I am the adhesion Queen!
Oddly, the scar tissue caused problems everywhere in my body except for the fusion and plating done in my neck. That pain I cured by myself after the medical system gave up. Sometimes enough stretching, exercising and weight bearing activities will bust up the adhesions, or result in strong enough muscles to take the stress off the skeletal system. My knee is packed full of scar tissue, and that got much better after I built up the muscles - particularly with rollerblading. The side-to-side motion hit the right muscles. Of course, all that activity hurt something awful the first few weeks, but it was worth every bit of it.
If I could exercise my way out of the problems with abdominal adhesions, believe me, I'd do it! Those I'm stuck with.
Scar tissue is the normal body response to any inflammation. That can be inflammation from infection or trauma, like surgery. The body tries to heal itself, so scar tissue forms. This process begins immediately, but symptoms don't always present early on. As the scar tissue ages, it gets tougher and thicker. Some people tend to grow only a little; others grow a lot; but all it takes is a bit in the wrong place to cause problems. It's entirely possible that you've got some wrapped around a nerve. Adheliolysis surgery is such a difficult decision. Additional surgery will probably buy you some weeks, months, or even years of relief. It all depends on if your body reacts to the additional surgery in the same manner. A good surgeon will be meticulous about
blood loss and keep the incision as tiny as possible. Cox II anti-inflammatories have been shown in some studies to be effective at keeping scar tissue at a minimum if taken 2 weeks before surgery and continued for another 2 or 3 weeks after. Anything to keep inflammation to an absolute minimum.
Another bad thing about
scar tissue is that it doesn't show up on tests. It's soft tissue, so x-rays, CT scans, ultrasounds and MRIs are useless unless the scar tissue has pulled some major structure far out of it's correct position. Adhesions are a common side effect in women with endometriosis, and it's usually not found until surgery is done. In some women, the adhesions will pull ovaries or the bladder very obviously out of place, which makes diagnosis easier for the doctor. Yet another bad thing about
adhesions is that many doctors do not believe they cause problems, so that's another battle to be fought.
So there you have the short version of my adhesions lecture.