Post-Surgical Pain or Impairment (Scars)

There are two sources of adhesions (scars) from surgery:

  1. The procedure itself creates scars on the skin and in the underlying tissues.
  2. During the healing process, inflammation can occur, producing scar tissue.

Dermal-Fascial Restoration℠ (DFR℠) has been very effective in rapidly reducing scar tissue and associated discomfort while improving its appearance.

Scar tissue can have a more serious effect beyond the cosmetic issues. The process that caused the scar tissue to form on the skin can also create scar tissue that is not seen – the adhesive scar tissue in the connective layers (fascia). This can extend far from the original scar and create symptoms that patients continue to experience in seemingly unrelated ways in nearby body parts.

These images show a patient with a surgical scar treated with the DFR. Following two hours of treatment, DFR was able to change the structure of the scar and restore more normal tissue appearance.

Before and after images of total hip replacement scar
Total Hip Replacement Scar. Before: 3-month post-op. After: two weeks treated with Dermal-Fascial Restoration℠ (DFR℠)

Anterior Cruciate Ligament (ACL) Injuries

Why does the ACL tear and is there anything that you could have done to prevent the tear?

The tear occurs when too much force is applied to the ligament either through movement or through a direct hit. A person cannot accurately predict if and when a tear will happen, but they can help prevent tears. Making sure that the muscles in the core, hip and legs all work together and efficiently will decrease the likelihood of an ACL injury or tear. If a tear actually occurs then physical therapy post-surgically or for those who do not have surgery is key.

Ensuring that range of motion, strength and mobility return are the highlight of recovery and tissue tightness and adhesions can limit one or all of these things. Mettler Therapy combines the most up-to-date research and protocols with our specialized manual therapy treatment to maximize recovery and achieve a full return to activity, regardless of your chosen path of healing.


The part of the spine that cushions between levels has been removed and now it is time to start the recovery process. Do you have the best plan in place for your rehabilitation and return to function?

One of the tell-tale signs of a discectomy is the incision left behind. Combined with this scar formation, is a lack of movement and use of the muscles in the back that can bring on stiffness and pain. The key to recovery is to eliminate scar tissue and muscle tightness soon after surgery. Releasing scar tissue will help take away pain and improve the function of the nearby muscles. Adding appropriate strengthening/core exercise and proper movement principles will round out a complete rehab program.

At Mettler Therapy, we pride ourselves in using state-of-the-art manual therapy for tissue release and clinically successful exercise programs to improve outcomes and optimize return to function.

Meniscal Tears

Often the c-shaped disc that cushions the knee has enough damage and pain associated with it that it needs to be repaired. Most often it is the inner meniscus that is repaired but the outer meniscus can be also be affected. Depending on the procedure performed, the rehab process can vary. If the meniscus is repaired or if it is cut out, it is important to start rehab early to make sure that range of motion deficits, tissue tightness and strength deficits are kept to a minimum.

At Mettler Therapy, the physical therapists use up-to-date research protocols and our unique manual therapy technique, DFR, to guide the knee back to proper function and form.


Now that the stress of surgery and cancer treatment has been addressed, are you worried about lymphedema, range of motion deficits, muscle pain, tissue pain, and functional limitations?

The side-effects of radiation and surgical treatment for breast cancer can be significant and painful. Many people are told to wait months before they take action to prevent a worsening of musculoskeletal and tissue pain. The reality is that taking action early can prevent many of these problems and improve quality of life. Surgery and radiation lead to a disruption of the tissue in the chest, shoulder, neck and arm causing many of problems described above. Ensuring proper tissue movement, the right exercise prescription and a detailed home program and ongoing patient education can be the difference between months of limitations and days of limitations.

Mettler Therapy uses DFR and carefully guided exercise to work out tissue adhesions and mobility deficits to improve quality of life and quality of function sooner and with improved outcomes.

Total Hip Replacement

Now that you have decided to have surgery and replace that arthritic hip, do you know what to do after surgery?

More and more people are taking this step to improve recovery and decrease pain as early as in their 40s and 50s and as late as in their 90s. Whether it is an anterior or posterior approach, the key to returning function is to gain range of motion and strength within the doctor recommended guidelines. It has been shown that muscles and surrounding tissues tighten and develop adhesions when range and function is decreased.

At Mettler Therapy, our team of experts use a specialized manual therapy approach to release adhesions followed by patient specific exercise to speed up recovery and enhance outcomes.

Total Knee Replacement

The arthritis and pain in the knee have driven you to having the knee replaced, but do you know what will be best for your post-surgical recovery?

Often the surgery is a success, but the rehabilitation and recovery is not. One of the most common problems post-surgically is the inability to gain full range of motion (bending or straightening the knee). This can be disastrous to simple things like walking and going up and down stairs. The main culprit is soft tissue tightness and poor rehab management. The key is to start motion early and to work on the soft tissue immediately. Often, muscles and tissues become thickened and tight making basic range of motion and strengthening exercises difficult. This can lead down a road of failure.

At our facility, the physical therapists use aggressive manual therapy techniques for the joints and soft tissue as well as clinically proven exercise to prevent range of motion problems and hasten functional recovery.

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