Hi Kelly, I got a message from you regarding an elderly client with a knee scar tissue problem that supposedly was posted on the Orthopedic Massage group, but I can't find it anywhere so I'm leaving a comment here. I would suggest using Myofascial Release if it was part of your training. I would also encourage you to review the information in this article (a downloadable PDF) which I've found invaluable in treating scar tissue adhesions and restrictions: Clinical Importance of Active Scars: Abnormal Scars as a Cause of Myofascial Pain. The article is located on the Research page of EugenePT.com. Best of luck!