Can the abdominal fascia be torn after a tummy tuck? I had a tummy tuck 2 years ago. Everything was fine until 6 weeks ago.

Question

I had a TT 2 years ago. Everything was fine until 6 weeks ago. Then at one of my chiropractor appointments, he did a new adjustment. He forced my body into an abrupt twist with the intent of helping my lower back pain. While I don't recall any initial pain from the adjustment, in the days and weeks that followed I have developed a twingy ab pain and tenderness to pressure, mostly in my lower right quadrant that is worse with movement. Could my fascia have been torn during the adjustment?

Nelson Castillo, MD · Answer

Thank you for sharing your excellent question.  Because it is difficult to tear fascia most likely your discomfort is the result of a muscle pull or strain.  This can be improved with conservative treatments such as rest and antiinflammatories.  If it does not improve over a week's time then I would see your doctor for further workup of the discomfort.  Hope this helps.

Carmina Cardenas, MD · Answer

To be honest it is very unlikely to have a fascia tear just after an abrupt movement.Most likely what you had was a little overstretch of the scar tissue in between the fascia and the abdominal flap, or the fascia but not a tear. Use hot water bags (Be SUPER CAREFUL of the heat and get burned) over a towel, rest, take ibuprofen for 6-7 days and if not, go to your primary doctor to get done an ultrasound.Be encouraged.Dr. Cardenas

Marc J. Salzman, MD, FACS (retired) · Answer

At two years after tummy tuck, you are no more likely to tear the fascia then had you not hadt he tummy tuck in the first place. Having said that, it would be uncommon that an abrupt movement could tear muscle or fascia. Rest, heat, and nonsteroidal anti-inflammatories would be my recommendation for one of my patients in the situation. Hope that's helpful.

Can the abdominal fascia be torn after a tummy tuck? I had a tummy tuck 2 years ago. Everything was fine until 6 weeks ago.

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Can the abdominal fascia be torn after a tummy tuck? I had a tummy tuck 2 years ago. Everything was fine until 6 weeks ago.

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