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Effectiveness Of Manual Therapy For Pelvic Floor Muscle Trigger Points In Female Patients With Interstitial Cystitis And Pelvic Pain

Author: 
AnbuPriya, M., P. Ponmathi and Prof. V. P. R. Sivakumar
Subject Area: 
Health Sciences
Abstract: 

Introduction: Interstitial cystitis is an odd, chronic and progressive disease of the lower urinary tract distinguished by urinary urgency, frequency and chronic pelvic pain in the absence of previous aetiology and poorly understood pathogenesis. It is well established that dysfunctional pelvic floor muscles contribute significantly to the symptom of Interstitial cystitis. Objective: To determine the efficacy of pelvic floor myofascial trigger release in female patients with Interstitial cystitis and pelvic pain. Methods: The study was performed and conducted among female patients with Interstitial cystitis who attended urology department at SRM Hospital. Female patients who demonstrated pelvic floor tenderness on physical examination are recruited. The outcome measures include PUF(Pelvic Pain, Urgency and Frequency) Questionnaire for disease symptom and bother score, VAS (Visual Analogue Scale) for pain and MOS(Modified Oxford Scale) for pelvic floor muscle tenderness measurement. Results: Within group analysis and between groups analysis was performed using paired t-test and student t-test. A total of 30 female patients were systematically allotted into two groups (experimental and control) who had similar baseline values. Pain, tenderness, urgency and frequency symptom score decreased in both the groups over a 4 week period of treatment and was also significantly different between the groups (p=0.000). Conclusion: Myofascial trigger release therapy along with conventional medical therapy has better effect in reduction of symptom (Pain, tenderness, urgency and frequency) than conventional medical therapy alone among female patients with interstitial cystitis and pelvic pain.

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