How to Break Up Scar Tissue After Bunion Surgery - Foot & Ankle Centers (2024)

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How to Break Up Scar Tissue After Bunion Surgery

Bunion surgery – known technically as a bunionectomy – is the only effective way to treat severe bunions, returning the foot back to its normal shape. However, the procedure is extremely intensive, involving either a complete realignment of the big toe joint or the removal of the bunion. In some cases, your surgeon will use screws and metal plates to correct the deformity. Today, we look at how to break up scar tissue after bunion surgery.

Like all operations, patients need time to heal and recuperate as their foot settles back to normal. However, all this internal damage – whilst essential – can lead to scar tissue formation. Scar tissue is a form of fibrous tissue that occurs when normal tissue is destroyed by injury or disease. Surgery is often a major culprit.

How to Break Up Scar Tissue After Bunion Surgery - Foot & Ankle Centers (2)

Medically, we call this “arthrofibrosis,” – and it can restrict joint motion and cause discomfort in patients post-surgery. That’s why we’re answering “how to break up scar tissue after bunion surgery” in this post.

How to break up scar tissue after bunion surgery

Breaking up scar tissue isn’t easy. Further surgeries or interventions aren’t advised, as they will only contribute more damage to the affected area. What’s needed is a mild yet effective solution to gradually break down the scar tissue, allowing a return of motion and pain-free use.

Here’s what we advise:

Physical therapy

Physical therapy is routinely used to help conditions involving a buildup of scar tissue. Through gentle exercise, the scar tissue is removed in a non-intensive manner.

  • Stretching. Performing stretches will gradually improve your flexibility and increase your range of motion – which, by definition, means a reduction in the underlying scar tissue.

  • Soft tissue mobilization. This technique is a form of massage. Your therapist will use their hands on your muscles, ligaments, and fascia to open up your joint and improve muscle function.

  • Myofascial release. By applying light sustained pressure to your myofascial connective tissue, your therapist will help restore motion, eliminate pain, and break down your scar tissue.

    Therapists may also use instruments to rub against your muscles and joints to break up the scar tissue. It’s typically used as an alternative to the hands-on approach.

How to Break Up Scar Tissue After Bunion Surgery - Foot & Ankle Centers (3)

Home remedies

While it’s valuable to seek help from a professional, there are several techniques you can try at home. Consider which one will work best for you:

  • Massage. You can either perform the massage yourself, ask a friend, relative, or partner, or see a masseuse. Try massaging the foot for about 10 minutes, two times per day. It will loosen the underlying scar tissue and help decrease the sensitivity.

  • Taping. Taping around the scar tissue area will reduce the tension, soothing pain and discomfort. It may not necessarily produce as impressive results as more effective techniques.

  • Silicone gel. You can topically apply this gel to speed up the healing process of scar tissue.

  • Exercise programs. Gentle exercises are among the most effective ways to reduce pain, support your joints, and break down scar tissue. Focus on exercises that strengthen the foot and calf – particularly the peroneus longus and soleus muscles.

Laser therapy

Laser therapy is increasingly used to promote the growth of healthy collagen. Compared to other techniques, it’s not as effective. However, it is 100% non-invasive and can produce satisfactory results combined with other techniques.

Speak to your doctor or podiatrist about exploring laser therapy.

Bunion splints and spacer

Bunion splints and spacers are often marketed as a correction device for bunions. The evidence for this is minimal. Where these devices do work is in minimizing and eliminating scar tissue post-operatively.

There are three main types of bunion splints:

  • Soft bunion splints use lightweight foam or gel to reduce pressure in your shoe. They’re mostly worn at night.

  • Rigid bunion splints hold the toe in place, stretching the toe muscles and tendon to prevent bunion recurrence and reduce scar tissue.

  • Hinged bunion splints combine the two former splints but allow the toe to flex while working.

Speak to your podiatrist about post-operative scar tissue

You should consider the abovementioned solutions if you’ve recently had a bunion operation. Being proactive can prevent substantial scar tissue formation and relieve any pain or discomfort you may feel.

Regardless of this complication, most people are content with the results of bunion surgery. While scar tissue can go away on its own, physical therapy, home remedies, toe exercises, bunion splints, and spacers will speed up the process.

Our expert podiatrists are happy to advise you on the best course of action – or discuss the possibility of bunion surgery if necessary.

Ronald Robbins2024-05-24T02:07:07+00:00December 29, 2022||

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How to Break Up Scar Tissue After Bunion Surgery - Foot & Ankle Centers (4)

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How to Break Up Scar Tissue After Bunion Surgery - Foot & Ankle Centers (2024)

FAQs

How to Break Up Scar Tissue After Bunion Surgery - Foot & Ankle Centers? ›

Myofascial release.

How to break up internal scar tissue after bunion surgery? ›

How can you break up scar tissue from bunion surgery? Seek out the services of a physical therapist — Physical therapy is a great method for breaking up scar tissue from bunion surgery.

How to break up scar tissue in your foot? ›

Treatment to Break Up Scar Tissue
  1. Physical Therapy. Physical Therapy can be useful for breaking up scar tissue around a joint. ...
  2. Laser Therapy. ...
  3. Corticosteroid Injections. ...
  4. Shockwave Therapy to Break Up Scar Tissue. ...
  5. Surgery to Get Rid of Scar Tissue.
Mar 24, 2021

How to break up scar tissue at home? ›

Put the flat part of your fingers on the scar. Move the skin and tissue under the scar back and forth, holding for a few seconds. Make sure you press enough to feel the scar “move” under your fingertips. Move your fingers along to the next section of scar, and repeat until you've massaged all along the scar.

What tool breaks up scar tissue? ›

The doctor then uses a Graston instrument to "scan" or slide along a particular muscle area in search of fibrous or scarred tissue. Once an area of abnormal tissue and scar formation is located, the doctor uses the various instruments to apply deep tissue massage to break down the scar tissue.

How do you loosen up tough scar tissue after surgery? ›

There are many types of therapies for scar tissue, but the standard treatment commonly involves exercise and massage — specifically, stretching and pulling the scar tissue to soften, align and elongate it.

What breaks down scar tissue? ›

The most common physiological effects that occur to break down scar tissue include increased temperature, increased oxygenation and the breakdown/realignment of collagen fibres. Increased temperature is a common physiological effect that helps to break down scar tissue.

When is it too late to massage scar tissue? ›

Typically, scar massage is recommended 2-3 weeks after surgery once the scar is fully closed with no scabbing, but it can be done between 6 weeks to 50 years after surgery. During the initial healing phase, the body is focused on closing the wound and preventing infection.

Does massaging scar tissue break it down? ›

Massaging your scar helps increase circulation and encourages healing by breaking down scar tissue, which can lead to a smoother, softer appearance. It also increases flexibility in the skin and decreases inflammation, which can help alleviate discomfort or redness around your wounds.

Does breaking down scar tissue hurt? ›

In the early stages, scar tissue isn't always painful. This is because nerves in the area may have been destroyed along with healthy body tissues. But over time, scar tissue may become painful as nerve endings regenerate. Scar tissue can also become painful over the course of an internal disease.

Does vinegar dissolve scar tissue? ›

The acidic state of apple cider vinegar means it may help reduce scarring by removing the upper layer of your skin. Just make sure you dilute the vinegar before applying it. Otherwise, you could cause more damage.

Does Vaseline break down scar tissue? ›

Cocoa butter cream and Vaseline are most often used to help reduce the appearance of scars. Applying the ointment daily will help heal scars but will not make them invisible. Another tip for caring for your scars includes surgery. Surgery will not eliminate the scar but can change its shape or make it less noticeable.

Does vibration break up scar tissue? ›

High-speed vibration therapy from Rapid Release Technology can help you relieve your discomfort and break up the restricting feeling of scar tissue.

Is there a machine that breaks up scar tissue? ›

Astym is a tool used to break up scar tissue and damaged soft tissue to promote regeneration of healthy tissue to improve one's function. Scar tissue can cause muscle tension, limited flexibility, and range of motion restrictions.

What drug breaks down scar tissue? ›

Steroid Injections

Steroids break the bonds between collagen fibers, which reduces the amount of scar tissue beneath the skin. Steroids also have powerful anti-inflammatory properties, which can help reduce swelling, redness, itching, or tenderness.

What destroys scar tissue? ›

Laser surgery.

Lasers may be used to smooth a scar, remove the abnormal color of a scar, or flatten a scar. Most laser therapy for scars is done in conjunction with other treatments, including injections of steroids, use of special dressings, and the use of bandages.

What injection dissolves internal scar tissue? ›

The intralesional injection of corticosteroid is the most common method used in clinical practice that can achieve effective results for reduction of scar formation and volume, and relieve patients' subjective symptoms including pruritus and pain [6–8].

How long does it take for internal scar tissue to heal after surgery? ›

Scars can take up to 1 year to mature fully and go through four stages of healing. This slow process may explain why some people do not experience scar tissue pain immediately. Initially, the scarring may look minimal, but over 4–6 weeks, the scar may get bigger or become raised, firm, and thick.

What does internal scar tissue feel like? ›

While most scar tissues may be visible, those formed inside the body surfaces due to internal wounds, surgeries, and medical conditions may not be as apparent to the eye. Instead, the individual may experience stiffness and pain at these internal scarring sites, especially if it affects a joint.

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