دورية أكاديمية
Effects of osteopathic manipulative therapy on recurrent pelvic pain and dyspareunia in women after surgery for endometriosis: a retrospective study.
| العنوان: | Effects of osteopathic manipulative therapy on recurrent pelvic pain and dyspareunia in women after surgery for endometriosis: a retrospective study. |
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| المؤلفون: | Alboni C; Unit of Minimally Invasive and Robotic Gynecologic Surgery, University Hospital of Modena, Modena, Italy., Melegari S; Italian College of Osteopathy, Parma, Italy., Camacho Mattos L; Unit of Minimally Invasive and Robotic Gynecologic Surgery, University Hospital of Modena, Modena, Italy., Farulla A; Unit of Minimally Invasive and Robotic Gynecologic Surgery, University Hospital of Modena, Modena, Italy - antonino.farulla@gmail.com. |
| المصدر: | Minerva obstetrics and gynecology [Minerva Obstet Gynecol] 2024 Jun; Vol. 76 (3), pp. 264-271. Date of Electronic Publication: 2023 Nov 23. |
| نوع المنشور: | Journal Article; Observational Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: Edizioni Minerva Medica Country of Publication: Italy NLM ID: 101777346 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2724-6450 (Electronic) Linking ISSN: 2724606X NLM ISO Abbreviation: Minerva Obstet Gynecol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Torino : Edizioni Minerva Medica, [2021]- |
| مواضيع طبية MeSH: | Dyspareunia*/etiology , Dyspareunia*/therapy , Pelvic Pain*/therapy , Pelvic Pain*/etiology , Pelvic Pain*/surgery , Manipulation, Osteopathic*/methods , Endometriosis*/complications , Endometriosis*/surgery , Endometriosis*/therapy, Humans ; Female ; Retrospective Studies ; Adult ; Treatment Outcome ; Recurrence ; Middle Aged ; Chronic Pain/therapy ; Chronic Pain/etiology |
| مستخلص: | Background: Surgical removal of deep infiltrating endometriosis is frequently associated with improvement in symptoms. However, because of the complex pathogenesis of pain in endometriosis that includes central sensitization and myofascial dysfunction, symptoms can persist after surgery. The aim of the present observational study is to explore the effectiveness of osteopathic manipulative treatment (OMT) in reducing persistent pelvic pain and dyspareunia in a sample of symptomatic women surgically treated for endometriosis. Methods: Retrospective cohort analysis of 69 patients treated with OMT, for persistent myofascial pain, chronic pelvic pain (CPP) and dyspareunia after surgical eradication of endometriosis. Surgical, clinical and osteopathic reports were retrospectively analyzed in a chart review. Osteopathic interventions included myofascial release, balanced ligamentous/membranous tension and indirect fluidic technique. Results: During the study period 345 patients underwent surgery for symptomatic endometriosis. Among them, 97 patients (28.1%) complained of post-operative persistent CPP and dyspareunia and 69 patients underwent osteopathic treatment. OMT reports showed a significant improvement of the symptoms after the first OMT session. Particularly, lower scores of CPP (mean NRS 4±4.2 vs. 0.2±0.7, P value. Conclusions: OMT, breaking the cycle of pain and normalizing the musculoskeletal pelvic activity, could be a successful technique to treat persistent chronic pain in women surgically treated for endometriosis. |
| تواريخ الأحداث: | Date Created: 20231124 Date Completed: 20240628 Latest Revision: 20240628 |
| رمز التحديث: | 20240628 |
| DOI: | 10.23736/S2724-606X.23.05351-4 |
| PMID: | 37997320 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2724-6450 |
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| DOI: | 10.23736/S2724-606X.23.05351-4 |