A normal scar will be flat, supple, thin, without retraction and light in color.

We will speak of pathological scar when it is:

• hypertrophic
• keloid
• adherent
• retractile
• hyper and/or hypopigmented

Scar tissue physiotherapy concerns all types of scars, regardless of age, from newborns to the elderly.

It is advisable to consult a physiotherapist as soon as the wounds are closed in order to start preventive treatment. Surgical, traumatic scars and small burns can be managed by a self-employed physiotherapist, while severe and extensive burns are treated in a specialized center. 

Symptoms of scar remodeling :

• Pain
• Itching
• Dryness
• Thickening
• Retraction
• Redness

Scar massage against adhesions (micro-mobilizations)

Manual postures against retractions and bands (skin stretching) 

+ Tips : skin hydration, sun, hygiene…

Compressive therapy against hypertrophy (especially for extensive burns) 

Silicone therapy (hydrates, and increases compression if associated with compressive therapy)

Posture orthoses against retractions and bands in burn patients (collaboration with occupational therapist)

Suction mechanotherapy (instrumental massage performing tissue mobilization by suction)

Self-massage

Self-postures

Scar massage and postures do not require any equipment.

The patient can bring their moisturizing cream if their skin is dry and they wish to reapply it right after the session. Otherwise, hydration will be done at home.

A suction mechanotherapy device (ex : LPG) is an asset to scar physiotherapy, even if it is only used after several weeks or even several months on some scars. 

Orthoses will be made by an occupational therapist in principle.

The treatment of a scar can range from a few weeks for a surgical scar to 2 years or more for extensive burns. 

Belgian associations :

• Fondation des Brûlés (adults)
• Pinocchio (children)

French associations :

• Burns and Smiles
• Société Francophone de Brûlologie
• Association des Brûlés de France