Scarwork™ enables improvement from the superficial scar down to the deeper underlying adhesions and myofascial restrictions 1-2. Scar therapy focuses on the underlying layers of the dermis and areas of connecting fascia around the scar, allowing realigning and releasing any pull or drag on surrounding tissues, thus helping to mobilise and soften thicker tissue in scars from surgery or accidents 3-4.

What is it?

Wound healing consists of four overlapping phases: bleeding, inflammation, proliferation and remodelling . Each patient is an individual and will have different healing and tissue responses, which can mean visual changes which are unique.  Scar management reduces the time needed to form a healthy mature scar. Patients often report noticeable subtle changes in their scar after one session that enables their skin to feel softer, smoother and looser immediately after treatment.

At CHHC we can offer physical therapy scar treatments that have a positive effect on pain, tenderness, pliability, pruritus, neuropathic sensitivity, scar thickening and underlying contractures. We are able to combine Manual Lymphatic Drainage and Physiotherapeutic modalities such as Laser Therapy and mobilisations, offering a truly holistic care which results in functional, physical, and psychological improvements.


Time is a great healer…scars, even decades old, can be treated and changes achieved, as your body is constantly renewing cells, so even old scar tissue can respond to stimulation with Scarwork™. Scar tissue therapy allows return of flow to the connective tissue and the bodies nervous system, lymphatic and circulatory system, creating movement where it has been blocked and improving function.

Unlike other methods, which focus on “breaking down” the scar tissue through strong deep manipulation of tissue, Scarworks’™ range of light touch techniques have been developed to address the variety of scarring that can occur. This allows the therapist to work efficiently and collaboratively with your body’s systems, in a gentle effective way.  From C-Sections to burns, all scars can and will influence how well you move and how you feel.

Scars that have been treated include:
  • Abdominoplasty Scars
  • Breast Augmentation Scars
  • Cancer Surgery Scars
  • Mastectomy, & Breast Re-Construction Scars (TUG, DIEP, TRAM, LAT Flap Etc)
  • Carcinoma & Melanoma Removal Scars
  • Facial And Cranial Scars
  • Gallbladder Or Appendix Scars
  • Hysterectomy & C-Section Scars
  • Joint Replacement & Arthroscopic Surgery
  • Spinal Surgery Scars
  • Traumatic Accident Scars

What to expect:

Following your written consent and detailed medical history, you will be physically examined by the physiotherapist. You will be asked to remove your outer garments, lay comfortably lying on the couch and covered with towels to ensure your dignity.  After assessment your physiotherapist will discuss the suggested course of treatment with you.

Our Scar tissue therapy allows transformation, empowering and enables you to regain your sense of self and quality of life.  Your treatment will be tailored to suit your individual needs and requirements. Be reassured you are in safe hands that care about your health and comfort, whilst adhering to extensive codes of practice for your protection, to ensure an excellent standard of professional care.


Scarwork™ is a specialised manual treatment to help patients with scar tissue, fibrosis, adhesions and changes in tissue health following surgery and radiotherapy. Sharon Wheeler, a Structural Integration Practioner, developed these techniques over the last 45 years, providing evidence based research with medical imaging, which she teaches globally.

If you are interested in finding out how Scarwork™ could help you, please get in touch.

  1. De Valois, B., Young, T., Scarlett, C. and Holly, E., 2021. An evaluation of a ScarWork service for cancer survivors experiencing adverse effects of surgery and/or radiotherapy. European Journal of Integrative Medicine44, p.101327.
  2. Blyum L “The Unreasonable effectiveness of light touch” in: Scars, Adhesions and the Biotesegral Body; Science, Assessment and Treatment Trewarth J and Wheeler S (2020). UK: Handspring Publishing
  3. Vercelli, S., Poddighe, D., Bravini, E., Sartorio, F. and Ferriero, G., 2021. Re:“Physical Management of Scar Tissue: A Systematic Review and Meta-Analysis” by Deflorin et al. The Journal of Alternative and Complementary Medicine27(4), pp.373-374.
  4. Deflorin, C., Hohenauer, E., Stoop, R., van Daele, U., Clijsen, R. and Taeymans, J., 2020. Physical management of scar tissue: A systematic review and meta-analysis. The Journal of Alternative and Complementary Medicine26(10), pp.854-865.
  5. Monstrey, S., Middelkoop, E., Vranckx, J.J., Bassetto, F., Ziegler, U.E., Meaume, S. and Téot, L., 2014. Updated scar management practical guidelines: non-invasive and invasive measures. Journal of Plastic, Reconstructive & Aesthetic Surgery67(8), pp.1017-1025.
  6. Fitch P and Fritz S (2016) Traumatic Scar Tissue Management; Massage Therapy Principles, Practice and Protocols. Edinburgh: Handspring Publishing
  7. Keeney, N., 2016. Traumatic Scar Tissue Management. Handspring Publishing Limited
  8. Lesonda D (2017) Fascia: What it is and why it matters. UK: Handspring Publishing
  9. Fourie, W.J. and Robb, K.A., 2009. Physiotherapy management of axillary web syndrome following breast cancer treatment: discussing the use of soft tissue techniques. Physiotherapy95(4), pp.314-320.
  10. Tuckey, C., Kohut, S. and Edgar, D.W., 2019. Efficacy of acupuncture in treating scars following tissue trauma. Scars, burns & healing5, p.2059513119831911.
  11. Seago, M., Shumaker, P.R., Spring, L.K., Alam, M., Al‐Niaimi, F., Rox Anderson, R., Artzi, O., Bayat, A., Cassuto, D., Chan, H.H. and Dierickx, C., 2020. Laser treatment of traumatic scars and contractures: 2020 international consensus recommendations. Lasers in surgery and medicine52(2), pp.96-116.
  12. Wheeler, S.L., Blessitt, K.L. and Ennis, R.D., 2015. Integrating scar tissue into the fascial web. Journal of Bodywork and Movement Therapies19(4), pp.669-670.