in the reduction of oedema and swelling following traumatic injury and surgery. The type and duration of scar and oedema massage will be determined by the therapist, and self-management techniques are taught.
We can treat:
scarring and swelling (oedema) from traumatic injuries, including lacerations, friction wounds, dog and animal bites, contaminated wounds, self-harm and burns
surgical wounds including surgical incisions, skin grafts, skin and muscle flaps
hypertrophic scarring
keloid scarring
pain, itching and tightness from scarring.
Frequently asked questions (FAQs)
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Scarring is the mark left by a healed wound following a burn injury, traumatic injury or surgery. It can be distressing to children and adults, affecting appearance, movement, function, activity and psychological well-being.
Scars can become thick and red and can adhere and stick to underlying muscles, causing discomfort in posture and movement. Scars can also be extremely painful and itchy and can cause increased sensation or numbness.
Tight scars can affect ease of movement and completion of everyday activities, not only in the scar itself but through surrounding tissues and fascia.
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Oedema is swelling that can persist following injury, fracture or surgery, due to the position or size of the scar, lack of movement, or positioning of the limb.
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Scarring and oedema can be prevented and minimised in most situations, especially following trauma and surgery. Most scarring and swelling can be improved with our help, regardless of how new or old the injury or surgery is.
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Even if a scar is very old, it’s always useful to have a problematic scar assessed. There are usually treatments that can assist with improvements in scar quality, reduction of oedema, improved movement or posture, and reduced pain.
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Scar Care provides conservative, non-invasive scar and oedema treatments. These treatments are evidenced-based through sound and rigorous research.
Most scars will respond to these types of treatments, but if further surgical or laser treatment is required, we will assist you and liaise with your treating surgeon.
