=Prolapse= of the =uterus= is of common occurrence. The prolapse may be
incomplete or complete; the latter when the organ is presented to the
external world. Of special interest are those affections exclusive of
surgical cases. Ptosis of the abdominal organs upon the pelvic organs
is a common cause of uterine prolapse. The abdominal prolapse crowds
uterine space, congests the uterus, weakens the ligaments, and drives
the uterus downward as a wedge.
Lumbar spinal curvatures are frequent causes of prolapse, as well as
other displacements of the uterus. In this region vasomotor nerves
to the pelvic organs make their exit, and, consequently congestions,
inflammations, and weaknesses of supports are results. Also, slips of
the innominata disturb the pelvic circulatory balance. Weakness of the
uterine support from below, the vaginal walls and perineum, most often
arises from lacerations at childbirth. Still, the vaginal walls may
become relaxed through other causes. Tumors and extreme congestions are
causes of prolapse. Heavy lifting is quite a frequent source of uterine
displacements. Osteopathy is very successful in uterine prolapses;
that is, any displacement of the uterus not of a surgical character.
Correction of the external causes comes first. Then local treatment
to replace, tone, and relieve congestion, and break up adhesions is
necessary. The external treatment is usually the primary treatment.
Local work is not always necessary. Lacerations and other surgical
indications, of course, require surgery.
Ovarian Displacements
The ovaries may be prolapsed, the left much oftener than the right.
When prolapsed, it drops backward, downward and inward.
Ovarian congestion, tumor, retroverted or retroflexed uterus, tubal
disease, and pregnancy are among the principal causes. Back of these
congestions, tumors and uterine displacements, are the osteopathic
causes, particularly spinal and rib lesions from the ninth dorsal
downward. Specific lesions at the ninth and tenth dorsals and
corresponding ribs, affecting directly ovarian tissues, and lumbar and
innominate lesions and abdominal prolapse disturbing uterine and tubal
tissues, are the most frequent osteopathic causes. A retroverted or
retroflexed uterus is often found. Uterine displacements bear down upon
the ovary and cause its descent, and also disturb ovarian circulation.
As has been stated, the left ovary is more apt to be displaced than
the right. This is owing to the absence of a valve in the ovarian vein
on the left side, and also, this vein opens at a right angle into the
renal vein; this anatomical feature easily leads to passive congestion
of the ovary, and thus to diseases of the organ. Then the rectum is
on the left side and large fecal masses are apt to crowd against the
ovary, which tends to its displacement.
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