Scar Tissue Formation

I just posted a three blogs about an adhesive barriers that is supposed to reduce scar tissue problems. However just like mesh, it may work on some people and cause others immune problems. There are lawsuits to do with this product, so be sure to read those blogs. I will give links at the bottom of this blog.

We all know what scars are don’t we? We can see them after we cut ourselves as we begin to heal because they are on the outside of our bodies. But what happens after we go through surgery? Well because we don’t see them, we don’t realize that as the inside scars heal the scar often adheres itself to other organs, nerves and muscles. Sometimes they become huge hard welts that may need surgical removal. All this happens because of mesh or tape in a woman’s pelvic area, but doctors who put it in your body will not explain the consequences because it is a way to make money. It’s that simple.

I know many women who feel they have not done well after mesh removal surgery and don’t know why. It is not always because of mesh removal but often it is about botched up removal surgeries or continuous partial removal surgeries. Honestly it is a crying shame that so many women undergo surgery after surgery all because of a hysterectomy that may not have needed to be done in the first place. So because it has been a while since I wrote about surgeries and scar tissue I decided to do research and find you the best articles on this subject so that you can learn more and decide what you can do to help yourself. First you may not understand what exactly scar tissue it and this is a great explanation.

If your concern is that you believe the doctor who did your removal surgery, did NOT remove it all, then all I can say is, go out to UCLA Urologists and get a consult and the translaial ultrasound done. I don’t know any other tests that show the mesh like this one does.

Educating yourself on everything that can happen to you is the first step to living better. There is no guarantee anything will work for you, but never give up trying. This will help you understand what scar tissue is and what can happen.

An adhesion is a band of scar tissue that binds two parts of tissue or organs together. Adhesions may appear as thin sheets of tissue similar to plastic wrap or as thick fibrous bands.

The tissue develops when the body’s repair mechanisms respond to any tissue disturbance, such as surgery, infection, trauma, or radiation. Although adhesions can occur anywhere, the most common locations are within the abdomen, the pelvis, and the heart.

Abdominal adhesions: Abdominal adhesions are a common complication of surgery, occurring in up to a majority of people who undergo abdominal or pelvic surgery. Abdominal adhesions also occur in a small number of people who have never had surgery.

  • Most adhesions are painless and do not cause complications. However, adhesions cause the majority of small bowel obstructions in adults, and are believed to contribute to the development of chronic pelvic pain.
  • Adhesions typically begin to form within the first few days after surgery, but they may not produce symptoms for months or even years. As scar tissue begins to restrict motion of the small intestines, passing food through the digestive system becomes progressively more difficult. The bowel may become blocked.
  • In extreme cases, adhesions may form fibrous bands around an entire segment of the intestine. This constricts blood flow and leads to tissue death.

Pelvic adhesions: Pelvic adhesions may involve any organ within the pelvis, such as the uterus, ovaries, Fallopian tubes, or bladder, and usually occur after surgery, such as after C-section, or hysterectomy.

What can you do to help ease the pain? Well you can go for pelvic floor therapy and I found a great blog for you to read. This therapist is in San Francisco and make sure you find one who understands all we go through after mesh removal and will work slowly. If you find there is far too much pain doing this, simply stop. Nothing you try should be EXTREMELY painful and it could be an indication something else is wrong, so the best bet in my books is to go to UCLA for consult to find out more, before you continue therapy. Now read one piece of this blog.

Scar tissue is a common contributing factor to pelvic pain. The good news is: it’s an issue that’s highly treatable with PT.

In this blog, I plan to give you the rundown of how scar tissue can impair the pelvic floor as well as how PT and self-treatment can successfully treat these impairments.

Before we get into what scar tissue does, let’s take a look at what it is. Scar tissue is fibrous tissue that replaces normal tissue after an injury. It’s made of the same stuff as the tissue it replaces—collagen. However, the quality of the collagen is inferior to the tissue it replaces. Plus, the tissue is usually not as elastic as the original tissue. This is especially the case with a keloid scar, one type of scar that is extremely restricted and raised.

It’s important to bear in mind that the scar that you can see is actually only the tip of the iceberg as most scars extend deeper into the body than the bit of scar that is outwardly visible.

Scarring that affects the pelvic floor can happen as a result of any trauma to the area, including a C-section, perineum tear or episiotomy during childbirth as well as a prostatectomy, a hysterectomy, a vasectomy, bowel surgery, endometriosis surgery, bartholin’s abscess removal, or physical injury.

And there are three major ways that scarring within or adjacent to the pelvic floor can cause problems:

First, scar tissue is indiscriminate in what it attaches to. So it can adhere to skin, muscle, or connective tissue. Wherever it decides to hang out, it pulls on the surrounding tissue making the area taut and restricting blood flow, a situation that often results in pain.

For instance, we have a patient who had a bartholin’s abscess removed. The abscess was buried within her pelvic floor. The scar tissue that resulted from the surgery now causes pain to the internal pelvic floor muscles that surround it.

The patient presents with pain in the area surrounding her scar because the tissue isn’t getting the blood flow and oxygen that it needs.

Another way that scar tissue can wreak havoc within the pelvic floor is as a result of referred pain. Remember, there is a network of nerves that innervate the pelvic floor. If a scar is on top of or impinging on a nerve that also innervates another part of the pelvic floor, then that area can also be affected.

For example, the round ligament that attaches from the sides of the uterus to the labia can be caught in scar tissue after a C-section because the incision is also right over the area where the round ligament crosses the pelvic brim. If this happens, a woman can experience labial pain, especially with transitional movements like going from a seated position to a standing position.

That’s why it’s important to remember that the pain and dysfunction caused by a scar is not always going to be in the area where the scar is located.

Another way scar tissue can cause problems within the pelvic floor is by impairing function in the area where it’s located. The pelvic floor is a major hub of the body. Muscles, nerves, connective tissue, and organs are all located there, and they all have important jobs to do, such as keeping us continent.

For instance, if a muscle is torn and then a scar forms—as in an anal sphincter tear during a difficult childbirth——that muscle may lose some of its ability to contract, which could lead to a loss of control over urination, bowel movements, or sexual function.

So how scar tissue treated in PT?

In all cases, a scar can be made more flexible by manipulating the scar tissue. The more scar tissue is moved and massaged, the softer and more similar to the tissue around it becomes. This reduces tightness and breaks up adhesions (an “adhesion” occurs when scar tissue attaches to a nearby structure).

So if a scar is pulled in all directions, the body will lay down the fibers of the scar tissue with more organization, and in a similar alignment to the tissues around it. This results in the scar blending in better and behaving more like normal tissue.

What this means during your PT treatment is that the therapist will massage and manipulate your scar tissue and the area around it. Scars (internal and external) can be pushed, pulled, pinched, rolled, and rubbed.

Warning: manipulating a scar can be painful. That’s because tissue that has restricted blood flow is super-sensitive to touch, so treatment can be painful, and sometimes breaking up an adhesion can cause temporary discomfort.

But, this is a pain that comes with gain. Ultimately, scar mobilization promotes collagen remodeling, which increases pliability of the tissues and reduces uncomfortable sensations, such as itching or sensitivity.

It’s best to start scar mobilization early in the healing process, usually six to eight weeks after the trauma that caused the scar. The reason that early intervention is ideal is because the tissue will respond quickest during this period.

However, the body remodels scar tissue constantly, so your tissues are being replaced with new tissue all the time, just at a much slower rate when scar tissue is older. So scar mobilization can help with scar tissue and adhesions that are years old. Scar mobilization can be performed on scars anywhere on the body including the abdomen, pelvis, and vagina and can also be used to desensitize the area surrounding the scar, which often becomes extremely sensitive to touch.

Physical therapists can perform scar mobilization and also instruct patients on how to perform the mobilization at home if appropriate.

Scar tissue mobilization has a definite payoff. For instance, one of my patients had bowel surgery that included an incision on his left lower abdomen eight months ago. As a result, his pain levels were an 8/10 in his left testicle, and he had pain with urination and ejaculation. Upon examination, he had a restricted scar and tight abdominal and pelvic floor muscles. I taught him how to massage his scar and relax his pelvic floor, and after eight visits, his pain is down to a 2/10, and I foresee additional improvement for him.

I hope I have done a good job explaining how scar tissue can impact the pelvic floor and how it can be treated with PT and self-treatment.

But if you have any questions on this topic, please do not hesitate to leave them in the comments section below!

Be well,
Read more here

Honestly I don’t know what will work for sure, or not, so I do absolutely anything and everything to help myself in hopes I can avoid more surgeries. Only time will tell of course. So because I take an enzyme every morning on an empty stomach I decided to find out are there any really good articles you can read to understand what they can do to help. I was rewarded and I am going to share some of this article and you can read the rest from the link I will provide.

PART 1 of 2
By Dr. James Howenstine, MD.
March 17, 2009

Aging appears to begin between the ages of 27 and 35 when the production of enzymes that dissolve protein begins to diminish. Enzymes are widely recognized for their importance in digesting food. They also break up circulating immune complexes in the blood. Enzymes can act to prevent too much fibrin from being deposited in wounds, fractures and joints. These enzymes also remove necrotic debris and excess fibrin from the blood stream. Immune system regulation can also be accomplished with enzymes. Most of the development of systemic enzyme therapy was carried out in the Far East and Europe. Enzyme therapy is a prime example of a situation in which US medicine is missing the boat due to a lack of awareness of what the rest of the world is doing and our unwillingness to use therapies not made by “big pharma.” Enzymes cannot be patented so they are of little interest to drug companies.

The proteolytic enzymes used in enzyme therapy dissolve fibrin. When strong proteolytic enzymes are in an enzyme preparation, they can be powerful enough in their action to actually gradually digest scar tissue away. This takes time to occur, of course, but eventually all the scar tissue may disappear.

Sometimes when the body deposits excess fibrin in a tissue the tendon sheaths become thickened and the free movement of a tendon back and forth fails to occur with the tendon getting caught in the fibrous tissue (e.g. trigger finger, Dupytron’s contracture of the palm, etc.) and failure of normal function occurs. Tissues containing excess fibrin are weak because they do not provide adequate space for the epithelial tissue that normally grows through the whole fibrin matrix, producing strength.

These tissues with excess fibrin have restricted motion if joints are involved and will have diminished size and function if the scarring involves an internal organ (e.g. heart after infarction, kidney after a clot to a kidney artery, pancreas after episode of pancreatitis, etc.)

Systemic enzymes have a unique feature. Side effects do not occur with systemic enzymes. This means that raising the dosage to massive levels does not cause any problems unlike pharmaceutical drugs. The initial dosage, which is often one potent enzyme pill three daily taken 45 minutes before or 45 minutes after a meal, can be raised by three tablets daily every few days until the desired therapeutic response develops.. A person given more than 3700 enzyme tablets in one day experienced only diarrhea from this massive capsule intake.

A second interesting facet of systemic enzymes is that their effects on coagulation intensify the actions of blood thinning drugs like coumadin. Fibrin digests with enzymes which dissolves blood clots. Persons on anti-coagulant drugs and individuals with hemophilia may have more intense bleeding with enzyme therapy, and should avoid using enzymes. Read the rest of this man’s interesting report here

I can tell you something good from taking this enzyme all this time. I never get headaches and my BP is very good. So for me that has been a plus and I truly believe it has cleared out all my arteries from sixty-eight years of clogging crap. So I set the bottle beside my teapot before I go to be and next morning on an empty stomach I take 40.000 units with water before I do anything else. My daughter constantly shops for the best deals and most of them come from Swanson Vitamins on line where you can sign up for their deals via email. Money is always tight, so we make it go as far as possible.

I truly feel sorry for the amount of pain women undergo because of these surgeries and this is why I continue writing blogs in hopes it will help some women get through their awful ordeal. There are no promises or guarantees with anything we do or take, but I believe in doing all I can to help myself in hopes I can remain well. I did write a blog a long time ago after I had removal surgery and you can read it here.

There is a support group where others are asking questions and helping each other. This is that link

Now read about
Seprafilm a scar tissue barrier

Also read about Interceed another scar tissue barrier

Also read about Intergel

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