Journal of Manipulative and Physiological Therapeutics
Volume 30, Issue 3 , Pages 234-238, March 2007

Twenty-Year-Old Pathogenic “Active” Postsurgical Scar: A Case Study of a Patient With Persistent Right Lower Quadrant Pain

  • Alena Kobesova, MD

      Affiliations

    • Second Medical Faculty, Rehabilitation Clinic, University Hospital Motol, Charles University, Prague, Czech Republic
    • Corresponding Author InformationSubmit requests for reprints to: Alena Kobesova, MD, Department of Rehabilitation, University Hospital Motol, V Uvalu 84, 15006 Prague 5, Motol, Czech Republic.
    • ,
  • Craig E. Morris, DC

      Affiliations

    • Professor of Clinical Sciences, Cleveland Chiropractic College, Los Angeles, Calif
    • Director, FIRST Health Clinic, Torrance, Calif
    • ,
  • Karel Lewit, MD, DSc

      Affiliations

    • Second Medical Faculty, Rehabilitation Clinic, University Hospital Motol, Charles University, Prague, Czech Republic
    • ,
  • Marcela Safarova, PT

      Affiliations

    • Second Medical Faculty, Rehabilitation Clinic, University Hospital Motol, Charles University, Prague, Czech Republic

Received 19 February 2006; received in revised form 14 May 2006; accepted 1 June 2006.

Objective

This case study describes a patient with persistent right lower quadrant and low back pain who experienced relief after manual mobilization techniques of an old appendectomy scar.

Clinical Features

A 53-year-old man with pain in the right lower quadrant of the abdomen and low back had previously failed several trials of multimodal treatments. He had an irritated old appendectomy scar in the right lower quadrant. Degenerative disk findings were also noted in the upper lumbar spine.

Interventions and Outcomes

Manual mobilization of the superficial and deep layers of the scar tissue was applied. The patient experienced an immediate pain reduction after the first treatment. Nine treatments in total were administered to the patient.

Conclusions

Assessment and treatment of “active” scar tissue may comprise an important component of the management of locomotor dysfunction and associated pain syndromes.

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PII: S0161-4754(07)00050-4

doi:10.1016/j.jmpt.2007.01.005

Journal of Manipulative and Physiological Therapeutics
Volume 30, Issue 3 , Pages 234-238, March 2007

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