Visceral manipulation, Mayan massage, and systemic enzymes can all help to break-up adhesions. I doubt that you'd be able to see any on X-rays. CT and MRI would also probably miss them. They don't have to be too big to cause problems, either. Systemic fungal Candida can increase tissue inflammation leading to increased formation of adhesions.
The usual way for a surgeon to detect them is through exploratory surgery.