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Sayer Clinics: London UK - World-leading abdominal and pelvic manual Adhesion Release Therapy.

Adhesions grow as part of the normal healing process following trauma, surgery, infection, inflammation, radiotherapy or endometriosis, forming a strong internal fibrous mesh of scar tissue.

However, adhesions may contract and compress myofascial tissues, nerves, blood vessels and internal pelvic and abdominal organs causing pelvic pain, pudendal neuralgia, pelvic and abdominal dysfunction, female infertility and bowel obstruction.

Sayer Clinics are world-leading London clinics with 40 years expert experience in releasing pelvic and abdominal adhesions, without surgery, to help regain internal function, flexibility and pain-free mobility. Surgery to remove adhesions often stimulates further growth of adhesions.

Diagnosis of Adhesions.


Internal scar tissue adhesions are not visible on x-ray, MRI, CT or ultrasound examination. Manual palpation and examination along-with a patient’s medical history may indicate adhesions as the potential cause of pain and dysfunction.

Symptoms of Adhesions

Strong abdominal adhesions can distort body function, shape and posture as they contract and restrict body movement. Superficial adhesions can tether one body structure or organ to another with pain or dysfunction. Trauma to the pelvic floor or coccyx can stimulate formation of adhesions which may spread to abdominal and pelvic organs. Adhesions range from fine fibres between cells up to strong, hard fibrous bands which potentially cause nerve compression or constriction of movement.

What Causes Adhesions?

Abdominal and pelvic surgery are a primary cause of adhesions with approximately 90% of patients developing adhesions, while surgery to remove adhesions is a major factor in the formation of new adhesions. These surgeries include:

•    Laparoscopy or laparotomy
•    Episiotomy or C-Section
•    Appendectomy
•    Bowel obstruction repair
•    Spine and hip surgery
•    Hysterectomy
•    Plastic surgery


Inflammation and Infection


Inflammation and infections are frequent causes of tissue damage with adhesions forming as part of the healing process with a potentially permanent collagenous mesh to contain the affected area. The following conditions that cause adhesions include:
•    SIBO
•    Colitis
•    Gastritis
•    Diverticulitis
•    Appendicitis
•    Cholecystitis
•    Endometriosis
•    Gastroenteritis
•    Cystitis or vaginitis
•    Pelvic inflammatory disease (PID)
•    Perforated small or large bowel

Accidents, Falls, Traumas

Adhesions are also potentially caused by physical or sexual trauma, falls and physical injuries. Radiotherapy can cause extensive adhesion-formation with symptoms of moderate to severe pain referred elsewhere in the body. Abdominal adhesions can cause diarrhoea, constipation and painful bowel movements with intestinal constriction. Falls and childbirth trauma can cause adhesion tethering of the coccyx / tailbone or pelvic floor with constant or recurring pain with sitting.

Adhesions and reproductive Organs:

Female pelvic adhesions around the uterus, ovaries and fallopian tubes can contribute to pain and infertility. Fine adhesions between muscle tissues in the cervix may cause pain and sensitivity during sex, as well as stenosis and tightening of the opening of the cervix, blocking movement of sperm into the uterus. If any of the four main cervix ligaments tether with adhesions the cervix can be painfully pulled during movement and physical activity.

Adhesions at Joints

Joint adhesions cause stiff, immobile joints Which are specialist mobilisation and manipulation can gradually return to normal function.

Treatment of adhesions at Sayer Clinics:

Our hands-on treatment for abdominal, coccyx, pelvic and vaginal adhesions which commonly form after trauma, infection or endometriosis is usually extremely successful. We have helped many thousands of men, women and children overcome pain and dysfunction related to scar-tissue adhesions.


Our therapists use specific, controlled, yet moderate pressure to stretch and release adhesions throughout whole-body soft tissues in:

•    Myofascial connective tissue
•    Muscles
•    Organs
•    Nerves
•    Ligaments
•    Tendons




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