IBS stands for Irritable Bowel Syndrome. It can cause constipation and/or diarrhoea, as well as cramps and wind. Not to be confused with IBD (Inflammatory Bowel Disease), IBS is a functional condition. Like fibromyalgia, tests will not show a structural problem.
What is IBS?
IBS is a collection of symptoms of digestive discomfort. It can affect anyone of any age, though there may be familial links. Causes of IBS are largely unknown. Symptoms may come and go, seemingly without any pattern. Episodes can last anywhere from days to months, but there may be periods of respite that last just as long, if not longer.
“Functional” in the context of IBS just means that nothing structural will be found on investigation. That means that IBS symptoms are not caused by problems with inflammation or the tissues themselves. This is not to say that the symptoms are not real, just that the cause is not visible.
How it can Affect Other Areas
When we have abdominal pain, we often unknowingly try to protect the area. This might mean slouching forward or tensing the local muscles. Prolonged changes like this can have secondary effects on other areas of the body. Scrunching up in response to IBS cramps can cause tightness in the hip flexors, just like with sitting at a desk all day. For people with the early stages of hip osteoarthritis, this can further reduce joint movement and encourage the progression of arthritis.
Osteopaths can help to pick up these early, subtle changes with regular treatments. Some of our patients like to rebook every few months, even if they don’t have any symptoms. Because we look at the body as a whole, we’re in a good position to identify and act on these early changes before they affect the rest of the body.
Managing IBS
Your osteopath can help with some digestive issues. Work on the diaphragm can help with some problems like reflux, for example. A study that evaluated a range of research has shown treatment to have some benefits in people with functional constipation. With our understanding of the human body, we may be able to help you spot your triggers. Some foods and drinks are commonly associated with IBS, as is stress and anxiety. We can also help with the effects of tension.
One research paper showed that spinal manipulation seemed to have a beneficial impact on IBS symptoms. Unfortunately, the paper concluded that benefits were due to repositioning of discs or joints in the spine, which is outdated thinking. “Slipped” discs are always well attached to the bones above and below, and a bulge can’t be “clicked back in”. A misplaced vertebra is rare, and associated with a fracture or anatomical abnormality. In either case, it shouldn’t be manipulated.
However, there may be benefits from treatment that aid symptoms in other ways. Being listened to and understood, having hands-on treatment, and holding space for your symptoms may all be helpful.
