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An Osteopathic Approach to Chronic Pelvic Pain

Journal: The AAO Journal Date: 2022/06, 32(2):Pages: 16-17. doi: Subito , type of study: case report

Free full text   (https://meridian.allenpress.com/aaoj/article/32/2/15/482674/LBORC-NUFA-Poster-Abstracts-2022-Students)

Keywords:

case report [514]
chronic pelvic pain [22]
pelvis [34]
OMT [2951]
female [379]
osteopathic manipulative treatment [2973]

Abstract:

Introduction/Background: Chronic pelvic pain (CPP) is defined as persistent pain that is perceived to originate from the pelvis and lasting more than six months. In 2021, it was estimated that CPP affects 26% of females worldwide. Osteopathic Manipulative Treatment (OMT) may be useful in cases of CPP as a safer alternative to drug therapy. Case: 42-year-old female with history of endometriosis, status-post partial hysterectomy, presented to the Osteopathic Treatment Center with seven years of right suprapubic pain. Pain is sharp, non-radiating, and 10/10 in severity. Patient reported urinary frequency at night. Pain is exacerbated by pressure over the area and a full bladder and improved with exercise and reclining with feet elevated. Patient stated she has no pain free days each month and had been previously seen by gynecology, urology, general surgery, and orthopedic surgery without diagnosis or symptom management. Acetaminophen at home was ineffective. OMT was directed towards somatic dysfunctions of the lower extremities and innominates. OMT was used to relax the muscles that attach to the pelvis and the pelvic floor muscles, and to restore pelvic biomechanics. Results: After a pelvic diaphragm release on visit three, the patient stated that she was pain free for 2 weeks before the pain returned, and pain was more tolerable at that time. Patient believed the improvement in her symptoms was due to OMT. Discussion: Our case study suggests that the use of OMT can be effective in treating chronic idiopathic pelvic pain. Limitations include the limited number of patient encounters and the inability to confirm history of endometriosis with a pathology report. Future research should address the use of OMT to treat pelvic floor pain and associated somatic dysfunctions.


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