A critical review of interventional treatments for myofascial pelvic pain
Chronic pelvic pain affects between 6% and 25% of women. It is a complex condition that has multifactorial etiologies, including but not limited to conditions arising from the gynecologic, urologic, gastrointestinal, musculoskeletal, neurologic, and psychologic systems. In this literature review, we...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Health - Lippincott Williams Wilkins
2022-01-01
|
| Series: | The Journal of the International Society of Physical and Rehabilitation Medicine |
| Subjects: | |
| Online Access: | http://www.jisprm.org/article.asp?issn=2349-7904;year=2022;volume=5;issue=2;spage=41;epage=45;aulast=Lin |
| _version_ | 1797281184951042048 |
|---|---|
| author | Aaron Lin Hadeer Abbas Maryam Sultan Tony Tzeng |
| author_facet | Aaron Lin Hadeer Abbas Maryam Sultan Tony Tzeng |
| author_sort | Aaron Lin |
| collection | DOAJ |
| description | Chronic pelvic pain affects between 6% and 25% of women. It is a complex condition that has multifactorial etiologies, including but not limited to conditions arising from the gynecologic, urologic, gastrointestinal, musculoskeletal, neurologic, and psychologic systems. In this literature review, we examine and summarize evidence for interventional treatments compared to conservative treatments for women with musculoskeletal or myofascial pelvic pain. Searches were performed in PubMed and Embase databases. Studies were included if they were randomized controlled trials with a treatment arm of physical therapy, dry needling, trigger point injection (TPI), or injection with botulinum toxin. A total of 106 studies were returned with our search terms, and six articles were included in this review. These studies suggest that pelvic floor physical therapy, dry needling of abdominal wall trigger points, and TPI to abdominal wall and pelvic floor trigger points have some evidence as being effective for treatment of pelvic pain. The evidence for treatment with botulinum toxin was not as robust and also had higher rates of adverse events when compared to other interventions. Most of these studies are limited by small sample sizes and varied baseline demographics, which makes generalization of these findings to different patient populations difficult. In general, treatments for myofascial pelvic pain are low-risk and are effective in reducing myofascial pelvic pain. |
| first_indexed | 2024-03-07T16:52:58Z |
| format | Article |
| id | doaj.art-4cbac6b8f80e4f938cb09542ba182103 |
| institution | Directory Open Access Journal |
| issn | 2589-9457 |
| language | English |
| last_indexed | 2024-03-07T16:52:58Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Health - Lippincott Williams Wilkins |
| record_format | Article |
| series | The Journal of the International Society of Physical and Rehabilitation Medicine |
| spelling | doaj.art-4cbac6b8f80e4f938cb09542ba1821032024-03-03T04:31:25ZengWolters Kluwer Health - Lippincott Williams WilkinsThe Journal of the International Society of Physical and Rehabilitation Medicine2589-94572022-01-0152414510.4103/jisprm.JISPRM-000143A critical review of interventional treatments for myofascial pelvic painAaron LinHadeer AbbasMaryam SultanTony TzengChronic pelvic pain affects between 6% and 25% of women. It is a complex condition that has multifactorial etiologies, including but not limited to conditions arising from the gynecologic, urologic, gastrointestinal, musculoskeletal, neurologic, and psychologic systems. In this literature review, we examine and summarize evidence for interventional treatments compared to conservative treatments for women with musculoskeletal or myofascial pelvic pain. Searches were performed in PubMed and Embase databases. Studies were included if they were randomized controlled trials with a treatment arm of physical therapy, dry needling, trigger point injection (TPI), or injection with botulinum toxin. A total of 106 studies were returned with our search terms, and six articles were included in this review. These studies suggest that pelvic floor physical therapy, dry needling of abdominal wall trigger points, and TPI to abdominal wall and pelvic floor trigger points have some evidence as being effective for treatment of pelvic pain. The evidence for treatment with botulinum toxin was not as robust and also had higher rates of adverse events when compared to other interventions. Most of these studies are limited by small sample sizes and varied baseline demographics, which makes generalization of these findings to different patient populations difficult. In general, treatments for myofascial pelvic pain are low-risk and are effective in reducing myofascial pelvic pain.http://www.jisprm.org/article.asp?issn=2349-7904;year=2022;volume=5;issue=2;spage=41;epage=45;aulast=Linbotulinum toxin injectiondry needlingpelvic myofascial painpelvic painpelvic rehabilitationphysical medicine and rehabilitationphysical therapytrigger point injection |
| spellingShingle | Aaron Lin Hadeer Abbas Maryam Sultan Tony Tzeng A critical review of interventional treatments for myofascial pelvic pain The Journal of the International Society of Physical and Rehabilitation Medicine botulinum toxin injection dry needling pelvic myofascial pain pelvic pain pelvic rehabilitation physical medicine and rehabilitation physical therapy trigger point injection |
| title | A critical review of interventional treatments for myofascial pelvic pain |
| title_full | A critical review of interventional treatments for myofascial pelvic pain |
| title_fullStr | A critical review of interventional treatments for myofascial pelvic pain |
| title_full_unstemmed | A critical review of interventional treatments for myofascial pelvic pain |
| title_short | A critical review of interventional treatments for myofascial pelvic pain |
| title_sort | critical review of interventional treatments for myofascial pelvic pain |
| topic | botulinum toxin injection dry needling pelvic myofascial pain pelvic pain pelvic rehabilitation physical medicine and rehabilitation physical therapy trigger point injection |
| url | http://www.jisprm.org/article.asp?issn=2349-7904;year=2022;volume=5;issue=2;spage=41;epage=45;aulast=Lin |
| work_keys_str_mv | AT aaronlin acriticalreviewofinterventionaltreatmentsformyofascialpelvicpain AT hadeerabbas acriticalreviewofinterventionaltreatmentsformyofascialpelvicpain AT maryamsultan acriticalreviewofinterventionaltreatmentsformyofascialpelvicpain AT tonytzeng acriticalreviewofinterventionaltreatmentsformyofascialpelvicpain AT aaronlin criticalreviewofinterventionaltreatmentsformyofascialpelvicpain AT hadeerabbas criticalreviewofinterventionaltreatmentsformyofascialpelvicpain AT maryamsultan criticalreviewofinterventionaltreatmentsformyofascialpelvicpain AT tonytzeng criticalreviewofinterventionaltreatmentsformyofascialpelvicpain |