The literature is divided in the evidence that supports manual therapy or ART in the treatment of scars. Some studies have reported good results, such as less pain and itching, and manual therapy was found to be effective in the presence of scars and burns. However, some studies concerning the use of massage and manual therapy have reported inconsistency in achieving effective results. Thus, there are dissenting views in literature with regard to the use of manual therapy for scar tissue and further studies are needed.