Rehabilitation : Post Surgery & Trauma

Rehabilitation : Post Surgery & Trauma

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An injury is never limited to the damaged tissue. On the contrary, it always impacts the surrounding area and sometimes the whole body. Following a trauma or an operation, pain often limits movements. If pain is an essential body reaction to prevent further injury, on a medium and long term it has important negative repercussion.

To avoid pain, patients develop compensations modifying their posture, their walking pattern or even their life style (less physical activity and social interaction).

These compensations often lead to vicious circles where the new posture or gait will overload other muscles or joints creating new pain. The lack of sport contributes to muscle wasting and lack of social interaction to depression.

Therefore, rehabilitation aims not only to treat the initial injury but also to reduce or prevent compensations and their negative effects. In order to enable and support patients to recover or adjust, to achieve their full potential and to live as full and active live as possible.

Most orthopaedic rehabilitations, after trauma or surgery, follow the same stages:

  • Reduce inflammation including decreasing swelling and pain
  • Restore joint range of motion by limiting muscle guarding and using passive mobilisation techniques
  • Increase muscle strength using different level of exercises (open/close chain, resistance, analytic/functional)
  • Enhance proprioception and stability
  • Reathletisation (prepare return to sport)

The length of each stage varies in function of the initial injury, patient goals and may overlap.

Description

After surgery abdominal surgery (C-section, appendectomy…), the surgeon cut through different layer of muscles, fascia and organ. Thanks to the scaring process, these layers will close completely. Unfortunately, it also create new link between these layers called adhesions.

These adhesions are problematic as they prevent movement and the normal function of the different tissue. For example, an adhesion between muscular tissue and organ will diminish the contraction of the muscle and may trigger pain.

Thanks to Visceral Osteopathy, the therapist will not only target tissue-restricted areas in your abdomen and work to bring back their elasticity, but will also use an holistic approach to analyse how the abdominal dysfunction impact the rest of your body with a special interest in diaphragm and posture compensation.