Things such as chronic bowel problems, past surgeries, or conditions (like adhesions) that cause pressure/blockages in the gut, muscle/nerve issues in the intestine that change how it moves can lead patulous

You’re correct that CBT-Chronic pain & myself neither said to push through anything. It’s all in the article but in summary, It focuses on how to safely be able to increase activity w/an MDT & ⬇️ the recovery period needed by not over doing it & also ⬇️ risk of dep/anx, which they both can ⬆️ pain