Abdominal period pain

45-year-old woman. Complaints of regular, very severe, excruciating abdominal period pain during menstruation. In the last two years, the intensity of pain has become particularly high. Medical history includes several gynecological surgeries with subsequent adhesion development, which she associates with her periodic pain.

Objective examination: patient of normal build, basic movements in the lumbar, thoracic regions, and pelvic joints are not restricted and do not provoke pain. Abdominal palpation is painful, especially in areas prone to fascial restrictions (limitations, indurations), more on the left side, with an epicenter in the lower left, with a maximum of 8 out of 10. Palpation of these areas causes radiating pain in different directions, but more often to the same epicenter. The corresponding areas in the back, in the lumbosacral region, are also painful but noticeably less so.

Diagnosis: pain associated with restricted mobility of connective tissue membranes of internal organs (especially ovaries) and abdominal wall, likely triggered by surgical interventions and their consequences.

Treatment: fascial manipulations for identified internal dysfunctions, visceral techniques using respiratory synergies for the uterus, ovaries, intestines, and stomach.

Results: gradual reduction of restriction pain during palpation and treatment. After two weekly sessions – first menstruation during which only limited minor pain was observed in the lower left area. In the subsequent three sessions, work continued, adding treatment of tension areas connected by fascial lines below, above, and on the back. Two months later, results remain stable, patient is very satisfied.

Dysmenorrhoea pain - osteopathic treatment. Conclusions.

This case is very gratifying and motivating for further in-depth study of the mentioned methods. The pain was so severe that it forced the patient to reschedule important meetings and business appointments. Medical therapy couldn't even fully relieve the symptoms, let alone cure them. The surgical removal of adhesions proposed to her is also a very controversial method in this case. For example, another patient's condition only worsened after such surgery (new adhesions can form). Plus, or rather minus, this surgery would not have affected the fascial restrictions in the abdominal wall, working with which led to such good results.

Grigori Tafi
Osteopath, sports medicine doctor
15 years of experience in osteopathy and manual therapy. Read more...

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