SRM Structural Therapy · Scar Release
Scar Release Therapy
解疤松解療法｜術後疤痕牽拉、粘連與活動受限
Your scar has healed. So why does it still pull when you move?
傷口早就好了，為什麼一動還是會被拉住？
Scar release is part of SRM Structural Therapy at Virtue TCM. It looks at how a healed scar and the tissue around it move, and how any restriction there changes the way the rest of the body moves.
解疤松解是醫道閣 SRM 結構療法的一部分。我們看的是癒合後的疤痕與周圍組織怎麼活動，以及那裡的牽拉如何改變身體其他地方的動作。
Book a scar assessmentAsk if it suits your scarWhat People Notice · 常見的感受
It looks healed, but it doesn't feel healed
看起來好了，感覺卻還沒好
Pulling
牽拉感
A tug around the scar when you twist, bend, reach or stand up straight.
轉身、彎腰、伸手或站直時，疤痕周圍被拉住。
Tightness
緊繃、卡住
The area feels stuck, or moves as one block with what is underneath.
那一塊感覺卡住，或跟底下的組織黏成一片在動。
Tenderness or itch
壓痛或搔癢
Discomfort when pressing near the scar, itching, or sensitivity when clothing rubs against it.
按壓疤痕附近會不舒服、會癢，或衣服摩擦時特別敏感。
Restricted movement
活動受限
Movement nearby feels shorter or guarded, for example after abdominal or knee surgery.
附近的動作變得比較小、比較小心，例如腹部或膝蓋手術後。
Pain elsewhere
別處的痛
Lower back, hip or shoulder discomfort that began after the surgery.
手術之後才開始的下背、髖部或肩膀不適。
Altered sensation
感覺改變
Numbness or unusual sensation around the scar. This is worth having checked by your doctor too.
疤痕周圍麻木或感覺異常，也值得請醫生一起檢查。
What May Be Happening Underneath · 底下可能發生的事
A scar is more than the line on the skin
疤痕不只是皮膚上那一條線
After a scar has healed on the surface, the tissue underneath may move less freely and start moving together with deeper layers. The question is not only how the scar looks, but whether each layer can still glide on its own.
疤痕表面癒合之後，下方組織可能活動得沒那麼自由，開始跟更深的層次一起動。重點不只是疤痕看起來怎樣，而是每一層還能不能各自滑動。
皮膚
可以在下層上輕鬆移動。
像是固定在下一層上。
皮下組織
在皮膚與筋膜之間滑動。
在疤痕處變厚或被拉住。
筋膜
讓肌肉之間能互相滑過。
一動就往某個方向扯。
肌肉與動作
動作完整、平均。
身體繞過牽拉去代償，常在別的地方出現不適。
That last row is where SRM comes in: how a restriction at the scar changes movement elsewhere.
最後一列就是 SRM 的角度：疤痕處的牽拉，如何改變其他地方的動作。
How We Approach It · 我們怎麼做
Assessment first, then layer by layer
先評估，再一層一層處理
1 · The scar
疤痕本身
How it moves, which directions feel restricted, and how deep that restriction sits.
疤痕怎麼動、哪些方向被卡住、牽拉在多深的地方。
2 · Around it
周圍的動作
How nearby movement has changed: bending, twisting, breathing, walking.
附近的動作有什麼改變：彎腰、轉身、呼吸、走路。
3 · Compensation
代償
Where the rest of the body has been working harder to make up for it.
身體其他地方為了彌補，正在多做哪些工作。
4 · The plan
處理方向
What to work on first, and whether the scar is the starting point at all.
先處理哪裡，以及疤痕是不是真正的起點。
How it is treated · 處理方式
Gentle manual scar release, working from the more superficial layers towards deeper ones, and following the directions the tissue feels most restricted. Superficial needling may be added where clinically appropriate. Because the scar is rarely the whole story, structural work elsewhere in the body is often part of the same session.
溫和的解疤松解手法，由較淺的層次往較深處處理，並順著組織最受限的方向進行。適合時會配合微針淺刺。因為疤痕很少是全部的原因，同一次療程裡常常也會處理身體其他部位的結構。
Research at Virtue TCM · 在醫道閣完成的臨床研究
Studied here, in our own clinic
研究病例來自醫道閣
Doctoral clinical study · Guangzhou University of Chinese Medicine · 2025
Clinical Study on the Treatment of Scars Using Scar-Release Manual Therapy Combined with Superficial Microneedling
《解疤松解手法和微針淺刺法治療疤痕的臨床研究》· Dr. Douglas Lim (林江豪)
Carried out at Virtue TCM in Kuala Lumpur between 2021 and 2022, the study followed outpatients aged 12 to 65 whose healed scars came with pain or itching. They were assigned at random to one of three approaches: scar-release manual therapy combined with superficial needling, manual therapy alone, or superficial needling alone. Thirty people in each group completed treatment, given once a week for three sessions.
研究於 2021 至 2022 年在醫道閣吉隆坡進行，對象是 12 至 65 歲、疤痕伴隨疼痛或搔癢的門診患者。患者隨機分配到三種方式之一：解疤松解手法加微針淺刺、單用手法、單用微針淺刺。每組 30 人完成治療，每週一次，共三次。
Scars were assessed with the Vancouver Scar Scale (pigmentation, vascularity, pliability and height), a visual analogue scale for pain and itch, and colour measurement. All three groups improved. On the pain-and-itch and Vancouver scores, the combined approach improved more than either method alone; on colour, the combined and manual-therapy groups both did better than needling alone.
評估使用溫哥華疤痕量表（色素、血管、柔軟度、高度）、疼痛與搔癢的視覺類比量表，以及色彩測量。三組都有改善。在疼痛搔癢評分與溫哥華量表上，合併組的改善優於兩個單一方法組；在色彩測量上，合併組與手法組都優於單用微針組。
This was a single study with a modest sample, and it measured scar characteristics and symptoms rather than movement. Larger studies are needed before firm conclusions can be drawn.
這是單一研究、樣本數有限，評估的是疤痕特徵與症狀，而不是活動能力。需要更大型的研究才能下定論。
The study did not include keloids, malignant scars or pregnant women, and its findings should not be applied to them.
研究未納入疤痕疙瘩、惡性疤痕與孕婦，研究結果不適用於這些情況。
Common Scars We See · 常見的疤痕
Healed scars from surgery or injury
手術或受傷後已癒合的疤痕
Caesarean section
剖腹產
Often linked with lower back, pelvic or abdominal tightness after birth.
常跟產後的下背、骨盆或腹部緊繃一起出現。
Women's Health →
Abdominal & gynaecological surgery
腹部與婦科手術
Including laparoscopic scars, which can be small on the skin but pull underneath.
包括腹腔鏡疤痕：表面很小，底下卻可能在牽拉。
Orthopaedic surgery
骨科手術
Knee, shoulder, ankle or spinal surgery, where movement around the joint feels limited.
膝、肩、踝或脊椎手術後，關節附近的活動受限。
Injury scars
外傷疤痕
Cuts, falls and other injuries that healed some time ago.
割傷、跌倒等已經癒合一段時間的傷口。
Breast surgery
乳房手術
Once fully healed and cleared by your surgeon or oncologist.
須完全癒合，並經主治醫師同意。
Not sure?
不確定？
Book an assessment. We will tell you honestly if it isn't suitable.
預約評估，不適合的話我們會直接說。
When It May Not Be Suitable · 什麼情況要先看醫生
Some scars need a doctor first
有些疤痕要先給醫生看
- A wound that has not fully closed, or any sign of infection: redness spreading, heat, discharge or fever. 傷口尚未完全癒合，或有感染跡象：紅腫擴散、發熱、有分泌物或發燒。
- A scar that is growing, raised beyond its original edges, or changing quickly in colour or size. 疤痕持續變大、超出原本邊界隆起，或顏色、大小快速改變。
- Keloids or a scar under investigation for a medical condition. 疤痕疙瘩，或正在因其他疾病接受檢查的疤痕。
- A new lump, or numbness and weakness that is spreading. 新出現的腫塊，或持續擴散的麻木與無力。
- Recent surgery: please check with your surgeon when it is safe to begin. 剛動完手術：請先向主治醫師確認何時可以開始。
Common Questions · 常見問題
Before you book
預約之前
Is this cosmetic scar removal?
是去疤美容嗎？
No. The aim is not to make a scar disappear, but to work with how it and the surrounding tissue move. Some people notice the scar looks or feels different over time, but appearance is not the main goal.
不是。目的不是讓疤痕消失，而是處理疤痕與周圍組織的活動。有些人過一段時間會覺得疤痕的樣子或觸感不同，但外觀不是主要目標。
How long after surgery can I start?
手術後多久可以開始？
Only once the wound has fully healed and your surgeon is comfortable. For a caesarean section, that is usually after your postnatal check, and sometimes later.
要等傷口完全癒合、主治醫師也同意之後。剖腹產的話，通常在產後檢查之後，有時會更晚。
Does it hurt?
會痛嗎？
Some areas can feel sore while being worked on, especially where the scar is most restricted. The pressure is adjusted to what you can follow comfortably.
受限最明顯的地方，處理時可能會痠痛。力道會調整到你能舒服接受的程度。
How many sessions will I need?
需要幾次？
It depends on the scar's age, depth and how much it affects movement elsewhere. We reassess at each visit rather than setting a fixed number.
要看疤痕的時間、深度，以及它影響其他部位動作的程度。每次都會重新評估，不會一開始就定次數。
Can you treat every type of scar?
每一種疤痕都可以處理嗎？
Not necessarily. Scar type, age, tissue condition and symptoms need to be assessed first. Dr. Lim's doctoral study did not include keloids or malignant scars, so its findings should not be applied to those.
不一定。疤痕類型、時間、組織狀況與症狀都要先評估。林醫師的博士研究未納入疤痕疙瘩與惡性疤痕，研究結果不適用於這些類型。
Can it be combined with physiotherapy?
可以跟物理治療一起做嗎？
Yes. Many people continue their rehabilitation exercises alongside scar release. Let us know what your physiotherapist has recommended.
可以。很多人在做解疤松解的同時，繼續物理治療的復健運動。請告訴我們物理治療師給你的建議。
Who You'll See · 看診醫師
SRM-trained practitioners
受過 SRM 訓練的醫師
Dr. Douglas Lim CH
林江豪 醫師
Founder · Doctoral research on scar-release manual therapy and superficial needling
創辦人 · 博士研究：解疤松解手法與微針淺刺
Bangsar · Mont Kiara
Read profile →
Casey Wong Pui Mun
黃佩文 醫師
Structural therapist · Women's health, including caesarean scars
結構治療師 · 婦科，包括剖腹產疤痕
Bangsar · Mont Kiara
Read profile →
June Chan Zhao Rou
田釗柔 醫師
Structural therapist · Pain and internal medicine
結構治療師 · 痛症與內科
The Qing Suites, Penang
Read profile →
Book a Scar Assessment · 預約疤痕評估
Start with an assessment
從評估開始
Casey Wong also sees scars at Bangsar and Mont Kiara. Book with a specific practitioner →
黃佩文醫師也在 Bangsar 與 Mont Kiara 看疤痕。
Individual conditions vary. Recommendations follow consultation and practitioner assessment.
個人情況因人而異，療程建議需經問診與醫師評估後決定。