Does acupuncture/dry needling treatment improve scar pain and itch in adults with abnormal scars following trauma or surgery?

INTERVENTION: Local Acupuncture Group ‐ This treatment group will receive routine care consisting of 5 minutes of scar massage, and a hand‐out with general self‐management, exercise and post‐treatment management advice that has been specifically designed for this trial.. They will also receive 15 minutes of acupuncture treatment applied at 2cm intervals locally around their scar with needle stimulation via bidirectional rotation at 5 and 10 minutes and immediately prior to needle removal. Treatment will consist of 6 treatments over 4 weeks (2 per week for 2 weeks then 1 per week for 2 weeks). Acupuncture treatment will be provided by a physiotherapist with 11years experience in private practice physiotherapy including 10 years dry needling and 2 years western acupuncture experience. CONDITION: Abnormal Scars Hypertrophic scars PRIMARY OUTCOME: Numerical Rating Scale (NRS) for itch Numerical Rating Scale (NRS) for pain ; Patient and Observer Scar Assessment Scale (POSAS) ‐ Patient response component SECONDARY OUTCOME: Short Form‐36 (SF‐36) Health related quality of life questionnaire INCLUSION CRITERIA: * Score of at least 3/10 on numerical rating scale for pain or itch prior to enrolment. * Scar from 6 weeks to 12 months following injury.