
Muscle strain, or a pulled muscle, is a common injury that occurs when a muscle is stretched beyond its usual range of motion, leading to a partial or complete tear. During the healing process, the body attempts to repair the tear by creating scar tissue, which is dense and fibrous. This scar tissue can cause further issues, such as reduced flexibility, weakness, and a higher risk of re-injury. To prevent and treat these complications, various methods such as sports massage, stretching exercises, and therapies like the Graston Technique® are employed to break down and realign the scar tissue, promoting the regeneration of healthy muscle fibers.
| Characteristics | Values |
|---|---|
| Cause of muscle strain | Muscle is stretched beyond its usual range of motion and tears |
| Scar tissue formation | Scar tissue forms at the site of injury |
| Effect of scar tissue | Scar tissue is dense and fibrous and does not stretch or contract like healthy muscle tissue |
| Effect of scar tissue | Scar tissue can cause muscles to become shorter and weaker |
| Effect of scar tissue | Scar tissue can trap nerves, causing pain and reduced range of motion |
| Effect of scar tissue | Scar tissue can make muscles prone to future injury |
| Treatment for scar tissue | Light activity and massage |
| Treatment for scar tissue | Physical therapy |
| Treatment for scar tissue | Graston Technique |
| Treatment for scar tissue | Ultrasound and heat |
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What You'll Learn

Scar tissue forms at the site of injury
Scar tissue forms at the site of an injury when a muscle is torn or crushed. This is a natural part of the healing process, as the body attempts to repair the tear by creating scar tissue to 'glue' the torn pieces together. However, scar tissue is dense and fibrous, and does not stretch and contract in the same way as healthy muscle fibres. As a result, a muscle with scar tissue may become shorter and weaker, with reduced flexibility and a limited range of motion. This can lead to a strained muscle becoming more susceptible to future injuries, as the scar tissue creates a weak point.
Scar tissue can also form as a result of soft tissue in the body not receiving enough oxygen, a condition known as hypoxia. Hypoxia leads to free radical accumulation in muscles, which attracts cells that produce scar tissue. Over time, this scar tissue can affect surrounding muscles, tendons, ligaments, fascia, and nerves, causing pain and dysfunction.
To prevent the formation of scar tissue, it is important to seek treatment for muscle injuries as early as possible. This may include rest, ice, compression, and elevation (RICE) to reduce swelling and inflammation. Light activity and progressive functional physical therapy can also promote blood circulation and activate the lymphatic system, which helps to clear the body of waste products that accumulate after a muscle strain.
In some cases, deep tissue sports massage can be effective in breaking down and realigning scar tissue. Instrument-assisted soft tissue mobilisation (IASTM) techniques, such as the Graston Technique®, use stainless steel instruments to detect and treat areas of scar tissue, improving range of motion and reducing pain. These treatments can help prevent the return and further formation of scar tissue, reducing the risk of future injuries.
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Scar tissue makes strained muscles prone to reinjury
When a muscle is torn, the body repairs the tear with scar tissue. This tissue is dense and fibrous, and does not stretch and contract in the same way as healthy muscle tissue. This means that scar tissue can create a weak point in the muscle, making it more susceptible to reinjury.
Scar tissue forms during the healing process, when the body attempts to repair torn muscle fibres by creating scar tissue, much like the scar that forms on the skin when you have scraped or banged your knee. This scar tissue is less elastic than healthy muscle fibres, and can lead to a reduced range of motion and loss of strength. Over time, this scar tissue remodels into actual muscle fibres, but these fibres are far less elastic than healthy ones.
The presence of scar tissue can increase the risk of reinjury, as it creates a weak point in the muscle. This is why it is important to seek treatment for muscle strains and tears, to prevent the formation of scar tissue and the associated risk of reinjury. Treatment for scar tissue includes sports therapy, stretching exercises, and massage.
One effective treatment for scar tissue is the Graston Technique®, which uses a stainless steel instrument that glides along the patient's muscle, tendons, or ligaments, with the right amount of pressure to detect and treat areas of scar tissue or restrictions. This technique can also be used to identify and treat areas exhibiting soft tissue fibrosis or chronic inflammation. Stretching exercises are then used to promote the realignment of muscle fibres into the normal pattern of healthy tissue.
Another way to prevent and treat scar tissue is to increase blood supply to the injured area. This can be achieved through light activity, which promotes blood circulation and activates the lymphatic system, which is vital in clearing the body of waste products that can accumulate following a pulled muscle or muscle strain.
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Massage can help remove scar tissue
Muscle strains can indeed cause scar tissue. When a muscle is torn, the body repairs the tear with scar tissue, rather than new muscle. This scar tissue can make the muscle weaker and less flexible, creating a weak point and making the muscle more prone to future injury.
To remove unwanted scar tissue, deep tissue sports massage is vital. While ultrasound and heat will help with the injury, they will not remove the scar tissue. Massage is the only way to do that. A sports therapist can perform the massage, or you can do it yourself if the injury is accessible. Self-massage allows you to control the depth and pressure, and you can gradually increase the pressure over time. The massage should concentrate on the direct point of the tear or strain, using deep, firm strokes in the direction of the muscle fibres to break down and realign the scar tissue.
Massage can be combined with other treatments to help heal the injury. Light activity promotes blood circulation and activates the lymphatic system, which clears the body of waste products that accumulate after a pulled muscle. Physical therapists can also increase the blood supply to the injured area, helping to remove scar tissue. Additionally, ointments such as FEELGOOD Natural Pain Cream can be used during massage to help treat soft tissue injuries.
It is important to note that stretching during the early stages of rehabilitation can cause more damage to the injured tissues. It is recommended to avoid stretching during the first 72 hours after a muscle strain. Instead, light activity is suggested to promote recovery and remove scar tissue.
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Scar tissue can cause reduced range of motion
Scar tissue can form after a muscle strain, which can cause a reduced range of motion. When a muscle is torn or strained, the body repairs the tear with scar tissue, which is dense and fibrous. Unlike healthy muscle tissue, scar tissue does not stretch and contract in the same way. It is less elastic and flexible than healthy muscle fibres, leading to a reduced range of motion.
Scar tissue can cause a shortening effect, making muscles shorter and weaker. This can result in a reduced range of motion and loss of strength. The presence of scar tissue can also create a weak point in the muscle, increasing the risk of re-injury. Athletes with scar tissue may be susceptible to another injury in the same location, which can cause them to miss playing time.
To prevent a reduced range of motion, it is important to address scar tissue formation. This can be done through treatments such as sports therapy, stretching exercises, and deep tissue sports massage. Massage can help break down and realign scar tissue, improving flexibility and reducing the risk of future injuries.
In addition to massage, there are other effective treatments for reducing scar tissue. The Graston Technique, for example, uses a stainless steel instrument to detect and treat areas of scar tissue. This technique has been shown to improve detection and treatment of restrictions or adhesions caused by scar tissue. Other methods such as Rapid Release and Sound Assisted Soft Tissue Mobilization are also effective in reducing scar tissue and preventing its return.
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Scar tissue is dense and fibrous
Muscle strains can indeed cause scar tissue. When a muscle is torn, the body repairs the tear with scar tissue instead of new muscle. This scar tissue is a collection of cells and collagen that covers the site of the injury.
The formation of scar tissue can have negative consequences, as it creates a weak point in the muscle. This makes the muscle more susceptible to future injuries at the same location. Additionally, the scar tissue can cause a shortening effect and weakening of the tissues, preventing a full stretch and optimum contraction.
To address the negative effects of scar tissue, treatments such as deep tissue sports massage can be used to break down and realign the scar tissue. Light activity and physical therapy are also recommended to promote blood circulation and improve the range of motion. While ultrasound and heat can help manage the pain and inflammation associated with the injured area, they do not remove the scar tissue.
It is important to note that the formation of scar tissue is a complex process involving intricate and coordinated mechanisms. While treatments can help manage and reduce the appearance of scarring, no treatment is universally successful.
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Frequently asked questions
Scar tissue is dense, fibrous tissue that forms when a muscle, tendon, or ligament is torn or crushed. It is the body's way of repairing the tear or injury.
When a muscle is strained, it is stretched beyond its usual range of motion, leading to a partial or complete tear. During the healing process, the body creates scar tissue to repair the tear. This scar tissue is less elastic than healthy muscle fibres, making the strained muscle prone to future injuries.
There are several treatment options to address scar tissue:
- Light activity and exercise: Promoting blood circulation and activating the lymphatic system can help remove waste products and reduce scar tissue.
- Physical therapy: Working with a physiotherapist can increase blood supply to the injured area, aiding in scar tissue removal.
- Deep tissue sports massage: Massage is an effective way to break down and realign scar tissue, improving flexibility and reducing the risk of re-injury.
- Instrument-assisted techniques: The Graston Technique, for example, uses stainless steel instruments to detect and treat scar tissue, fostering faster rehabilitation.






















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