Techniques for performing therapeutic massage to restore the pancreas with pancreatitis

A correctly performed therapeutic massage of the pancreas for pancreatitis improves the well-being of the sick person by reducing the intensity of the painful symptoms characteristic of this disease.

Today, various interpretations of massage techniques are practiced that have a beneficial effect on the patient’s condition. However, before you start using them, you must always consult with your doctor to determine how appropriate their use is, taking into account the individual characteristics of the course of pancreatic pathology.

In what cases is Mirena prescribed for adenomyosis?

Adenomyosis is a gynecological pathology in which the endometrium grows into the muscular layer of the uterus. The progression of the disease is accompanied by pathological symptoms, disruption of the reproductive system, and the inability to conceive and bear a child. Mirena for uterine adenomyosis helps stop the uncontrolled growth of the endometrium and relieve unpleasant symptoms.

The intrauterine device is installed only according to doctor's indications. The drug is recommended in the following cases:

Progressive internal adenomyosis, manifested by a pronounced clinical picture. A woman is worried about severe pain in the lower abdomen, heavy, prolonged menstrual bleeding, and discomfort during sexual intercourse.

1. Uterine leimioma.
2. Endometrial hyperplasia.
3. Menstrual irregularities.
4. Extensive damage by foci of adenomyosis of the myometrium.
5. Heavy uterine bleeding, contributing to the development of iron deficiency anemia.

An intrauterine device is installed in women who have already given birth to a child. In exceptional situations, the drug is also used for nulliparous women, but in this case there is a high risk of prolapse of the system from the uterus. Before installation, the doctor sanitizes the vagina and cervix to make sure there are no active inflammatory processes. It is worth noting that after implantation, a woman will not be able to get pregnant for 5 years; this fact is also taken into account by the doctor before prescribing the drug.

When massage is contraindicated and can harm a person

Despite the fact that massage has a positive effect on the patient’s condition, there are a number of factors in which it is strictly prohibited. If the patient has some pathological phenomena, it will do more harm than good.

Contraindications for it are:

• Acute phase of pancreatitis.
• The presence of ulcers in the pancreas.
• High body temperature.
• The appearance of skin rash during pancreatic relapse.
• Inflammation of the lymph nodes, including the cervical and submandibular ones.
• Presence of hypertensive blood pressure.
• State of alcoholic intoxication.
• Psychical deviations.
• Epilepsy with frequent exacerbations.
• Bleeding.
• Gynecological and venereal diseases.
• Oncology (massage increases blood flow, which promotes tumor growth).
• Presence of fatty tissues and fibroids.
• Presence of nausea with vomiting.

Therapeutic massage will benefit patients with gastritis, pancreatitis and kidney pathologies only in the complete absence of the above complications.

The principle of operation of the hormonal intrauterine system

The Mirena therapeutic spiral contains the hormone levonorgestrel from the progesterone group. The hormone is enclosed in a special housing and protected by a membrane that regulates its release. Progestogen is released directly into the uterine cavity, affecting the functioning of the reproductive system.

The principle of operation of the hormonal intrauterine system:

• Reduces the sensitivity of receptors to specific hormones such as estrogen and progesterone.
• Makes the uterine mucosa immune to the female sex hormone estradiol.
• Prevents the growth of new pathological tissues.

Thanks to these medicinal properties, the coil for uterine adenomyosis helps to significantly improve the patient’s condition:

• Normalize the amount of menstrual flow, making it moderate.
• Eliminate pain and discomfort.
• Reduce the risk of uterine bleeding.
• Eliminate secondary anemia caused by excessive blood loss

For what form of pancreatitis can massage be used?

So, is it possible to do massage with pancreatitis? Doctors note that during the period of exacerbation of the disease, it is prohibited to use any massage procedures. The patient should observe bed rest, fasting and avoid any active thermal intervention on the area of ​​​​the inflamed pancreas.

In case of acute exacerbation of pancreatitis, complete fasting is indicated for the first 2-3 days; you are allowed to take only water, a decoction of rose hips or chamomile. Cold must be applied to the abdominal cavity.

After the acute pain symptoms have been relieved, and the patient’s health is consistently good, simple light gymnastic exercises are allowed to be performed, which will help avoid the negative consequences of congestion due to prolonged stay in bed, which does not have the best effect on the functioning of the kidneys, heart, and lungs and large intestine.

If a gastroenterologist has recommended exercises during bed rest, you should take it seriously to avoid possible aggravation of your health.

In the chronic course of pancreatitis in the remission phase, the use of manual techniques can bring the moment of recovery closer. Therapeutic massage for chronic pancreatic disease helps:

1. Remove spasmodic syndrome of the gallbladder, pancreatic ducts and common bile duct.
2. Relax the hepatogastric and hepatoduodenal ligaments, which allows you to more actively influence the gland itself during the procedure.
3. Restore innervation and blood circulation of all internal systems and organs.
4. Normalize the endocrine function of the pancreas, which is important in the presence of diabetes.
5. Improve the outflow of bile and pancreatic contents, thereby preventing the occurrence of cholelithiasis and cholecystitis.

Benefits of using Mirena

During the conservative treatment of adenomyosis, various hormonal drugs are used, but Mirena has its own advantages:

1. Installation is carried out once every 5 years. Unlike hormonal pills, which must be taken strictly according to schedule, after inserting an intrauterine device, a woman does not need to follow any rules or treatment regimens. The IUD remains effective throughout its stay in the body.
2. Allows you to achieve a therapeutic effect with a minimal dosage of the hormone. The hormone levonorgestrel, which is part of the drug, enters directly into the uterine cavity, exerting a localized effect.
3. Minimal risk of side effects. The drug does not pass through the digestive system, so it does not affect other internal organs.
4. No risk of overdose. During the day, a strictly fixed dose of levonorgestrel is released - 20 mcg.
5. Reliable contraception. After implantation of an intrauterine device, a woman is reliably protected from unwanted pregnancy.
6. Normalization of hormonal levels.

Patients are often prescribed the drug Visanne for uterine adenomyosis. The active ingredient of the product is micronized dienogest - a synthetic hybrid gestagen of the third generation. The drug is available in tablet form and is used for internal and external endometriosis. The doctor must decide which is better - Visanne or Mirena for adenomyosis, taking into account the nature of the disease, the degree of neglect, the presence of indications and contraindications.

Features of massage technology under the supervision of a specialist

Therapeutic exercise and massage for pancreatic disease do not have any individual characteristics taking into account this pathology. Typically, the effect of these procedures is aimed at the abdominal muscles and the diaphragm area.

This is explained by the fact that, due to its anatomical location, the pancreas is practically inaccessible and is covered by the stomach, so direct massaging of the pancreas is impossible. But massage of the abdominal cavity and diaphragm, as well as the gallbladder and liver, makes them tense, thereby achieving a direct effect on the pancreatic organ.

For inflammation of the pancreas, it is more often practiced:

• Classic option.
• Eastern spot.
• Canned.

The implementation of any of them should be entrusted to a massage therapist with medical knowledge, who knows perfectly well the physiology of internal organs and human anatomy.

Classic massage

Abdominal massage is performed with the aim of relaxing its internal organs with further stimulation of the endocrine and exocrine functions of the pancreas.

This manual procedure uses the following techniques:

In a situation where, during a massage, a person begins to experience painful discomfort, the manipulation is stopped or the intensity of the massage effect is reduced.

Acupressure

It should be emphasized that acupressure for pancreatitis can be difficult due to the anatomical structure of the human body. However, manual influence, for example, on active points of the peritoneum or feet can be performed not only by a professional massage therapist, but also by the patient himself after mastering certain skills.

The main advantage of oriental acupressure of the feet is that in some cases it can be used even during the acute phase of the disease.

Acupressure of the pancreas is carried out by pressing on certain biologically active points of the body.

How exactly is therapeutic acupressure performed for pancreatitis? Its technical side is completely simple - you need to massage them clockwise for 30 minutes.

Cupping

Cupping massage involves placing medical cups on the area of ​​the left shoulder blade, as close to the spine as possible so that they affect the muscle tissue and not the bones of the spine or shoulder blade. This type of back massage can only be used with medical permission.

So, how to properly perform this massage:

1. You will need three pharmaceutical jars.
2. The skin is lubricated with greasy cream, Vaseline or oil.
3. Wrap cotton wool around tweezers, soak it in alcohol and set it on fire.
4. Insert the homemade wick inside the jar and immediately remove it, and quickly place the jar itself on the skin and cover it with a blanket.
5. Properly installed cups should not suck into the skin.
6. The exposure time is 5 minutes (during the first procedure) and subsequent 10-15 minutes.
7. To remove the jars, you need to hold the skin with one hand and carefully lift the edge of the jar with the other hand.
8. After removing them, the patient should lie quietly for 30-40 minutes.
9. The frequency of such a massage is no more than once every 7 days (4 procedures per month).

Pressure using the A.T. method Ogulova

Disadvantages of the IUD

Like any other medication, the Mirena therapeutic system has its drawbacks, among which the most significant are:

1. Installation and removal is carried out only by a doctor.
2. Not suitable for women who are planning pregnancy in the near future.
3. Has an abortifacient effect. The IUD does not always suppress ovulation, so conceiving a child is possible. But the pregnancy is terminated not yet in the early stages, since the implantation process is disrupted and a miscarriage occurs.
4. Long adaptation period. In the first 3 to 6 months after IUD implantation, you may experience intermenstrual bleeding, which is normal.
5. When installing an IUD, the risk of infection entering the uterine body increases.
6. It is rare, but it happens that the drug leads to the progression of an aseptic inflammatory process in the reproductive organ.

Scheme for using a hormonal IUD

Before inserting an intrauterine device, simple preparation is required, including the following steps:

• Initial examination by a doctor. During the procedure, the gynecologist assesses the general condition of the patient’s genital tract and excludes contraindications for the use of the drug.
• Testing for sexually transmitted infections. Laboratory procedures such as bacterial culture and survey smear will help identify possible problems. If necessary, tests for viral and intracellular infection are prescribed - PCR, ELISA.
• Ultrasound of the pelvic organs. Ultrasound examination helps to assess the condition of the uterus and appendages, diagnose concomitant pathologies, and determine the degree of progression of adenomyosis.

If there are no contraindications to the insertion of an intrauterine device, the doctor will agree on the date and time of the procedure. The Mirena hormonal system is installed on the 3rd – 7th day of the cycle - at the end of menstruation. During this period, the cervix is ​​dilated, which allows the IUD to be inserted inside without hindrance.

The technology for maintaining the Mirena therapeutic system includes the following stages:

• Control examination and treatment of the genital mucosa with an antiseptic solution.
• Introduction of the mirror.
• Grasp the upper lip of the cervix with special gynecological forceps.
• Checking the patency of the cervical canal and the depth of the uterine cavity with a probe.
• Insertion of a guidewire and an intrauterine device through it.
• Removing the conductor.

After the guide is removed, the IUD remains in the uterus. All manipulations are carried out under ultrasound control, which significantly reduces the risk of side effects. After 5 years the sprial will need to be removed. Premature removal of the system is carried out in the following situations:

• development of unwanted side effects;
• complications arising from the installed IUD;
• pregnancy planning.

Side effects and contraindications

After installation of the Mirena therapeutic system, side effects rarely develop, but they are still possible. Among the most common complications are the following:

• Individual intolerance to the drug, accompanied by pathological reactions and deterioration in general well-being.
• Frequent headaches, nausea, depressed mood, decreased libido.
• Periodic abdominal pain, bloating.
• Sudden jumps in blood pressure.
• Infections of organs located in the abdominal cavity.
• Failure of the menstrual cycle, manifested by a prolonged absence of menstruation.

Against the background of an implanted intrauterine device, the condition of the skin may worsen. Blackheads, acne, and inflammation appear on the face and body. In extremely rare cases, after the installation of an IUD, cysts form in the myometrium.

The Mirena therapeutic system is not prescribed to patients with suspected pregnancy. In this case, the woman must undergo tests to make sure there is no conception. Also, the IUD is contraindicated for implantation if the following pathologies are diagnosed:

• neoplasms of a malignant nature;
• uterine fibroids larger than 5 cm;
• inflammatory processes in the organs of the genitourinary system;
• congenital or acquired immunodeficiency;
• uterine bleeding of unknown etiology;
• individual intolerance to the active component of the drug.

What does massage therapy provide?

• Blood flow is activated, nourishing tissues and muscles, and muscle pain is eliminated.
• Muscle tension disappears, flexibility increases, and pressure on the affected disc decreases.
• The level of endorphins – joy hormones that improve well-being – increases.
• A back massage allows you to relax, a feeling of comfort and warmth appears in the problem area.
• Improves spinal mobility and general condition.

The degree of effectiveness of massage depends on the severity of the condition:

• in acute forms of intervertebral hernia, severe inflammation and severe swelling, massage is especially effective;
• if the disc hernia is old, the effectiveness of the massage will be much lower.

Important! Massage sessions can only be performed by a medical specialist in order to correctly use acceptable techniques.

Complications associated with IUD insertion

During installation of an intrauterine device, there is a risk of developing the following complications:

• Perforation of the uterus. Injury leads to heavy bleeding and a sharp deterioration of the condition. Perforation mainly occurs due to deformation of the reproductive organ or congenital developmental anomalies.
• Expulsion of the system. If the coil falls out, you need to consult a doctor who will replace the drug.
• Endometritis. The main cause is an untreated genital tract infection.
• Ectopic pregnancy.
• Follicular atresia. After implantation of the IUD, the hormonal background changes, so the maturation of the egg is possible, but the follicle does not always mature completely. It increases in size and becomes similar to an ovarian cyst. Often, such a follicle resolves on its own within 2.5 – 3 months. If this does not happen, the patient's treatment plan changes.

Features of therapeutic massage

• Do not use strong pressure.
• The impact should be light and gentle; sharp kneading and rubbing are unacceptable.
• It is advisable to use soothing oils.
• The location of the hernia is not massaged - only the surrounding areas can be used.
• For a herniated spine, massage of the legs and arms is indicated, but if painful sensations occur, the treatment should be stopped.

With a correctly designed treatment program, in 90% of cases the development of the disease can be stopped, and the disc can be restored to its normal elasticity and strength.

To obtain a lasting result, it is necessary to carry out regular procedures; single sessions will not give the required effect.

The decision to prescribe a massage is made by the doctor.