Manual physical therapy clears adhesive bowel obstruction and strictures in a patient with Crohn’s disease

Manual physical therapy clears adhesive bowel obstruction and strictures in a patient with Crohn’s disease

1 Leonard B Weinstock, 2Janey S A Pratt, 3Lawrence Wurn, 4 Sharon Hepburn,

1Associate Professor of Clinical Medicine and Surgery, Washington University School of Medicine; Specialists in Gastroenterology, LLC, St. Louis, MO 63141, United States;
2Clinical Associate Professor of Surgery, Stanford University School of Medicine, Palo Alto, CA 94035, United States;
3Director of Clinical Research, Clear Passage Therapies, Gainesville, FL;
4Clinical Director, Clear Passage Therapies, St. Louis, MO

International-Journal-of-Case-Reports-2d codeA woman with Crohn’s disease with prior resection presented with a one-year history of persistent abdominal pain. The small bowel follow-through radiograph demonstrated the presence of two strictures in the small intestine due to adhesive scarring. Opting for conservative management, the patient underwent a specialized manual physical therapy regimen. Following treatment, the patient experienced significant decrease of abdominal pain and improved biomechanical function. Radiologic imaging revealed complete resolution of both strictures. Manual physical therapy may be a viable non-operative option to manage small bowel strictures or obstruction.

Keywords: Manual physical therapy, adhesive bowel obstruction and strictures, Crohn’s disease

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How to cite this article:
Leonard B Weinstock, Janey S A Pratt, Lawrence Wurn, Sharon Hepburn. Manual physical therapy clears adhesive bowel obstruction and strictures in a patient with Crohn’s disease. International Journal of Case Reports, 2018 2:19. DOI: 10.28933/ijcr-2018-04-2801.

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