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Traumatic Scar Tissue Management

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Availability: In stock

Product code: 38

By: Nancy Keeney Smith, M.L.D., L.M.T. and Cathy Ryan, R.M.T.
Soft Cover; 9 5/8” x 7 3/8”
296 pages; 55 illustrations
ISBN: 978-1-909141-22-3

Product Description

Many manual therapists are hesitant to deal with scar tissue, but research has shown that appropriate massage treatment can have significant results both physically and psychologically. Existing books have chapters on the problem, but there has been no practical manual available that helps the therapist understand what to do (and what not to do). This book fills that gap, explaining the physiologic and pathophysiologic background, and providing practical guidance about how to help patients.

Table of Contents

Foreword  vii

Pamela Fitch B.A., R.MT.

Foreword  ix

Sandy Fritz B.S., M.S., BCTMB

Preface  xi

Acknowledgements  xiii

Glossary and Key Concepts  xv

1. Introduction  1

2. Skin and Fascia  5

3. The Lymphatic System  27

4. Neurology  45

5. Wound Healing and Scars  79

6. Burns, Mastectomies and other Traumatic Scars  103

7. Trauma  133

8. Communication and the Therapeutic Relationship  163

9. Assessment and Treatment  175

10. Client and Therapist Self Care  237

Appendix: Massage therapy Research Resources  255

Index  257

About the Author

Catherine Ryan is a Canadian-trained RMT with over 20 years of clinical and educator experience. Embracing a firm commitment to life-long learning, her extensive postgraduate roster includes training in various approaches to myofascial therapy and scar management. Cathy is the Managing Editor and a course provider at, an online portal for MT continuing education. Her online courses and hands-on workshops are accredited with various regulatory bodies and professional associations across Canada and with NCBTMB in the U.S. She is regularly featured writer for Massage Therapy Canada and RMT Matters Canada magazines.

A proponent of professional regulation, Cathy was recently elected as Chair of the Board of Directors of the College of Massage Therapists of British Columbia.

Nancy Keeney Smith is an LMT, Certified Manual Lymph Drainage Therapist, and a Florida and NCTMB provider of scar management workshops. Nancy’s Working with Matured Scar Tissue workshop has been taught internationally to massage school students, LMTs, PTs and OTs. Nancy is a member of the Associate Research Team at the Florida School of Massage in Gainesville, Florida, founder and director of The Happy Plus Foundation, 2nd Vice-President of the AMTA Florida Chapter, and a member of the American Burn Association, the National Lymphedema Association and the Phoenix Society for Burn Survivors.

Nancy’s private practice in Gainesville, Florida includes treatment of burn survivors, patients battling cancer, and those needing treatment of mastectomy scars and traumatic scarring. She consults with physical and occupational therapists on burn massage techniques and on developing a long-term protocol for scar management after care programs.