Dull abdominal trauma

Dull abdominal trauma and years of pain

I have treated two cases in the last 20 years that are similar. In both cases, these are blunt abdominal traumas.

A 21-year-old patient introduces herself in my practice because she has pain during movements in the area of the lower left rib arch. Even slight palpation there is clearly painful. She remembered during the course of the treatment that as a 10-year-old, she had once "hooked" the shovel with the stem there while shoveling snow in order to be able to use more strength with the entire body. The shovel got stuck on a paving edge, so that the stem had squeezed under its rib arch. There were no visible injuries at that time, but the pain at the rib arch occurred sometime afterwards without it being able to associate the pain with the blunt trauma. I treated the fascial abdominal wall around the painful area and the diaphragm (diaphragm) in the sense that an old blunt injury had still left its mark there, like a bump in the car: if you do not treat it, they stay in the tissue and disturb at some point.

Two weeks later, she came back for treatment. Since the pain occurred daily, it was possible to make a reliable statement after such a short time whether my assumption was correct. She no longer had any complaints in everyday life. Palpation in the trauma region was still slightly painful, but it was agreed to wait and see how the symptoms develop further. The "bump" was eliminated with one treatment.

I had a similar case many years ago. A man in his mid-40s had abdominal pain in the right upper abdomen in a clearly delimitable circumscribed place for over 30 years. In the course of the conversation, he remembered that he had once fallen by bike as a child and had rammed the bicycle handlebar into his stomach there. For fear of anger, he didn't tell his parents anything at the time, apparently nothing had been hurt in the fall. Here, too, a "bump" in the tissue had been left behind as a result of the accident and only later did it cause abdominal pain. Here, too, only one treatment was needed to eliminate the symptoms.

Over the course of our lives, we collect bumps in our tissues. They are inconspicuous as long as we have enough compensation capacity. At some point, however, the barrel overflows and complaints arise. Our body does not forget.