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Myofascial Release for Vulvar Pain and Pubic Shear After a Straddle Injury in a 3-Year-Old Girl

Journal: The Journal of the American Osteopathic Association Date: 2019/11, 119(11):Pages: 768-771. doi: Subito , type of study: clinical trial

Free full text   (https://www.degruyter.com/document/doi/10.7556/jaoa.2019.127/html)

Keywords:

pelvic malalignment [1]
pediatric [452]
OMT [2951]
vulvar discomfort [1]
osteopathic structural examination [5]
somatic dysfunction [147]
child [312]
girl [2]
clinical trial [612]

Abstract:

Pelvic malalignment is a somatic dysfunction that can lead to pelvic discomfort, despite normal genital examination findings. A 3-year-old girl presented with vulvar discomfort after a straddle injury sustained while riding a tricycle. The symptoms persisted despite standard medical treatment for vulvovaginitis and chronic vulvar irritation. An osteopathic structural examination revealed distortions of the bony pelvis, often associated with genitourinary complaints. After 5 osteopathic manipulative treatment sessions, the patient experienced significant relief. With persistent vulvar pain, somatic dysfunction should be considered in the differential diagnosis. A brief musculoskeletal examination of the pubic tubercles, iliac crest, and iliac spines can help to identify somatic dysfunction in a gynecologic patient with symptoms that are unresponsive to standard treatments.


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