Explain the differences between adhesions in the ground substance and fibrous adhesions

What will be an ideal response?

A complete response should include these concepts:
• Ground substance adhesions:
• Occur when the ground substance becomes sticky and the fibers bind together
• Cause pain as the fibers try to move independently, but pull on the surrounding fibers as they are stuck together
• Often surround trigger points because the chronic tension of the trigger point will restrict the fascia and its blood supply
• Usually respond well to bodywork and are relatively easy to release
• Fibrous adhesions
• Also called a "scars"
• Are formed by fibroblasts depositing fibers in response to tissue damage
• The predominant fibers secreted are collagen fibers, so the scar becomes much more rigid than the original tissues.
• Fibrous adhesions stretch over and across the injury site like a spider web.
• The weblike fibers extend into surrounding structures, effectively sticking the areas together
• This configuration stabilizes the injured area but also causes pain when nearby structures move, and the areas that are stuck together pull on each other.
• Usually need more intensive therapy to promote healing and tend to be difficult to completely resolve through therapy.
• Often therapy will make the scar less painful, more flexible, and more functional