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Radiation therapy for treatment of adhesions and spasms - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3388 Questions
User :   hi, my mopm had a bowl resection in 2008 followed by a double hernia repair in 2009, she has tremendous pain from what docs and surgeons have told us are adheshion/internal hypertropic sacring from the sugeries, this has resulted in major spasm and pain internally with no answers

please help
Doctor :   Hi
Doctor :  
Let me read it.
User :   ok thanks
User :   my moms lsat surgeon rccomended botox in the abdomen for the spasms
Doctor :  
Doctor :  
Since when is she suffering from this?
User :   since the hernia surgery, about a year
Doctor :  
User :   her levels of spasm seem to be intensifying
Doctor :  
since your doctor has physicaly evaluated her ,
User :   yes
User :   her surgeon was unsuccesful at finding nmayone who might help her with this , we live in phila
Doctor :  
he will be in a better position to decide upon the treatment modality required by her.
Doctor :  
i will explain:hypertrophic scar is scar tissue that has grown out of control
User :   yes that i understand, so you have absoulutely no reccomemndation
User :   yes we know that
User :   is there any perscribed treating for internal spasms
Doctor :  
yes i do
Doctor :  
these will require prescription drugs
Doctor :  
and fro that a physical examination is to be done
User :   which ones specifically, there are many side effects as you know
User :   yes i know
Doctor :  
so it will be unethical to prescribe it without evaluation
User :   yes i know
Doctor :  
but generaly Steroida are choice of tratment for scars
User :   right ye
User :   yes
User :   any reccc of a clinic like mayo in cleveland that might have a dept that specializes in this
Doctor :  
in some cases Compression bandages are also used
User :   yes, we just recieved that info, what do you know about these
Doctor :  
yes,Dermatology department
User :   tightness hurts her external keloids that she has
User :   she has a tremendous keloid scar form the surgery
Doctor :   Keloids will require Surgical treatment
Doctor :  
like Cryosurgery
Doctor :  
Laser therapy
User :   she had lasers, her scar is to big for the cryo
Doctor :  
Doctor :  
Radiation therapy is also done
User :   controversial, and needs to be done very soon after surgery we were told by specialist
User :   / have you heard of the abdominal botox being used successfully
Doctor :  
i will provide you with the relevant information
User :   ok thnk u
Doctor :  
it helps reduce the scar size, thickness, height, and color of all types of scars
User :   yes i know , any info on whom may do it in the abdoman, any hospitals, specialist
Doctor :   can you confirm your location?
User :   yes phila pa. haverford pa
Doctor :  
Since this procedure is in research stage, Cleveland clinic will be best suited
User :   not mayo?
User :   is there a specific dept at cleveland
Doctor :  
Dermatology department
User :   ok, alright any other thoughts you may have for us
User :   is clevend more research oriented than mayo?
Doctor :  
Since you have tried other modalities of treatment, research level treatments can be more suitable.
User :   ok, alright thank you very much
Doctor :  
it is a multispeciality center in cleveland,ohio
User :   thank you
Doctor :   is there anything else i can help you with?
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