POST HYSTERECTOMY PHYSIOTHERAPEUTIC PROTOCOL FOR CORE MUSCLES AND PELVIC FLOOR MUSCULATURE STRENGTHENING IN CASE OF ADENOMYOSIS

Adenomyosis is an important gynecological condition. It is considered a benign uterine disorder that shows a pathological demonstration of the endometrial gland and stroma in the uterine myometrium. A 42 years old female patient presented with excessive bleeding during menses and irregular menstrual cycle with dysmenorrhea, for 7-8 months. The patient complains of pain for 7-8 months in the lower abdomen region, in the iliac fossa on both left and right side, and is insidious in onset. The patient went to a private hospital where she got diagnosed with adenomyosis and suggest removal of the uterus. The investigation was done which includes CBC, KFT, LFT, and USG abdomen and pelvis which reviled that patient is having Adenomyosis. Vaginal hysterectomy is the least invasive type of hysterectomy, which is having lesser costs and risks which can also be done in women having uterus weighing more than 280g. For managing postoperative complication of hysterectomy various physiotherapy intervention could be given which includes pelvic strengthening exercises, core strengthening, breathing exercises, and yoga poses. The study concluded that hysterectomy may result in post-surgical manifestations which can be effectively managed by early physiotherapy intervention which impacts on quality of life of the patient.