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

被引：5

作者：

Shrikhande, Allyson ^{[1
,2
]}

Patil, Soha ^{[1
,2
]}

Subhan, Merzia ^{[1
,2
]}

Moody, Erika ^{[1
,2
]}

Natarajan, Janaki ^{[1
,2
]}

Tailor, Yogita ^{[1
,2
]}

Mamsaang, Marjorie ^{[1
,2
]}

James, Neha ^{[1
,2
]}

Leishear, Kimberlee ^{[1
,2
]}

Vyas, Rakhi ^{[1
,2
]}

Sandhu, Sandra ^{[1
,2
]}

Ahmed, Tayyaba ^{[1
,2
]}

Filart, Rosemarie ^{[1
,2
]}

Daniel, Gabrielle ^{[1
,2
]}

Orbuch, Iris Kerin ^{[3
,4
]}

Larish, Yaniv ^{[1
,2
]}

Liu, Lora ^{[1
,2
]}

机构：

[1] Pelv Rehabil Med Clin Res Fdn, W Palm Beach, FL 33401 USA

[2] Feinstein Inst Med Res, Manhasset, NY 11030 USA

[3] Providence St Johns Hosp, Santa Monica, CA USA

[4] Adv Gynecol Laparoscopy Ctr, Los Angeles, CA USA

来源：

INTERNATIONAL JOURNAL OF WOMENS HEALTH | 2023年 / 15卷

关键词：

chronic pelvic pain; peripheral sensitization; central sensitization; myofascial dysfunction; CHRONIC PELVIC PAIN; QUALITY-OF-LIFE; NEUROGENIC INFLAMMATION; SENSITIZATION; BLADDER; DEPRESSION; ANXIETY; IMPACT; WOMEN; MODEL;

D O I：

10.2147/IJWH.S365637

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Purpose: 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). Results: At new patient consults, average VAS and FPPS were 7.45 +/- 2.11 (CI 6.92-7.98) and 14.35 +/- 6.62 (CI 12.68 -16.02), respectively. At 3-month follow ups, average VAS and FPPS decreased to 4.12 +/- 2.44 (CI 3.50-4.73; p < 0.001) and 10.3 +/- 6.55 (CI 8.64-11.96; p < 0.001), respectively. Among FPPS categories, sleeping, intercourse, and working showed the highest statistical significance. Conclusion: Data suggests the multimodal protocol was effective in treating the remaining underlying sensitization and myofascial pain seen in Endometriosis patients post-surgical excision, particularly in decreasing pain and improving function during work and intercourse.

引用

页码：91 / 101

页数：11

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