Effectiveness of Myofascial Manual Therapies in Chronic Pelvic Pain Syndrome: A Systematic Review and Meta-Analysis

Farra, Fulvio Dal; Aquino, Alessandro; Tarantino, Andrea Gianmaria; Origo, Daniele

doi:10.1007/s00192-022-05173-x

Cited by 5 publications

(3 citation statements)

References 42 publications

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“…In patients with CPPPS, myofascial manual therapies do not show superiority over other interventions for pain reduction and symptom improvement. Nevertheless, a positive trend has been detected [37].…”

Section: Efficacy Of Available Management Optionsmentioning

confidence: 97%

Chronic pelvic pain; more than just the bladder

Messelink,

Flink,

dos Santos

et al. 2023

Current Opinion in Urology

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Purpose of review Chronic pelvic pain is much of a burden to those who suffer from it. Additionally, in many patients medical doctors, such as urologists are unable to identify a cause or clear pathology that can explain the pain. Still numerous patients and doctors keep on searching for a cause, focussing particularly on the pelvic organs. Lots of diagnostics and treatment methods are used but often without success. In recent years, we have gained increased insight into the mechanisms of pain and adapted the terminology accordingly. Recent findings Two aspects of chronic pelvic pain have gained more attention. First, the myofascial aspects, especially the role of the pelvic floor muscles in maintaining the pain and as a therapeutic option. Second, the role of the brain and the psychological aspects intertwine with the pain and its consequences also open up for alternative management options. In terminology chronic pain is now included in the ICD-11, a historical change. Introducing chronic primary pain (no cause found) helps us to look away from the organ and deal with the patient as a whole human being. Summary The findings reported here are helpful for your daily practice. Looking from a broad perspective gives the patient the feeling of being seen and heard. Working together in a multidisciplinary team makes your work easier and gives more satisfaction. Video abstract http://links.lww.com/COU/A44

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Section: Efficacy Of Available Management Optionsmentioning

confidence: 97%

Chronic pelvic pain; more than just the bladder

Messelink,

Flink,

dos Santos

et al. 2023

Current Opinion in Urology

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show abstract

“…Myofascial pain is widely considered a common cause of pain and disability [ 1 , 2 , 3 ], with putative contribution to many clinical pain syndromes, including low back pain [ 4 ], temporomandibular pain [ 5 , 6 , 7 ], pelvic pain [ 8 , 9 , 10 ] and others. The term myofascial pain [ 11 ] suggests the involvement of both muscle and fascia in the pathogenesis of the syndrome.…”

Section: Introductionmentioning

confidence: 99%

“…Indeed, many studies focused on the contribution of muscles to myofascial pain syndrome, demonstrating specific changes in involved muscles, including taut bands, trigger points and typical pain referral patterns [ 12 , 13 ]. Consequently, treatment modalities for myofascial pain have largely focused on muscles, including muscle injections [ 14 ], manual therapy [ 8 , 15 ], dry needling [ 16 , 17 ] and others [ 13 ]. Previously, emphasis was given to the role of the muscles in myofascial pain, however, in recent years, the role of fascia has drawn attention [ 18 , 19 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

Differential Sensitization of Muscle versus Fascia in Individuals with Low Back Pain

et al. 2022

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Muscles and the deep fascia surrounding them have been suggested to play an important role in various musculoskeletal pain conditions including low back pain. Both have been shown to host rich nociceptive innervation and to undergo changes in individuals with chronic pain. However, evidence for the respective contribution of muscle and fascia sensitization in humans with myofascial pain syndrome is lacking. Here, we studied the sensitization of muscle and fascia in individuals with myofascial low back pain. Twenty individuals with acute (5) and chronic (15) myofascial low back pain of the quadratus lumborum muscle and a matched control group of twenty healthy individuals were recruited and clinically evaluated. All participants underwent ultrasound-guided needling of their subcutaneous tissue, deep fascia and quadratus lumborum muscle. Reported pain intensity and episodes of muscle twitching were recorded and analyzed. Among pain patients, both muscles and deep fascia demonstrated pain hypersensitivity, but muscles were significantly more sensitized than the deep fascia. No difference between acute- or chronic-pain patients was observed. Results of this study suggest that while both deep fascia and muscle show pain sensitization in both early and chronic stages of low back pain, muscles are more sensitized than fascia.

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Evaluating the Effectiveness of Radiofrequency Therapy and Manual Pelvic Fascial Release in Treating Myofascial Pelvic Pain

Li,

et al. 2024

Int Urogynecol J

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Effectiveness of Myofascial Manual Therapies in Chronic Pelvic Pain Syndrome: A Systematic Review and Meta-Analysis

Cited by 5 publications

References 42 publications

Chronic pelvic pain; more than just the bladder

Chronic pelvic pain; more than just the bladder

Differential Sensitization of Muscle versus Fascia in Individuals with Low Back Pain

Evaluating the Effectiveness of Radiofrequency Therapy and Manual Pelvic Fascial Release in Treating Myofascial Pelvic Pain

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