Adhesions in the abdomen
A 68-year-old lady with a long history of suffering came to my practice with abdominal pain for several years and increasingly. 10 years ago, she had a colonoscopy as a preventive examination. The intestinal wall was injured, it had to be sewn again in a five-hour operation. 4 years later, she had an intestinal closure that had to be operated on. Two and three years later, operations were carried out to solve adhesions in the abdomen, she already suffered from severe abdominal pain and cramps at that time. On the other hand, two years later, she had an intestinal closure due to the adhesions (Briden) in the abdomen, which was also surgically renovated. Another year later and approx. 5 weeks before the consultation in my practice, another solution operation was carried out. The abdominal pain had not changed after the last operation: they have been performing daily for a long time and limiting the quality of life.
Adhesions after abdominal surgery are almost inevitable and are in the nature of the matter: an environment is disturbed, it is cut and sewn, there are foreign bodies in the abdomen (seam material), it bleeds, it heals. All this and a personal and family disposition ensure these adhesions. For example, if women had two gynecological operations (twice caesarean section, etc.), 99% of women are expected to experience adhesions. Not all patients cause such symptoms as in my patient. But due to the fact that you cannot depict this tissue figuratively or only if they are very pronounced brides, the cause of abdominal or back pain remains unrecognized for a long time.
The palpation of the patient's belly brought a typical result for adhesions: The entire intestine feels like a lump. Palpation is also unpleasant to painful. Normally, the small and large intestine can be felt as a soft and clearly distinguishable mass and it is not painful, at best "funny." The treatment of the abdomen is now carried out non-specifically and gently. If the sensitivity subsides after a while, you are on the right track and can respond precisely to the changes with the steps. This takes quite a while and hit my patient well: The painful sensitivity of the abdomen was eliminated after treatment. However, a statement about the abdominal pain and cramps has not yet been made. My patient received another exercise on the self-mobilization of the intestine and was discharged.
Three weeks later for the second treatment, she reported that she had about 70% fewer complaints, no more abdominal pain, sometimes a bloated abdomen and a few short bites in the right lower abdomen. The "lumpy" feeling of palpation was no longer quite so clear, especially in the right lower abdomen. I carried out visceral treatment after findings.
In the meantime, four treatments and three months have passed. The situation has stabilized at an even lower level with short pain episodes in the meantime, but at a lower level and short duration. The treatment series is still continuing.