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Physical therapy may bring relief to patients with chronic pelvic pain. (Urinary, Sexual Function Improved).

OB GYN News

| January 01, 2003 | MacReady, Norra | COPYRIGHT 2003 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

SAN DIEGO--When managing a patient with chronic pelvic pain, consider a referral to a physical therapist, Dr. James C. Lukban recommended at a meeting sponsored by the International Pelvic Pain Society.

A regimen of physical therapy exercises and manipulations--including myofascial release, joint mobilization, muscle strengthening and stretching, and "reeducating" tight, tender muscles-resulted in significantly improved sexual function and voiding ability in 16 women with interstitial cystitis, dyspareunia, and dysuria, reported Dr. Lukban of the Graduate Hospital of Philadelphia.

At baseline the patients' dyspareunia scores were a mean of 2.72 on a scale of 0-5, suggesting some restriction of sexual intercourse due to pain. After a mean of approximately nine visits to a physical therapist, their mean score was 0.875, indicating a virtually normal sex life. Nine patients returned to pain-free intercourse.

Before and after their course of physical therapy the patients also completed the O'Leary-Sant Symptom and Problem Questionnaire, which measures urinary frequency urgency and pain, and noctuna. Scores on the 36-item questionnaire went from a mean of 15.75 before treatment to a mean of 8.5 afterward. Fifteen of the 16 patients reported at least some improvement in symptoms. In these cases, pelvic ...

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