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Post-Hysterectomy Presentation — Observed Changes After Two Sessions of Gentle Soft-Tissue Care
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Overview
This example describes observed pain, sensitivity, and movement characteristics noted during massage therapy treatment following hysterectomy surgery.
It reflects one individual presentation across two sessions and is provided for educational purposes only.
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Presentation
The patient presented approximately three weeks after hysterectomy surgery.
Scar and tissue features
Lower abdominal horizontal incision
Raised and tender umbilical incision
Reported symptoms at initial presentation
Pain with most trunk and transitional movements
Significant pain with curling or sit-up–type movement
Areas of hypersensitivity with associated muscle guarding
Areas of reduced sensation over the abdominal wall
No additional postoperative complications were reported.
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Treatment Overview
Massage therapy was provided over two sessions, each 60 minutes in duration, spaced two weeks apart.
Session 1: gentle manual soft-tissue therapy only
Session 2: Microcurrent Point Stimulation (MPS) combined with gentle manual therapy
All treatment respected post-operative tolerance.
No forceful techniques or deep abdominal compression were used.
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Observations Across Sessions
Session 1 — Manual Therapy Only
Before treatment
Pain with rolling, turning, bending, standing transitions, and repositioning
Curling or sit-up movement was particularly painful
Umbilical incision was raised and tender
After treatment
Reduced pain with most movement directions
Rolling, turning, bending, and standing transitions became easier and less painful
Curling or sit-up movement remained painful
Umbilical tenderness decreased but was still present
No adverse responses were observed.
Session 2 — MPS Combined With Manual Therapy
(Performed two weeks after Session 1)
During and after treatment
Reduced pain in previously hypersensitive regions
Increased sensation noted in areas that had been desensitized
Decreased muscle guarding through the lower abdomen
Umbilical incision felt less reactive and less tender than baseline
Movement observations at the end of the session
Trunk movements that were previously painful were performed without pain
Rolling, bending, rotation, and standing transitions occurred without restriction
Curling or sit-up movement was no longer painful
No adverse responses were reported.
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Clinical Context
Early post-surgical scars may be associated with altered sensation, guarding, and movement limitation.
Responses to massage therapy and adjunctive modalities vary and are influenced by surgical factors, tissue healing, nervous system sensitivity, and individual recovery patterns.
This example documents observations only and does not establish causation or predict outcomes.
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Important Note on Case Examples
This scenario reflects one individual’s presentation and observed changes over two sessions.
It does not represent typical outcomes and does not guarantee similar results for others.