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Osteopathie in relatie tot menstruatieklachten bij een patiënte die lijdt aan endometriose en adenomyose. Een casestudie
(Osteopathy in relation to menstrual complaints in a patient who is suffering from endometriosis and adenomyosis. A case study)

Journal: unpublished D.O. thesis Nederlands Academisch College voor Osteopathie, Date: 2022/10, Pages: 198, type of study: case report

Free full text   (https://thesis.college-sutherland.nl/files/original/e97b53120ee98ac6e39a78e9eb8e53c08909d684.pdf)

Keywords:

endometriosis [15]
adenomyosis [1]
female [379]
women [333]
osteopathic manipulative treatment [2973]
OMT [2951]
visceral osteopathy [55]
case report [514]

Abstract:

This case study presents a 31-year-old female who was diagnosed with endometriosis and adenomyosis. The patient suffers from lower back pain, dysmenorrhea, menorrhagia, intermenstrual bleeding, fatigue, diarrhea and menstrual migraine. Since regular treatments offered insufficient results, she sought osteopathic help. This study contains an investigation to find out whether osteopathic treatments can reduce complaints during menses of a woman who is suffering from endometriosis and adenomyosis, within a period of ten months. Four osteopathic consults have taken place in the span of ten months. The Richtlijn Onderzoek Osteopathie College Sutherland (ROOCS) was being used during the osteopathic examination and the resulting treatment plan. The sigmoid, caecum, the gliding surface between the colon ascendens and the intestinum and also the gaster were anatomic structures that were treated osteopathically several times. As a result, the lower back pain, diarrhea and the intermenstrual bleedings were solved by the time of the fourth consult. The menstrual cycle shortened and there was a reduction of the dysmenorrhea, menorrhagia, fatigue and the menstrual migraine. The progress of the endometriosis related complaints was evaluated by using the measuring instrument EHP-30. In addition to the case study a review of literature was conducted. Google Scholar, PubMed and other publications were used as a source for scientific information. From the consulted literature, at least one of the authors had to be connected to a university, institution or a department from a hospital that was related to endometriosis, adenomyosis or gynecology. Researching scientific relations between osteopathy and endometrioses has led to three studies of moderate evidence. No scientific studies proving a relation between osteopathy and adenomyosis were found. An embryological relation has been found for the sigmoid and the genital organs in the fusion of the canales paramesonephroi, which will later form the lig.latum uteri. The lig. latum uteri and the mesosigmoid form the anatomical relationship between the sigmoid and the genital organs. Since the A.&V. iliaca communis sinistra go through the mesosigmoid, they form a relevant anatomical structure regarding the physiological relationship between the sigmoid and the development of intermenstrual bleedings. A change in the tension, but also in the bloodflow of the ovaria can lead to fluctuating sex hormones. It can be concluded that osteopathic treatments can reduce menses-related complaints as a result of endometriosis and adenomyosis in a period of ten months. More research is required to better understand the relationship between osteopathy and endometriosis and/or adenomyosis


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