Scars can restrict tendon glide and joint motion even when the original injury has healed. Good scar management combines mechanical care with progressive movement.
When to start
Do not massage open wounds. Once the scar is closed and your clinician clears you, gentle care can begin. Aggressive friction on fragile new skin can cause blistering.
Methods with clinical support
- Silicone gel or sheets — widely recommended as first-line non-invasive care for hypertrophic scars; they help hydrate and flatten raised scars when used consistently for weeks to months.
- Pressure therapy — garments or wraps can remodel hypertrophic burn scars when fitted correctly and worn for long daily hours as prescribed.
- Moisturisation — dry scars crack and itch; fragrance-free moisturisers support skin pliability.
- Massage and mobilisations — therapist-guided techniques aim to reduce adhesions; home massage should follow the dose and direction taught in clinic.
- Sun protection — UV exposure can darken immature scars; covering or high-SPF protection matters in Sri Lanka’s climate.
Mobility comes with the scar plan
Scar soft-tissue work alone is not enough if joints are stiff. Combine scar care with tendon-gliding and joint exercises prescribed for your diagnosis.
Educational information only. It does not replace assessment by a qualified clinician. Seek urgent care for severe pain, infection signs, sudden loss of sensation, or circulation changes.
Need hand therapy in Sri Lanka? REKA offers sessions at Asiri Hospital Galle, Delta Hospital Ambalangoda, Hemas Hospital Thalawathugoda, and Ruhunu Hospital channeling. Book via doc.lk, eChannelling (D12278), WhatsApp, or the contact form on handtherapy.lk.