February 28, 2025

The Hidden Impact of Scars on Musculoskeletal Health

When we think about scars, we often focus on their appearance or the memories they carry. However, scars—especially from surgeries like hip replacements, C-sections, and abdominal procedures—can have a significant long-term impact on musculoskeletal health. As a chiropractor, I frequently see how old scars contribute to pain, stiffness, and movement restrictions, often in unexpected ways.

How Scars Affect the Body

Surgery involves cutting through multiple layers of tissue, including the skin, fascia, muscles, and sometimes ligaments or tendons. While the body is remarkable at healing, it does so by creating scar tissue, which can alter the natural structure and function of these tissues.

1. Fascial Disruption

Fascia is a connective tissue that links everything in the body, from muscles to organs. When surgery disrupts this network, it can create restrictions that pull on distant areas of the body. For example, an old C-section scar might contribute to lower back pain due to fascial tension extending beyond the abdominal area.

2. Muscular Imbalances and Weakness

Surgical trauma to muscles can lead to compensatory movement patterns. If a muscle has been weakened or tightened due to scarring, the surrounding muscles may overcompensate, leading to imbalances, discomfort, or even injuries in other regions.

3. Joint Dysfunction and Postural Changes

Tight or immobile scar tissue can affect joint movement, altering posture and biomechanics. A hip replacement scar, for instance, may create stiffness that changes how a person walks, leading to knee or lower back strain over time.

The Emotional Aspect of Scars

Many people prefer not to discuss their scars due to the emotional trauma often linked to the event that caused them. This is especially true in cases like emergency C-sections, where the experience can be overwhelming and distressing. As a result, they may not have engaged in much—or any—physiotherapy after the surgery, leading to prolonged physical restrictions and compensatory movement patterns. Recognizing and addressing both the physical and emotional impact of scars is essential for long-term healing.

Why Chiropractors Care About Scars

As a chiropractor, I look beyond the site of pain to assess how the body is compensating for old injuries—including surgical scars. Restrictions caused by scars can contribute to chronic pain, limit mobility, and even affect nerve function. Addressing these issues can improve movement efficiency, reduce discomfort, and enhance overall musculoskeletal health.

What Can Be Done?

If you suspect an old scar is contributing to pain or movement limitations, there are several approaches that may help:

  • Scar Tissue Mobilization & Myofascial Release: Gentle techniques to improve tissue flexibility and reduce restrictions.
  • Chiropractic Adjustments: To restore proper joint mechanics and reduce compensatory strain.
  • Targeted Exercises & Stretching: To improve mobility and rebalance affected muscles.
  • Dry Needling or Soft Tissue Therapy: Techniques that can help break up adhesions and promote better movement.

Final Thoughts

Scars are more than just skin deep—they can have a lasting impact on how your body moves and feels. If you have an old surgical scar and experience ongoing pain, stiffness, or mobility issues, it may be worth exploring how addressing scar tissue could improve your overall musculoskeletal health.

If you’d like to learn more, feel free to reach out to discuss how chiropractic or massage care can help.

Our Aspirations

At Cathedral Chiropractic we have three chiropractors and we find that no two chiropractors are the same! What we can assure you is that each of us has our patient’s best interest at heart, that we keep up to date with the literature and keep our therapies evidence led and patient centred. We always Keep your experience in mind and work hard to make it the best we can offer.
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