Scar tissue has been demonized in the sports medicine world as the cause of many myofascial pain syndromes. Shoulder and knee pain, among others, are often attributed to scar tissue formed after a previous injury with treatments geared towards the breakup of said tissue. Is scar tissue really the cause of these pain syndromes and can it be broken down by manual therapy? Or is there another way manual therapy works? This blog post will discuss the scar tissue myth and also explain how manual therapy works.