A Comprehensive Treatment Protocol for Endometriosis Patients Decreases Pain and Improves Function

Abstract

The purpose of this paper is to evaluate the efficacy of a multimodal, outpatient neuromuscular protocol in treating remaining sensitization and myofascial pain in endometriosis patients post-surgical excision. Patients and Methods: A retrospective longitudinal study was conducted for women aged 22 to 78 with a history of surgically excised endometriosis. 60 women with an average duration of pain of 8.63 ± 7.65 years underwent a treatment protocol consisting of ultrasound guided trigger point injections, peripheral nerve blocks, and pelvic floor physical therapy for 6 weeks. Concomitant cognitive behavioral therapy once weekly for a total of 12 weeks was also undertaken. Pain intensity and pelvic functionality were assessed at new patient consults and 3-month follow ups using Visual Analogue Scale (VAS) and Functional Pelvic Pain Scale (FPPS).

Questionnaires for the Assessment of Central Sensitization in Endometriosis: What Is the Available Evidence? A Systematic Review with a Narrative Synthesis

“…Following abstract screening, 106 articles were excluded (five were not written in English, 101 did not meet inclusion criteria). Among the 16 which were considered eligible for in-depth reading, ten were excluded because they did not evaluate proper outcomes [14,[21][22][23][24][25][26][27][28][29], leaving six articles deemed eligible for the review [5,6,[10][11][12]30]. The flowchart of the selection process of the included studies is represented in Fig.…”