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Adhesions is another word for scars. Abdominal and pelvic adhesions are extremely common after gynaecological surgery, including Caesarean section. Even minor surgery causes micro-scarring as the wounds heal, and many factors determine whether this will be a problem for you or not. Problematic adhesions can cause pain (including pain with sex, or ‘’tugging’’ or ‘’grabbing’’ pain with movement), and interference with the function of your organs, such as your bowel, your uterus and your bladder. This is because these organs need to move, squeeze and contract, and the tightness of scarring interferes with this. This can cause pain when emptying your bladder or bowel, or painful periods.

Adhesions also occur with endometriosis. Scar formation is part of the inflammatory process in this condition, so even if you have surgical treatment on the visible scarring, some adhesions may remain, and the effects listed above may occur.

Non-surgical treatment of adhesions involves highly specialised forms of manual therapy called myofascial release and visceral manipulation. At Equilibria, we have the expertise and the experience to provide this treatment. Sometimes these techniques need to be carried out vaginally or rectally. While this may sound embarrassing, it is done with the utmost sensitivity and with you fully draped to respect your privacy – and the results make it worth it.

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