Maria S, 34 year old mother of two, attended the clinic complaining of abdominal pain, distension and gas. She reports that this problem started shortly after the birth of her second child nine months ago.
She changed her diet in the hope that this would help with the bothersome gas and distension. The feeling of fullness and pressure in the abdomen continued with an observable increase in the size of the abdomen.
She has undergone various medical tests to ascertain whether there is pathology, viral or bacterial infection, allergies and food intolerances.
All gave negative results.
On examination:
Pelvic imbalance with twitch response in the right sacro-iliac ligament, pain radiating into right groin, muscle spasm in right ilio-psoas muscle and tenderness on palpating the right lower abdominal quadrant.
My conclusions:
The pelvic imbalance, possibly as a result of the birthing process of the second child, was maintaining a muscle spasm in the right iliopsoas muscle which was mechanically obstructing the passage of faecal matter and gases through the colon.
Treatment:
Prolotherapy injection was given to the right sacro-iliac ligament. After three minutes most of the gas has dissipated and the patient felt more comfortable. Over the next five days the patient reports that the abdominal distension had gone and that she had normal bowel movement. Osteopathic manipulation was given seven days after the prolotherapy treatment to realign the spine and pelvis.
0 Comments