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Why Does My Surgery Scar Feel Tight?

Published in Scar Tissue 2 mins read

Your surgery scar likely feels tight because of how scar tissue forms.

When your body repairs itself after surgery, it creates scar tissue. This tissue isn't quite the same as your original skin. Here's a breakdown of why that can cause a feeling of tightness:

The Nature of Scar Tissue

  • Disorganized Structure: Unlike normal skin, where collagen fibers are neatly arranged, scar tissue forms with collagen fibers laid down in a random, often crisscross pattern.
  • Reduced Flexibility: This disorganized layering results in a tough, fibrous tissue.
  • Restricted Movement: Scar tissue doesn't move as freely as healthy skin.
  • Impaired Blood Flow: Scar tissue typically has less blood flow compared to normal skin.
  • Structural Weakness: Scar tissue is structurally weaker than the original tissue it replaced.

Because of these characteristics, scar tissue creates a physical barrier, limiting natural movement and leading to a sensation of tightness and discomfort. As referenced on January 26, 2024, scar tissue's random layering results in a tough, fibrous tissue that doesn't move as freely, have as much blood flow and is structurally weaker. The resulting stiffness creates a physical barrier to natural movement and can cause discomfort.

Ways to Manage Scar Tissue Tightness

While scar tissue is a natural part of healing, there are steps you can take to improve its flexibility and reduce tightness:

  • Scar Massage: Gently massaging the scar can help break down the collagen fibers and improve movement.
  • Moisturization: Keeping the scar moisturized can improve its elasticity.
  • Physical Therapy: A physical therapist can provide specific exercises and techniques to address scar tissue restrictions.
  • Silicone Sheets/Gels: These can help to hydrate the scar and improve its appearance and flexibility.

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